EMCREG Educational Podcasts http://www.emcreg.org en-us Copyright 2009 Thu, 16 Jan 2009 10:30:45 EST Thu, 16 Jan 2009 10:30:45 EST support@emcreg.org (Todd W. Roat) EMCREG-International EMCREG-International EMCREG-International strives to be the international leader in high quality, independent medical education in the emergency medicine specialty. We hope to be recognized as an international standard for educational programs that are of the highest quality, current, and independent of influence from any source. Todd W. Roat support@emcreg.org No http://www.emcreg.org/publications/monographs/acep/2008/acep2008_mono.html http://www.emcreg.org/publications/monographs/acep/2008/ACEP2008_mono.pdf 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. For the full CME webcast please visit our publications section at http://www.emcreg.org/education/cme/cme.html Podcasts Fri, 11 Mar 2009 12:30:45 EST EMCREG-International No Advancing the Standard of Care: Cardiovascular and Neurovascular Emergencies [PDF] 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. For the full CME webcast please visit our publications section at http://www.emcreg.org/education/cme/cme.html acute coronary syndrome, transient ischemic attack, stroke, hypertensive emergencies, severe bacterial infection, sepsis, NSTEMI, STEMI, AHA Guidelines, acute heart failure syndrome, deep venous thrombosis, pulmonary embolism http://www.emcreg.org/education/cme/cme.html http://www.emcreg.org//pdf/monographs/2009/HTN2009.pdf 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. For more information please visit our publications section at http://www.emcreg.org/education/cme/cme.html Podcasts Thu, 16 Jan 2009 10:30:45 EST EMCREG-International No Hypertensive Emergencies: Acute Care Evaluation And Managemen 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. For more information please visit our publications section at http://www.emcreg.org/education/cme/cme.html hypertensive emergencies, hypertension, emergency mediicne, hypertensive urgencies, guidelines http://www.emcreg.org/education/cme/cme.html http://www.emcreg.org/education/cme/cme.html 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. For more information please visit our publications section at http://www.emcreg.org/education/cme/cme.html Podcasts Thu, 20 Mar 2008 10:30:45 EST EMCREG-International No 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. For more information please visit our publications section at http://www.emcreg.org/education/cme/cme.html hypertensive emergencies, hypertension, emergency mediicne, hypertensive urgencies, guidelines http://www.annemergmed.com/issues http://www.emcreg.org/education/cme/cme.html 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. For more information please visit our publications section at http://www.emcreg.org/education/cme/cme.html Podcasts Thu, 20 Mar 2008 10:30:45 EST EMCREG-International No 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. For more information please visit our publications section at http://www.emcreg.org/education/cme/cme.html hypertensive emergencies, hypertension, emergency mediicne, hypertensive urgencies, guidelines http://www.emcreg.org/publications/monographs/acep/2007/acep2007_mono.html http://www.emcreg.org/publications/monographs/acep/2007/ACEP2007_mono.pdf 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. For the full CME webcast please visit our publications section at http://www.emcreg.org/education/cme/cme.html Podcasts Wed, 27 Feb 2008 15:30:45 EST EMCREG-International No Advancing the Standard of Care: Cardiovascular, Neurovascular and Infectious Emergencies [PDF] 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. For the full CME webcast please visit our publications section at http://www.emcreg.org/education/cme/cme.html acute coronary syndrome, transient ischemic attack, stroke, hypertensive emergencies, severe bacterial infection, sepsis, NSTEMI, STEMI, AHA Guidelines, acute heart failure syndrome, deep venous thrombosis, pulmonary embolism http://www.emcreg.org/education/cme/cme.html http://www.emcreg.org/pdf/monographs/2008/Cline2007.pdf For emergency physicians, early diagnosis and appropriate treatment are essential for minimizing injury due to elevated blood