Emergency Medicine Cardiac Research and Education Group


CRUSADE National Quality Improvement Initiative

CRUSADE, a national quality improvement initiative, is designed to increase the practice of evidenced-based medicine for patients with diagnosed non-ST-segment-elevation acute coronary syndromes (NSTE ACS).

CRUSADE will use as its "gold standard", the NSTE ACS clinical practice guidelines developed by the American College of Cardiology (ACC) and the American Heart Association (AHA). Feedback to clinicians about care patterns and educational interventions will be used as strategies to improve the standard of care.

CRUSADE should raise physician awareness of and increase the application of the ACC/AHA guidelines for care of patients with acute coronary syndromes. Patients will benefit from this project.

For more information visit the CRUSADE website or send an email.


ADVANCING THE STANDARD of CARE: CARDIOVASCULAR and NEUROVASCULAR EMERGENCIES
Follow-up Monograph from the ACEP 2004 Symposium
(October 17 and 19, 2004, San Francisco, CA)

Want to see it Live? View the web cast!

Complete Monograph (2024 KB): download here
Request a hardcopy Here!

  1. Cover, Introduction and Table of Contents

  2. Pathophysiology of ACS
    (Douglas Char, MD)    Download as: [PDF] or [Audio MP3]

  3. Point-of-Care Testing for ACS in the Emergency Department
    (Andra Blomkalns, MD)    Download as: [PDF] or [Audio MP3]

  4. The Role of Heart Sounds Recording and Analysis in the Dyspneic ED Patient
    (Sean Collins, MD)    Download as: [PDF] or [Audio MP3]

  5. Update: Chest Pain Centers in 2004
    (J. Lee Garvey, MD)    Download as: [PDF] or [Audio MP3]

  6. Understanding the Role of Anti-Platelet Agents in Non-ST-Elevation Acute Coronary Syndromes
    (James W. Hoekstra, MD)    Download as: [PDF] or [Audio MP3]

  7. Anticoagulation in Acute Coronary Syndromes in the ED - Unfractionated vs Low-Molecular-Weight Heparin: Does It Matter?
    (Charles V. Pollack, MD)    Download as: [PDF] or [Audio MP3]

  8. CRUSADE - A Roadmap for Change: Interim Analysis of First 100,000 Patients Enrolled in the CRUSADE Initiative
    (W. Brian Gibler, MD)    Download as: [PDF] or [Audio MP3]

  9. ST-Segment Elevation Myocardial Infarction: New Guidelines with a Refocus on Time to Treatment
    (James W. Christenson, MD)    Download as: [PDF] or [Audio MP3]

  10. The Evolving Role of BNP in the Diagnosis and Treatment of CHF: A Summary of the BNP Consensus Panel Report
    (W. Frank Peacock, MD)    Download as: [PDF] or [Audio MP3]

  11. Biomarker Advances in Acute Ischemic Stroke
    (Edward C. Jauch, MD)    Download as: [PDF] or [Audio MP3]

  12. Latest Imaging for Acute Ischemic Stroke and Intracerebral Hemorrhage
    (Brian A. Stettler, MD)    Download as: [PDF] or [Audio MP3]

  13. Latest Advances in Stroke Treatment
    (Arthur M. Pancioli, MD)    Download as: [PDF] or [Audio MP3]

  14. Panel Discussion 1: Collins, Blomkalns, Christenson

       Download as: [Audio MP3]

  15. Panel Discussion 2: Jauch, Stettler, Pancioli

       Download as: [Audio MP3]

  16. Panel Discussion 3: Char, Hoekstra, Pollack

       Download as: [Audio MP3]

  17. Panel Discussion 4: Gibler, Garvey, Peacock

       Download as: [Audio MP3]

  18. CME POST TEST




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1 December 2008
A proof-of-concept study suggestes heart fatty acid-binding protein (H-FABP) may be a promising new biomarker in patients with acute chest pain.
1 December 2008
Type 2 diabetics have hyperactive platelets resulting in a hyperprocoagulant state and a heightened response to glycoprotein IIb/IIIa inhibitors.
25 November 2008
Researchers report that facilitated PCI is safe for STEMI patients facing a delay for PCI of 91 to 150 minutes.
25 November 2008
Research shows that the early inhibition of platelet aggregation achieved with clopidogrel and aspirin is maintained at 1 year in patients undergoing PCI.
25 November 2008
Researchers report that a novel anti-inflammatory compound, VIA-2291, shows promise in a phase 2 ACS trial.
20 November 2008
Physicians should reconsider the use of antiplatelet agents in AMI patients who develop bleeding.
18 November 2008
Early administration of GPI in STEMI patients undergoing primary PCI resulted in significantly better 2-year clinical outcomes compared to GPI administration just prior to revascularization.
17 November 2008
Out-of-hospital thrombolysis and aspirin therapy are the best predictors of in-hospital survival for STEMI patients.
12 November 2008
TIMACS investigators concluded that early invasive management is safe in patients with unstable angina or NSTEMI but overall has the same impact on the risk of death, new MI, or stroke compared with a delayed invasive strategy.
12 November 2008
Researchers have uncovered new mechanisms and molecular targets for the inhibition of activated thrombin activatable fibrinolysis inhibitor (TAFIa).
11 November 2008
Increasing BMI shown to be inversely correlated with plasma levels of NTproBNP in CHF even in patients matched for known influencing factors.
11 November 2008
At least one-third of ED patients undergoing first-time CT pulmonary angiography have a repeat scan within 5 years.
11 November 2008
The ACC/AHA have published newly revised performance measures to improve care for patients with AMI.
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