Emergency Medicine Cardiac Research and Education Group

Join EMCREG at the AHA 2016 Scientific Sessions in New Orleans!


Please Join Dr. Chris Granger and EMCREG-International for a complimentary dinner CME symposium with craft beer and wine.

The event will be held during the 2016 American Heart Association Scientific Session in New Orleans.

Sunday November 13, 2016
6:30 PM-10:00 PM
Westin Hotel New Orleans Canal Place
100 Rue Iberville, New Orlean, LA 70130

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Optimal Therapy For ACS - Guideline-Based Treatments in the Emergency Department

In this EMCREG-International Monograph, you will find a variety of cardiovascular articles which will hopefully be helpful to you in your practice of Emergency Medicine and Acute Care Medicine. These manuscripts are based on the 2015 EMCREG-International Satellite Symposium which was held on October 25, 2015, during the 2015 ACEP Scientific Assembly in Boston, Massachusetts. The symposium and this Monograph entitled Optimal Therapy for Acute Coronary Syndromes: Using Guideline-Based Treatments in the Emergency Setting explore multiple Acute Coronary Syndrome (ACS) topics which are extremely important to emergency physicians, hospitalists, and other acute care providers such as physician assistants and nurse practitioners as they care for these often critically-ill patients.
  1. Identification of Patients with ACS in the ED at High Risk of Adverse Outcomes
  2. 2013 ACCF/AHA Guidelines for STEMI Patients
  3. 2014 ACCF/AHA Guideline for Treating Non-ST-Elevation ACS (NSTE ACS)
  4. Challenges in Optimizing Antiplatelet Therapy for STEMI and NSTE ACS
  5. Thromboelastography (TEG) – Understanding the Patient’s Ability to Clot Blood
  6. Optimizing Collaboration Between Emergency Physicians, Hospitalists, and Cardiologists for Treatment of ACS

Emergency Physicians and Hospitalists care daily for patients who are critically ill and injured. The management of these patients is often complex and requires detailed diagnostic and therapeutic information, as well as a thorough understanding of disease pathophysiology. In this EMCREG-International Monograph, multiple critical care topics including critical respiratory illness/ventilator management and the current therapy for septic shock provide two major areas of interest to the practicing clinician. In addition, the treatment of significant deep venous thrombosis and pulmonary embolism (DVT/PE) and the management of atrial fibrillation are emphasized. For patients with DVT/PE and atrial fibrillation, pharmacologic management now extends beyond rate control and warfarin to treatment with Factor Xa inhibitors and other antagonists to the clotting cascade. For patients presenting to the Emergency Department with significant bleeding who are currently being treated with these agents, the clinician is given practical approaches to reverse the process. In addition, the treatment of patients post-cardiac arrest resuscitation is described, expanding their management beyond hypothermia in the Emergency Department and as an inpatient. Finally, the use of thromboelastography (TEG) to evaluate the critically ill and injured patient’s ability to clot blood is described.
  1. Treatment of Critical Respiratory Illness in the ED and ICU
  2. Deep Venous Thrombosis and Pulmonary Embolism: Optimal Therapy and Prevention for the Critically-Ill Patient
  3. Post-Cardiac Arrest in the Emergency Department: Beyond Hypothermia
  4. Atrial Fibrillation: Advanced Management of the Critically-Ill Patient in the ED and ICU
  5. Management of Major Bleeding for Patients Treated with Novel Oral Anticoagulants
  6. Does the Patient’s Blood Clot? – Impact of Thromboelastography (TEG) in the Critically-Ill and Injured Patient in the ED and ICU Setting
  7. Advanced Resuscitation of Septic Shock in the ED and ICU
Prescribing Information for Factor Xa Inhibitors: Prescribing information for Direct Thrombin Inhibitor:
Join faculty experts, W. Brian Gibler, MD; James W. Hoekstra, MD; Charles Pollack, MD; E. Magnus Ohman, MD; Phillip Levy, MD; Jordon Bonomo, MD and Opeolu Adeoyeo, MD, as they review recent advances in cardiac biomarker diagnostics including high-sensitivity troponin assays and CT coronary angiography, novel anticoagulant therapy, advances in antiplatelet therapy which have been incorporated into the latest ACCF/AHA guidelines, the interventional cardiologists perspective, and novel diagnostics for determining a patient’s clotting status by thromboelastography.

View the monograph.
Transcript monograph from the 2013 EMCREG-International Symposium held in Seattle, Washington on October 13, 2013. This is presented as an interactive piece which features discussion of the new 2012 ACCF/AHA Guideline for the Treatment of Non-ST-segment Elevation Myocardial Infarction and Unstable Angina and the 2013 ACCF/AHA Guideline for the treatment of ST-segment Elevation Myocardial Infarction. Emphasis will be placed on the antiplatelet and anticoagulant portion of the guidelines.

View the work in PDF Format.

View the monograph archive . . .