pressure. In some cases, this management of hypertension can be life saving. In this EMCREG-International Newsletter, Drs. David Cline and Alpesh Amin provide an excellent guide to parenteral medications for hypertension. Based on an initial concise discussion of the epidemiology, pathophysiology, and clinical presentation of hypertensive emergencies, the authors focus on the specific agents for treating these conditions with appropriate therapeutic objectives and goals for the clinician in the acute care setting. For the full CME webcast please visit our publications section at http://www.emcreg.org/education/cme/cme.html Podcasts Mon, 25 Feb 2008 15:30:45 EST David M. Cline, MD and Alpesh Amin, MD No Drug Treatment for Hypertensive Emergencies [PDF] For emergency physicians, early diagnosis and appropriate treatment are essential for minimizing injury due to elevated blood pressure. In some cases, this management of hypertension can be life saving. In this EMCREG-International Newsletter, Drs. David Cline and Alpesh Amin provide an excellent guide to parenteral medications for hypertension. Based on an initial concise discussion of the epidemiology, pathophysiology, and clinical presentation of hypertensive emergencies, the authors focus on the specific agents for treating these conditions with appropriate therapeutic objectives and goals for the clinician in the acute care setting. Please visit our publications section at http://www.emcreg.org/education/cme/cme.html hypertensive emergensies, hypertensive urgencies, hypertension, EMCREG, emergency medicine http://www.emcreg.org/education/cme/cme.html http://www.emcreg.org/pdf/monographs/SBI2007.pdf With the difficulties associated with access to primary care and more aggressive emphasis on rapid hospital discharge and outpatient surgeries, sepsis ranks as one of the highest prevalence, highest mortality, and most expensive conditions that an emergency physician will encounter. Inthis publication, Dr. Andra Blomkalns provides up-to-date evidence on biomarkers for serious bacterial infection. Some of these biomarkers will be familiar to you while others may provide new insights into the diagnosis and treatment of this population. For the full CME webcast please visit our publications section at http://www.emcreg.org/education/cme/cme.html Podcasts 04 Dec 2007 11:30:00 EST Andra L. Blomkalns, MD No Evolving Biomarkers For Severe Bacterial Infection [PDF] With the difficulties associated with access to primary care and more aggressive emphasis on rapid hospital discharge and outpatient surgeries, sepsis ranks as one of the highest prevalence, highest mortality, and most expensive conditions that an emergency physician will encounter. Inthis publication, Dr. Andra Blomkalns provides up-to-date evidence on biomarkers for serious bacterial infection. Some of these biomarkers will be familiar to you while others may provide new insights into the diagnosis and treatment of this population. Please visit our publications section at http://www.emcreg.org/education/cme/cme.html SBI, severe bacterial infection, sepsis, early goal directed therapy, EGDT, biomarkers, EMCREG, emergency medicine http://client.blueskybroadcast.com/emcreg/ http://www.emcreg.org/media/Stettler07.mp4 EMCREG-International presentation at ACEP 2007, Seattle WA focusing on Stroke and TIA management in the emergency setting. For the full CME webcast please visit our publications section at http://client.blueskybroadcast.com/emcreg/. Podcasts 27 Oct 2007 08:00:00 EST Brian A. Stettler, MD No Diagnosis of TIA and Stroke in the ED: How Can This Be Made More Consistent? [VIDEO] EMCREG-International presentation at ACEP 2007, Seattle WA focusing on Stroke and TIA management in the emergency setting. For the full CME webcast please visit our publications section at http://client.blueskybroadcast.com/emcreg/. EMCREG, Stroke, TIA, Emergency Department http://www.emcreg.org/media/Pancioli07_1.mp4 http://www.emcreg.org/media/Pancioli07_1.mp4 EMCREG-International presentation at ACEP 2007, Seattle WA focusing on Treating Ischemic and Hemorrhagic Stroke in the emergency setting. For the full CME webcast please visit our publications section at http://client.blueskybroadcast.com/emcreg/. Podcasts 