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 2005 Symposium
(Washington, DC ACEP Scientific Assembly)

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Complete Monograph (4.4 MB): download here
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  1. Introduction and Table of Contents

  2. Maximizing the Effectiveness of NSTE ACS Care Utilizing the CRUSADE Initiative: Right Patient? Right Dose?
    (James W. Hoekstra, MD)    Download as: [PDF]

  3. Clopidogrel in Acute Coronary Syndrome: New Trial Results
    (Marc S. Sabatine, MD)    Download as: [PDF]

  4. Low-Molecular-Weight Heparin for Non-ST-Segment-Elevation Acute Coronary Syndrome
    (Charles V. Pollack, MD)    Download as: [PDF]

  5. Dyslipidemia – What the Emergency Physician Should Know
    (Andra L. Blomkalns, MD)    Download as: [PDF]

  6. Diagnosis of Acute Decompensated Heart Failure
    (Judd E. Hollander, MD)    Download as: [PDF]

  7. The Role of Nesiritide in the Management of Acute Decompensated Heart Failure: Review of Mortality Data and Recommendations for Clinical Use
    (J. Douglas Kirk, MD)    Download as: [PDF]

  8. Diagnosis, Risk Stratification and Treatment of Pulmonary Embolism
    (Raymond E. Jackson, MD)    Download as: [PDF]

  9. Cardiac Markers and Point-of-Care Testing in the Emergency Department
    (Andra L. Blomkalns, MD)    Download as: [PDF]

  10. The Stroke Center Concept
    (Arthur M. Pancioli, MD)    Download as: [PDF]

  11. Advances in Diagnosis and Treatment of Transient Ischemic Attack
    (Brian A. Stettler, MD)    Download as: [PDF]

  12. Diagnosis of Stroke: The Potential of Serum Biomarkers
    (Edward C. Jauch, MD)    Download as: [PDF]

  13. CME Post Test
    Download as: [PDF]

  14. Disclosures
    Download as: [PDF]





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5 September 2008
Researchers report that elevated NT-proBNP is a strong risk factor for sudden death and stroke in patients with Type 2 diabetes on hemodialysis.
26 August 2008
Recent study reports that up to one-third of intermediate- to high-risk patients with NSTE ACS receive medical management instead of revascularization, even though this strategy puts such patients at increased risk.
26 August 2008
ACUITY 1-year results indicate bivalirudin monotherapy has equivalent outcomes compared with heparin plus a glycoprotein IIb/IIIa inhibitor in ACS patients undergoing PCI.
22 August 2008
A recent AHA statement highlights the need to implement prehospital 12-lead electrocardiogram assessments to improve ACS care.
21 August 2008
Researchers report that patients presenting to the hospital with NSTE-ACS soon after symptom onset have similar outcomes to those with delayed presentation.
21 August 2008
Study reports that von Willebrand factor is more predictive of ACS than stable angina.
21 August 2008
AHA statement suggests the use of prehospital ECGs to improve the quality of care delivered to patients with ST-segment-elevation MI.
20 August 2008
NT-pro-BNP independently predicts outcome for heart failure patients with and without CKD.
19 August 2008
ISAR-REACT 3 data reports that in low-risk patients undergoing PCI after clopidogrel preloading, bivalirudin was equivalent to UFH, but it did significantly reduce the incidence of major bleeding.
19 August 2008
On-TIME 2 results show that giving a pre-hospital high bolus dose of tirofiban to patients with an STEMI before PCI improves clinical outcome.
12 August 2008
Results from CRUSADE show that medical records of patients with NSTE ACS frequently lack important information like cardiac history, performance status, and a planned evidence-based medicine treatment approach.
12 August 2008
About 6% of EVENT-registry elective-PCI patients had positive troponin tests prior to PCI and had greater than five times the one year mortality.
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