Minimizing Transfer Time to an ST Segment Elevation Myocardial Infarction-Receiving Center: A Modified Delphi Consensus
Mumma, Bryn E.; Williamson, Conrad; Khare, Rahul K.; Mackey, Kevin E.; Diercks, Deborah B.
Crit Pathw Cardiol. 2014;13(1):20-24

A Pilot Study of Implantable Cardiac Device Interrogation by Emergency Department Personnel
Neuenschwander, James F.; Hiestand, Brian C.; Peacock, W. Frank; Billings, John M.; Sondrup, Cole; Hummel, John D.; Abraham, William T.
Crit Pathw Cardiol. 2014;13(1):6-8

Lessons in Flying: Crew Resource Management as a Quality Improvement Method for Acute Coronary Syndromes Care
Levy, Phillip D.; Dancy, JaNeen N.; Stowell, Stephanie A.; Hoekstra, James W.; Arthur, Crystal L.; Wilson, Charles H.; Bednar, John M.; Dorman, Todd; Hiestand, Brian
Crit Pathw Cardiol. 2014;13(1):36-42

Variable Impact of State Legislative Advocacy on Registry Participation and Regional Systems of Care Implementation: A Policy Statement From the American Heart Association
Rokos IC, Schwamm LH, Konig M, Malcarney MB, Horton KB, Ranous J, Ellrodt AG, Farmer SA, Frankel MR, Ferguson TB, Goff DC Jr, Hiratzka L, Jacobs AK; American Heart Association Advocacy Coordinating Committee
Circulation. 2013 Oct 15;128(16):1799-809. doi: 10.1161/CIR.0b013e3182a8fc62. Epub 2013 Sep 16.

Identifying patients for early discharge: Performance of decision rules among patients with acute chest pain
Mahler SA, Miller CD, Hollander JE, Nagurney JT, Birkhahn R, Singer AJ, Shapiro NI, Glynn T, Nowak R, Safdar B, Peberdy M, Counselman FL, Chandra A, Kosowsky J, Neuenschwander J, Schrock JW, Plantholt S, Diercks DB, Peacock WF
Int J Cardiol. 2013 Sep 30;168(2):795-802. doi: 10.1016/j.ijcard.2012.10.010. Epub 2012 Oct 30.

Nitrates for acute heart failure syndromes
Wakai A, McCabe A, Kidney R, Brooks SC, Seupaul RA, Diercks DB, Salter N, Fermann GJ, Pospisil C.
Cochrane Database Syst Rev. 2013 Aug 6;8:CD005151. doi: 10.1002/14651858.CD005151.pub2

How Low Can We Go? The High-Sensitivity Cardiac Troponin Debate
Storrow AB, Lardaro TA, Alexander PT, Apple FS
Ann Emerg Med. 2013 Dec;62(6):580-3. doi: 10.1016/j.annemergmed.2013.03.021. Epub 2013 Apr 6

Emergency Department Bypass for ST-Segment–Elevation Myocardial Infarction Patients Identified With a Prehospital Electrocardiogram: A Report From the American Heart Association Mission: Lifeline Program
Bagai A, Jollis JG, Dauerman HL, Peng SA, Rokos IC, Bates ER, French WJ, Granger CB, Roe MT
Circulation. 2013 Jul 23;128(4):352-9. doi: 10.1161/CIRCULATIONAHA.113.002339. Epub 2013 Jun 20

Nitrates for acute heart failure syndromes
Wakai A, McCabe A, Kidney R, Brooks SC, Seupaul RA, Diercks DB, Salter N, Fermann GJ, Pospisil C
Cochrane Database Syst Rev. 2013; 8: CD005151

Impact of Society of Cardiovascular Patient Care Accreditation on Quality: An Action Registry(R)-Get With the Guidelines Analysis
Peacock WF, Kontos MC, Amsterdam E, Cannon CP, Diercks D, Garvey L, Graff L 4th, Holmes D, Holmes KS, McCord J, Newby K, Roe M, Dadkhah S, Siler-Fisher A, Ross M
Crit Pathw Cardiol. 2013 Sep;12(3):116-120

Bypassing the Emergency Department and Time to Reperfusion in Patients With Prehospital ST-Segment Elevation: Findings From the Reperfusion in Acute Myocardial Infarction in Carolina Emergency Departments Project
Bagai A, Al-Khalidi HR, Muñoz D, Monk L, Roettig ML, Corbett CC, Garvey JL, Wilson BH, Granger CB, Jollis JG
Circ Cardiovasc Interv. 2013 Jul 16. [Epub ahead of print]

ED administration of thienopyridines in non–ST-segment elevation myocardial infarction: results from the NCDR
Diercks DB, Kontos MC, Hollander JE, Mumma BE, Holmes DN, Wiviott S, Saucedo JF, de Lemos JA.
Am J Emerg Med. 2013 Jul;31(7):1005-11. doi: 10.1016/j.ajem.2013.03.001. Epub 2013 May 20

Operational data integrity during electronic health record implementation in the ED
Ward MJ, Froehle CM, Hart KW, Lindsell CJ.
Am J Emerg Med. 2013 Jul;31(7):1029-33. doi: 10.1016/j.ajem.2013.03.027. Epub 2013 May 23

Initial Management of Patients with Acute Heart Failure
Fermann GJ, Collins SP
Heart Fail Clin. 2013 Jul;9(3):291-301. doi: 10.1016/j.hfc.2013.04.004. Epub 2013 Jun 4.

Evaluation and Management of the Atrial Fibrillation Patient: A Report From the Society of Cardiovascular Patient Care
Steinberg BA, Beckley PD, Deering TF, Clark CL, Amin AN, Bauer KA, Cryer B, Mansour M, Scheiman JM, Zenati MA, Newby LK, Peacock WF, Bhatt DL; for the Society of Cardiovascular Patient Care
Crit Pathw Cardiol. 2013 Sep;12(3):107-115

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