27 Oct 2007 08:30:00 EST Arthur M. Pancioli, MD No Treating Ischemic and Hemorrhagic Stroke: Why The Controversy? [VIDEO] EMCREG-International presentation at ACEP 2007, Seattle WA focusing on Treating Ischemic and Hemorrhagic Stroke in the emergency setting. For the full CME webcast please visit our publications section at http://client.blueskybroadcast.com/emcreg/. EMCREG, Stroke, TIA, Emergency Department http://www.emcreg.org/media/Pancioli07_2.mp4 http://www.emcreg.org/media/Pancioli07_2.mp4 EMCREG-International presentation at ACEP 2007, Seattle WA focusing on Thypertensive neurovascular emergencies. For the full CME webcast please visit our publications section at http://client.blueskybroadcast.com/emcreg/. Podcasts 27 Oct 2007 09:00:00 EST Arthur M. Pancioli, MD No Hypertension Management in Acute Neurovascular Emergencies [VIDEO] EMCREG-International presentation at ACEP 2007, Seattle WA focusing on hypertensive neurovascular emergencies. For the full CME webcast please visit our publications section at http://client.blueskybroadcast.com/emcreg/. EMCREG, Stroke, TIA, Emergency Department http://www.emcreg.org/media/Hollander07.mp4 http://www.emcreg.org/media/Hollander07.mp4 EMCREG-International presentation at ACEP 2007, Seattle WA focusing on Managing Hypertensive Urgencies and Emergencies. For the full CME webcast please visit our publications section at http://client.blueskybroadcast.com/emcreg/. Podcasts 27 Oct 2007 09:30:00 EST Judd E. Hollander, MD No Managing Hypertensive Urgencies and Emergencies in the ED [VIDEO] EMCREG-International presentation at ACEP 2007, Seattle WA focusing on Managing Hypertensive Urgencies and Emergencies. For the full CME webcast please visit our publications section at http://client.blueskybroadcast.com/emcreg/. EMCREG, hypertensive emergencies, hypertensive urgencies, Emergency Department http://www.emcreg.org/media/Blomkalns07.mp4 http://www.emcreg.org/media/Blomkalns07.mp4 EMCREG-International presentation at ACEP 2007, Seattle WA focusing on Markers for Severe Bacterial Infections in the emergency setting. For the full CME webcast please visit our publications section at http://client.blueskybroadcast.com/emcreg/. Podcasts 27 Oct 2007 10:00:00 EST Andra L. Blomkalns, MD No Sick or Not Sick: Markers for Severe Bacterial Infections [VIDEO] >EMCREG-International presentation at ACEP 2007, Seattle WA focusing on Markers for Severe Bacterial Infections in the emergency setting. For the full CME webcast please visit our publications section at http://client.blueskybroadcast.com/emcreg/. EMCREG, sepsis, SBI, bacterial infections, Emergency Department http://www.emcreg.org/media/Rivers07.mp4 http://www.emcreg.org/media/Rivers07.mp4 EMCREG-International presentation at ACEP 2007, Seattle WA focusing on Treatment of Sepsis and EGDT in the emergency setting. For the full CME webcast please visit our publications section at http://client.blueskybroadcast.com/emcreg/. Podcasts 27 Oct 2007 10:30:00 EST Emanuel P. Rivers, MD No Treatment of Sepsis: How to Make Early Goal Directed Therapy a Consistent Approach in Your ED [VIDEO] EMCREG-International presentation at ACEP 2007, Seattle WA focusing on Treatment of Sepsis and EGDT in the emergency setting. For the full CME webcast please visit our publications section at http://client.blueskybroadcast.com/emcreg/. EMCREG, sepsis, SBI, bacterial infections, Early Goal Directed Therapy, EGDT, Emergency Department http://www.emcreg.org/media/Brogan07.mp4 http://www.emcreg.org/media/Brogan0707.mp4 EMCREG-International presentation at ACEP 2007, Seattle WA focusing on Risk Stratification of ACS in the emergency setting. For the full CME webcast please visit our publications section at http://client.blueskybroadcast.com/emcreg/. Podcasts 27 Oct 2007 11:00:00 EST Gerald X. Brogan, MD No Risk Stratification of Possible Acute Coronary Syndromes: The Total Package [VIDEO] EMCREG-International presentation at ACEP 2007, Seattle WA focusing on Risk Stratification of ACS in the emergency setting. For the full CME webcast please visit our publications section at http://client.blueskybroadcast.com/emcreg/. EMCREG, ACS, acute coronary syndrome, risk stratification, Emergency Department http://www.emcreg.org/media/Hoekstra07.mp4 