Emergency Medicine Cardiac Research and Education Group




ACTION Registry
ACTION Registry®–GWTG™ is a national, risk-adjusted, outcomes-based quality improvement program that helps participating facilities measure and improve care for high-risk ACS patients with STEMI and NSTEMI. The result of the collaboration between the two leading national coronary artery disease registries, the NCDR® ACTION Registry® and the American Heart Association (AHA) Get With The GuidelinesSM-CAD Registry, ACTION Registry–GWTG will be the largest, most comprehensive national cardiovascular patient database ever developed by the medical profession.

Combining the strengths of the two programs, ACTION Registry–GWTG will collect a comprehensive set of data elements that provide healthcare professionals and their facilities with the information they need to monitor and improve adherence to the most current, science-based ACC/AHA treatment guidelines. Participation will greatly facilitate quality improvement efforts, optimize clinical care, and improve clinical outcomes for acute coronary syndrome patients.

Visit How To Join to request additional information or to download an enrollment package. Or, visit the ACTION website for more information.


EMCREG at ACEP 2010

Optimizing the Care of Patients With Acute Coronary Syndromes in the Emergency Department

MANDALAY BAY NORTH CONVENTION CENTER
Islander Ballroom G/B
WEDNESDAY, SEPTEMBER 29, 2010
6:00 AM - 8:00 AM
(Breakfast and registration begin at 5:30 AM)

Register On-line: On-line registration
By phone: 866-858-7434 | By e-mail: info@med-iq.com

Or Download the Brochure, complete the registration portion, and fax back to us toll-free at 866-419-5789.

Join EMCREG at ACEP in Las Vegas for a complimentary breakfast symposium on Wednesday, September 29, 2010 from 6:00 AM - 8:00 AM. Rapidly emerging literature, new pharmacologic agents, national patient safety and quality measures, and guideline updates can make it difficult for busy emergency medicine professionals to stay abreast of the latest information and management strategies for acute coronary syndromes. This engaging, interactive session will combine didactic presentations of current guideline recommendations and clinical evidence with dynamic panel discussions and shared audience response questions. Join nationally renowned faculty experts W. Brian Gibler, MD, FACEP, FAHA, Deborah Diercks, MD, James W. Hoekstra,MD, and Charles V. Pollack, Jr., MD, FACEP, FAAEM, FAHA, and learn how to implement protocols in your ED that incorporate ACC/AHA guideline recommendations.

LEARNING OBJECTIVES: Upon completion, participants should be able to:
  • Incorporate the current ACC/AHA Focused Update guideline recommendations and latest evidence when assessing ACS patients and formulating treatment plans
  • Describe effective strategies for implementing ACC/AHA guideline recommendations into practice
  • Apply current data and guideline recommendations when considering anticoagulant and antiplatelet selection for individual patients
  • Identify potential benefits and risks of emerging agents and new approaches to ACS care

This satellite symposium is sponsored by Med-IQ in collaboration with EMCREG-International.
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Testing of Low-Risk Patients Presenting to the Emergency Department With Chest Pain
Several EMCREG members helped co-author a recent AHA scientific statement covering the how, what, and why of testing patients with chest pain in the ED, application of diagnostic tools for low-risk patients, and insights to clinical judgments for patient evaluation. Circulation. 2010;122:756-776. Visit the AHA site for a complete summary and more resources.
NEW! ACEP 2009 MONOGRAPH: ADVANCING THE STANDARD OF CARE - CARDIOVASCULAR AND NEUROVASCULAR EMERGENCIES
ACEP 2009 MONOGRAPH
EMCREG–International is pleased to present this complimentary CME monograph covering the proceedings of our 2009 satellite symposium at the ACEP Scientific Assembly in Boston, MA. The monograph covers a number of important topics including acute coronary syndromes (ACS) including non-ST-segment elevation ACS (NSTE ACS) and ST-segment elevation myocardial infarction (STEMI), acute heart failure syndromes, STEMI Regional Systems of Care, and medical-legal issues of acute stroke.

View the work in Multiple Formats including by webcast.


ACEP 2008 MONOGRAPH: ADVANCING THE STANDARD OF CARE - CARDIOVASCULAR AND NEUROVASCULAR EMERGENCIES
ACEP 2009 MONOGRAPH
EMCREG–International is pleased to present this complimentary CME monograph covering the proceedings of our 2008 satellite symposium at the ACEP Scientific Assembly in Chicago, IL. The monograph covers the presented topics and provides up-to-date knowledge on the full spectrum of decision making and care for patients with acute coronary syndromes (ACS) including non-ST-segment elevation ACS (NSTE ACS) and ST-segment elevation myocardial infarction (STEMI), acute heart failure syndromes, pulmonary embolism, and acute ischemic stroke.

View the work in Multiple Formats including by webcast.