http://www.emcreg.org/media/Hoekstra07.mp4 EMCREG-International presentation at ACEP 2007, Seattle WA focusing on Antithrombotic Therapy in NSTE ACS in the emergency setting. For the full CME webcast please visit our publications section at http://client.blueskybroadcast.com/emcreg/. Podcasts 27 Oct 2007 11:30:00 EST James W. Hoekstra, MD No Optimal Management of Non-ST Elevation ACS: The Role of Antithrombotic Therapy in the ED Based on the New ACC/AHA Guidelines [VIDEO] EMCREG-International presentation at ACEP 2007, Seattle WA focusing on Antithrombotic Therapy in NSTE ACS in the emergency setting. For the full CME webcast please visit our publications section at http://client.blueskybroadcast.com/emcreg/. EMCREG, Non-ST Elevation ACS, acute coronary syndrome, Antithrombotic Therapy, ACC/AHA Guidelines, Emergency Department http://www.emcreg.org/media/Pollack07.mp4 http://www.emcreg.org/media/Pollack07.mp4 EMCREG-International presentation at ACEP 2007, Seattle WA focusing on Anti-Platelet Therapy in NSTE ACS in the emergency setting. For the full CME webcast please visit our publications section at http://client.blueskybroadcast.com/emcreg/. Podcasts 27 Oct 2007 12:00:00 EST Charles V. Pollack, MD No Optimal Anti-Platelet Therapy for NSTE ACS: The 2007 ACC/AHA Guidelines [VIDEO] EMCREG-International presentation at ACEP 2007, Seattle WA focusing on Anti-Platelet Therapy in NSTE ACS in the emergency setting. For the full CME webcast please visit our publications section at http://client.blueskybroadcast.com/emcreg/. EMCREG, Non-ST Elevation ACS, acute coronary syndrome, Anti-Platelet Therapy, antiplatelet, ACC/AHA Guidelines, Emergency Department http://www.emcreg.org/media/Holroyd07.mp4 http://www.emcreg.org/media/Holroyd07.mp4 EMCREG-International presentation at ACEP 2007, Seattle WA focusing on PCI versus Fibrinolytics for STEMI in the emergency setting. For the full CME webcast please visit our publications section at http://client.blueskybroadcast.com/emcreg/. Podcasts 27 Oct 2007 12:30:00 EST Brian R. Holroyd, MD No Best Treatment for STEMI: PCI and Fibrinolytics [VIDEO] EMCREG-International presentation at ACEP 2007, Seattle WA focusing on PCI versus Fibrinolytics for STEMI in the emergency setting. For the full CME webcast please visit our publications section at http://client.blueskybroadcast.com/emcreg/. EMCREG, STEMI, PCI, fibrinolytics, acute coronary syndrome, Anti-Platelet Therapy, antiplatelet, ACC/AHA Guidelines, Emergency Department http://www.emcreg.org/media/Storrow07.mp4 http://www.emcreg.org/media/Storrow07.mp4 EMCREG-International presentation at ACEP 2007, Seattle WA focusing on Acute Heart Failure Syndromes in the emergency setting. For the full CME webcast please visit our publications section at http://client.blueskybroadcast.com/emcreg/. Podcasts 27 Oct 2007 12:35:00 EST Alan B. Storrow, MD No A Paradigm Shift for Acute Heart Failure Syndromes in the ED [VIDEO] EMCREG-International presentation at ACEP 2007, Seattle WA focusing on Acute Heart Failure Syndromes in the emergency setting. For the full CME webcast please visit our publications section at http://client.blueskybroadcast.com/emcreg/. EMCREG, Acute Heart Failure Syndromes, Emergency Department http://www.emcreg.org/media/Cairns07.mp4 http://www.emcreg.org/media/Cairns07.mp4 EMCREG-International presentation at ACEP 2007, Seattle WA focusing on the diagnosis and treament of DVT and PE (VTE) in the emergency setting. For the full CME webcast please visit our publications section at http://client.blueskybroadcast.com/emcreg/. Podcasts 27 Oct 2007 12:40:00 EST Charles B. Cairns, MD No Diagnosis and Treatment of Deep Venous Thrombosis and Pulmonary Embolus In the Emergency Department [VIDEO] EMCREG-International presentation at ACEP 2007, Seattle WA focusing on the diagnosis and treament of DVT and PE (VTE) in the emergency setting. For the full CME webcast please visit our publications section at http://client.blueskybroadcast.com/emcreg/. EMCREG, DVT, pulmonary embolism, PE, venous thromboembolism, VTE, Emergency Department http://www.emcreg.org/education/cme/cme.html http://www.emcreg.org/pdf/monographs/risk_strat2007.pdf Emergency physicians routinely risk stratify multiple patients simultaneously in the