HYPERTENSIVE EMERGENCIES: ACUTE CARE EVALUATION AND MANAGEMENT
HYPERTENSIVE EMERGENCIES: ACUTE CARE EVALUATION AND MANAGEMENT
Hypertension remains one of the most common disease processes in patients presenting to the Emergency Department (ED). While sometimes symptomatic and associated with end organ damage such as hypertensive encephalopathy, hemorrhagic stroke, acute coronary syndrome, heart failure, and renal insufficiency, many patients present without symptoms. Emergency physicians and hospitalists should understand the appropriate classification of patients with hypertension, the pathophysiology of this disease process, and appropriate treatment strategies. In this EMCREG-International Newsletter, Charles V. Pollack, Jr. MD and Christopher J. Rees, MD of Pennsylvania Hospital and the University of Pennsylvania discuss hypertension and parenteral medications used for treatment of these patients in the ED.

View the work in PDF Format.


THE EMCREG-INTERNATIONAL HYPERTENSION CONSENSUS PANEL: MANAGEMENT OF HYPERTENSIVE EMERGENCIES
THE EMCREG-INTERNATIONAL HYPERTENSION CONSENSUS PANEL: MANAGEMENT OF HYPERTENSIVE EMERGENCIES
The EMCREG-International Hypertension Consensus Panel gathered experts from diverse fields, including Emergency Medicine, Cardiology, Neurology, Neurosurgery, Neuro-Critical Care, Obstetrics/Gynecology, Nephrology, Pediatrics, and Hospital Medicine to discuss, analyze, and provide recommendations for treating hypertension. Through this collaboration, virtually any patient presenting with hypertension to an outpatient or emergency department setting will have clear guidelines for treatment and physician follow-up.

View the work in PDF Format.


ACEP 2007 MONOGRAPH: ADVANCING THE STANDARD OF CARE - CARDIOVASCULAR, NEUROVASCULAR AND INFECTIOUS EMERGENCIES
ACEP 2007 MONOGRAPH: ADVANCING THE STANDARD OF CARE - CARDIOVASCULAR, NEUROVASCULAR AND INFECTIOUS EMERGENCIES
EMCREG–International is pleased to present this complimentary 99-page CME monograph covering the proceedings of our 2007 satellite symposium at the ACEP Scientific Assembly in Seattle, Washington, Louisiana. A number of important topics are covered in this monograph including acute coronary syndrome, the diagnosis of transient ischemic attack and stroke, the treatment of ischemic and hemorrhagic stroke, the management of hypertension in acute neurovascular emergencies, the management of hypertensive urgencies and emergencies, markers for severe bacterial infections, the treatment of sepsis, risk stratification of possible acute coronary syndrome, the optimal management of NSTEMI and STEMI, treatment of acute heart failure syndrome, and the diagnosis and treatment of deep venous thrombosis and pulmonary embolism.

View the work in PDF Format.


MANAGEMENT OF HYPERTENSION AND HYPERTENSIVE EMERGENCIES IN THE EMERGENCY DEPARTMENT: THE EMCREG-INTERNATIONAL CONSENSUS PANEL RECOMMENDATIONS
Management of Hypertension and Hypertensive Emergencies in the Emergency Department: The EMCREG-International Consensus Panel Recommendation
This supplement [Ann Emerg Med 2008;51(3 Suppl 1):S1-S38] represents the first supplement to Annals of Emergency Medicine in nearly 16 years! These consensus documents on the evaluation and management of hypertension and hypertensive emergencies in the ED was systematically developed between December 2006 and April 2007 in an evidence-based and consensus-based process and culminated in the March 2008 supplement of Annals. The panel members were selected from a multidisciplinary group of specialists, which included physicians from emergency medicine, neurology, neurological surgery, internal medicine, hospital medicine, nephrology, cardiology, pediatrics, anesthesiology, vascular surgery, and gynecology and obstetrics. Each specific hypertension section or topic was assigned at least 2 experts, one of whom was usually an emergency physician.

The Supplement can be obtained on the Annals of Emergency Medicine website.


View the monograph archive . . .


Impact of a Statewide ST-Segment–Elevation Myocardial Infarction Regionalization Program on Treatment Times for Women, Minorities, and the Elderly
Glickman SW, Granger CB, Ou FS, O’Brien S, Lytle BL, Cairns CB, Mears G, Hoekstra JW, Garvey JL, Peterson ED, Jollis JG
Circ Cardiovasc Qual Outcomes. 2010;3:514-521

"Call 911" STEMI Protocol to Reduce Delays in Transfer of Patients From Non Primary Percutaneous Coronary Intervention Referral Centers
Baruch T, Rock A, Koenig WJ, Rokos I, French WJ
Crit Pathways in Cardiol 2010;9: 113–115

Coronary Artery Calcium Scoring: Are the Data Rock Solid?
Hollander JE
Ann Emerg Med. 2010;56:230-232

Stress Cardiac Magnetic Resonance Imaging With Observation Unit Care Reduces Cost for Patients With Emergent Chest Pain: A Randomized Trial
Miller CD, Hwang W, Hoekstra JW, Case D, Lefebvre C, Blumstein H, Hiestand B, Diercks DB, Hamilton CA, Harper EN, Hundley WG
Ann Emerg Med 2010;56:209-219


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