emergency setting. In this newsletter, Dr. Gerry Brogan explores this important topic of risk stratification of patients with possible ACS in the ED. Comprehensive in nature, we hope this guide helps provide you with the background necessary to confidently approach this difficult clinical problem. It is our hope this information helps you to continue to provide outstanding care for your patients with possible ACS. For the full CME webcast please visit our publications section at http://www.emcreg.org/education/cme/cme.html Podcasts 26 Oct 2007 11:30:00 EST Gerard X. Brogan, MD No Risk Stratification for Patients with Non-ST-Segment Elevation Acute Coronary Syndromes in the Emergency Department [PDF] Emergency physicians routinely risk stratify multiple patients simultaneously in the emergency setting. In this newsletter, Dr. Gerry Brogan explores this important topic of risk stratification of patients with possible ACS in the ED. Comprehensive in nature, we hope this guide helps provide you with the background necessary to confidently approach this difficult clinical problem. It is our hope this information helps you to continue to provide outstanding care for your patients with possible ACS. Please visit our publications section at http://www.emcreg.org/education/cme/cme.html EMCREG, Non-ST-Segment Elevation Acute Coronary Syndromes, Emergency Department http://www.emcreg.org/education/cme/cme.html http://www.emcreg.org/media/CRUSADE_2007.mp3 It is our pleasure to present to you a narration of the CRUSADE quality improvement initiative. In this EMCREG newsletter issue, narrated by Ali Raja, MD, over 200,000 patients teach us how we treat and can improve NSTEACS care. Health disparities, treatment patterns, and outcome trends remind us of how we can continue to learn and advance the care for our patients.The following pages summarize findings from key CRUSADE registry publications and forward critical lessons gleaned from this amazing collaborative endeavor between cardiology and emergency medicine. This demonstration of “real world” care of patients with ACS should give us pause and promote further vigilance in the comprehensive care of this high risk patient population. CRUSADE is a remarkable example of true quality improvement where increased guideline compliance translates to improved patient outcomes. Please visit our publications section at http://www.emcreg.org/education/cme/cme.html Podcasts 22 Oct 2007 11:30:00 -0500 Charles V. Pollack, MD No AUDIO NARRATION (MP3): CRUSADE - Contemporary Evaluation and Management of 200,000 High-Risk NSTE-ACS Patients [AUDIO] It is our pleasure to present to you a narration of the CRUSADE quality improvement initiative. In this EMCREG newsletter issue, narrated by Ali Raja, MD, over 200,000 patients teach us how we treat and can improve NSTEACS care. Health disparities, treatment patterns, and outcome trends remind us of how we can continue to learn and advance the care for our patients.The following pages summarize findings from key CRUSADE registry publications and forward critical lessons gleaned from this amazing collaborative endeavor between cardiology and emergency medicine. This demonstration of “real world” care of patients with ACS should give us pause and promote further vigilance in the comprehensive care of this high risk patient population. CRUSADE is a remarkable example of true quality improvement where increased guideline compliance translates to improved patient outcomes. Please visit our publications section at http://www.emcreg.org/education/cme/cme.html http://www.emcreg.org/education/cme/cme.html http://www.emcreg.org/pdf/monographs/DTI_2007.pdf Antithrombin and antiplatelet therapies remain the foundation for the treatment of patients with NSTE ACS. Special groups including women, elderly, diabetics and those with chronic renal insufficiency represent a particular challenge for the clinician evaluating and treating these patients. These individuals are at high risk for ischemic complications including death, myocardial infarction, and unplanned intervention. Typically such patients are under-treated with antithrombins and antiplatelet agents because of an appropriate fear of bleeding complications, resulting in the significant proportion of these patients having ischemic adverse events. The ACUITY trial was recently published and represents the evaluation of a direct thrombin inhibitor, bivalirudin, in patients with moderate to high risk NSTE ACS undergoing cardiac catheterization. Currently bivalirudin is the only direct thrombin inhibitor FDA approved for use in the cardiac catheterization laboratory. Dr. James Hoekstra, Professor and Chairman of the Department of Emergency Medicine at Wake Forest University, provides a targeted review of the results of the ACUITY trial with particular emphasis on the high risk populations. Please visit our publications section at http://www.emcreg.org/education/cme/cme.html Podcasts Mon, 24 Sep 2007 11:30:00 -0500 James W. Hoekstra, MD No Use of Direct Thrombin Inhibitors for Treating Non-ST-Segment Elevation Acute Coronary Syndromes in Special Patient Groups: Women, Diabetics, the Elderly, and Chronic Renal Insufficiency [PDF] Antithrombin and antiplatelet therapies remain the foundation for the treatment of patients with NSTE ACS. Special groups including women, elderly, diabetics and those with chronic renal insufficiency represent a particular challenge for the clinician evaluating and treating these patients. These individuals are at high risk for ischemic complications including death, myocardial infarction, and unplanned intervention. Typically such patients are under-treated with antithrombins and antiplatelet agents because of an appropriate fear of bleeding complications, resulting in the significant proportion of these patients having ischemic adverse events. The ACUITY trial was recently published and represents the evaluation of a direct thrombin inhibitor, bivalirudin, in patients with moderate to high risk NSTE ACS undergoing cardiac catheterization. Currently bivalirudin is the only direct thrombin inhibitor FDA approved for use in the cardiac catheterization laboratory. Dr. James Hoekstra, Professor and Chairman of the Department of Emergency Medicine at Wake Forest University, provides a targeted review of the results of the ACUITY trial with particular emphasis on the high risk populations. Please visit our publications section at http://www.emcreg.org/education/cme/cme.html http://www.emcreg.org/education/cme/cme.html http://www.emcreg.org/pdf/monographs/CRUSADE_2007.pdf It is our pleasure to present to you a summary report of the CRUSADE quality improvement initiative. In this EMCREG newsletter issue, over 200,000 patients teach us how we treat and can improve NSTEACS care. Health disparities, treatment patterns, and outcome trends remind us of how we can continue to learn and advance the care for our patients.The following pages summarize findings from key CRUSADE registry publications and forward critical lessons gleaned from this amazing collaborative endeavor between cardiology and emergency medicine. This demonstration of “real world” care of patients with ACS should give us pause and promote further vigilance in the comprehensive care of this high risk patient population. CRUSADE is a remarkable example of true quality improvement where increased guideline compliance translates to improved patient outcomes. Please visit our publications section at http://www.emcreg.org/education/cme/cme.html Podcasts 18 Sep 2007 11:30:00 -0500 Charles V. Pollack, MDt No CRUSADE: Contemporary Evaluation and Management of 200,000 High-Risk NSTE-ACS Patients [PDF] It is our pleasure to present to you a summary report of the CRUSADE quality improvement initiative. In this EMCREG newsletter issue, over 200,000 patients teach us how we treat and can improve NSTEACS care. Health disparities, treatment patterns, and outcome trends remind us of how we can continue to learn and advance the care for our patients.The following pages summarize findings from key CRUSADE registry publications and forward critical lessons gleaned from this amazing collaborative endeavor between cardiology and emergency medicine. This demonstration of “real world” care of patients with ACS should give us pause and promote further vigilance in the comprehensive care of this high risk patient population. CRUSADE is a remarkable example of true quality improvement where increased guideline compliance translates to improved patient outcomes. Please visit our publications section at http://www.emcreg.org/education/cme/cme.html http://www.emcreg.org/education/cme/cme.html http://www.emcreg.org/pdf/monographs/AHFS_2007.pdf The evaluation and management of emergency department patients with potential acute heart failure syndrome have remained a significant challenge for decades. Dramatically, unlike advances for the assessment and treatment of patients with acute coronary syndrome, the emergency physician’s diagnostic tools for heart failure have remained limited. The complexity and morbidity of this syndrome alone has led to risk aversion and extremely high admission rates. These difficulties, as well as the increasing prevalence and incidence of heart failure due to improved treatment of ACS and our aging population, has placed an enormous burden on healthcare resources worldwide. Please visit our publications section at Please visit our publications section at http://www.emcreg.org/education/cme/cme.html Podcasts Mon, 23 Jul 2007 11:30:00 -0500 Alan B. Storrow, MD No Diagnosis and Risk Stratification of Acute Heart Failure Syndromes [PDF] The evaluation and management of emergency department patients with potential acute heart failure syndrome have remained a significant challenge for decades. Dramatically, unlike advances for the assessment and treatment of patients with acute coronary syndrome, the emergency physician’s diagnostic tools for heart failure have remained limited. The complexity and morbidity of this syndrome alone has led to risk aversion and extremely high admission rates. These difficulties, as well as the increasing prevalence and incidence of heart failure due to improved treatment of ACS and our aging population, has placed an enormous burden on healthcare resources worldwide. Please visit our publications section at Please visit our publications section at http://www.emcreg.org/education/cme/cme.html http://www.emcreg.org/education/cme/cme.html http://www.emcreg.org/pdf/monographs/DVT_PE2007.pdf Venous thromboembolism (VTE) is a clinical entity which includes deep vein thrombosis (DVT) and pulmonary embolism (PE). VTE is a common medical condition affecting up to 117 patients per 100,000 population annually.1 The diagnosis of VTE is often difficult and frequently missed. Mortality in untreated PE is approximately 30%, but with adequate anticoagulant treatment, this can be reduced to 2–8%.2 The purpose of this Newsletter is to focus on the diagnosis and treatment of VTE, including PE and DVT in the emergency department (ED). In this EMCREG-International Newsletter, Dr. Charles Cairns, Associate Professor of Surgery and Medicine and Associate Chief of Emergency Medicine at the Duke University School of Medicine discusses the important disease process venous thromboembolism (VTE) which includes deep venous thrombosis and pulmonary embolism from the perspective of emergency medicine. Please visit our publications section at Please visit our publications section at http://www.emcreg.org/education/cme/cme.html Podcasts Mon, 23 Jul 2007 11:30:00 -0500 Charles B. Carins, MD No Pulmonary Embolism and Deep Venous Thrombosis: Evaluation and Treatment in the Emergency Department [PDF] Venous thromboembolism (VTE) is a clinical entity which includes deep vein thrombosis (DVT) and pulmonary embolism (PE). VTE is a common medical condition affecting up to 117 patients per 100,000 population annually.1 The diagnosis of VTE is often difficult and frequently missed. Mortality in untreated PE is approximately 30%, but with adequate anticoagulant treatment, this can be reduced to 2–8%.2 The purpose of this Newsletter is to focus on the diagnosis and treatment of VTE, including PE and DVT in the emergency department (ED). In this EMCREG-International Newsletter, Dr. Charles Cairns, Associate Professor of Surgery and Medicine and Associate Chief of Emergency Medicine at the Duke University School of Medicine discusses the important disease process venous thromboembolism (VTE) which includes deep venous thrombosis and pulmonary embolism from the perspective of emergency medicine. Please visit our publications section at Please visit our publications section at http://www.emcreg.org/education/cme/cme.html