http://www.emcreg.org EMCREG Educational Materials en-us Copyright 2010 support@emcreg.org (Todd W. Roat) Thu, 05 May 2011 15:09:37 -0400 http://www.emcreg.org/publications/monographs/acep/2008/acep2008_mono.html 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 Wed, 11 Mar 2009 12:30:45 -0500 http://www.emcreg.org/publications/monographs/acep/2008/ACEP2008_mono.pdf Podcasts http://www.emcreg.org/education/cme/cme.html 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 Mon, 23 Jul 2007 11:30:00 -0500 http://www.emcreg.org/pdf/monographs/DVT_PE2007.pdf Podcasts http://www.emcreg.org/education/cme/cme.html 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 Mon, 23 Jul 2007 11:30:00 -0500 http://www.emcreg.org/pdf/monographs/AHFS_2007.pdf Podcasts http://www.emcreg.org/education/cme/cme.html 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 Tue, 18 Sep 2007 11:30:00 -0500 http://www.emcreg.org/pdf/monographs/CRUSADE_2007.pdf Podcasts http://www.emcreg.org/education/cme/cme.html 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 Mon, 24 Sep 2007 11:30:00 -0500 http://www.emcreg.org/pdf/monographs/DTI_2007.pdf Podcasts http://www.emcreg.org/education/cme/cme.html 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 Mon, 22 Oct 2007 11:30:00 -0500 http://www.emcreg.org/media/CRUSADE_2007.mp3 Podcasts http://www.emcreg.org/education/cme/cme.html 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 Fri, 26 Oct 2007 11:30:00 -0500 http://www.emcreg.org/pdf/monographs/risk_strat2007.pdf Podcasts 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/. Sat, 27 Oct 2007 12:40:00 -0500 http://www.emcreg.org/media/Cairns07.mp4 Podcasts 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/. Sat, 27 Oct 2007 12:35:00 -0500 http://www.emcreg.org/media/Storrow07.mp4 Podcasts 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/. Sat, 27 Oct 2007 12:30:00 -0500 http://www.emcreg.org/media/Holroyd07.mp4 Podcasts 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/. Sat, 27 Oct 2007 12:00:00 -0500 http://www.emcreg.org/media/Pollack07.mp4 Podcasts 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/. Sat, 27 Oct 2007 11:30:00 -0500 http://www.emcreg.org/media/Hoekstra07.mp4 Podcasts http://www.emcreg.org/media/Brogan07.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/. Sat, 27 Oct 2007 11:00:00 -0500 http://www.emcreg.org/media/Brogan0707.mp4 Podcasts 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/. Sat, 27 Oct 2007 10:30:00 -0500 http://www.emcreg.org/media/Rivers07.mp4 Podcasts 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/. Sat, 27 Oct 2007 10:00:00 -0500 http://www.emcreg.org/media/Blomkalns07.mp4 Podcasts 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/. Sat, 27 Oct 2007 09:30:00 -0500 http://www.emcreg.org/media/Hollander07.mp4 Podcasts 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/. Sat, 27 Oct 2007 09:00:00 -0500 http://www.emcreg.org/media/Pancioli07_2.mp4 Podcasts 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/. Sat, 27 Oct 2007 08:30:00 -0500 http://www.emcreg.org/media/Pancioli07_1.mp4 Podcasts http://client.blueskybroadcast.com/emcreg/ 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/. Sat, 27 Oct 2007 08:00:00 -0500 http://www.emcreg.org/media/Stettler07.mp4 Podcasts http://www.emcreg.org/education/cme/cme.html 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 Tue, 04 Dec 2007 11:30:00 -0500 http://www.emcreg.org/pdf/monographs/SBI2007.pdf Podcasts http://www.emcreg.org/education/cme/cme.html 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 Mon, 25 Feb 2008 15:30:45 -0500 http://www.emcreg.org/pdf/monographs/2008/Cline2007.pdf Podcasts http://www.emcreg.org/publications/monographs/acep/2007/acep2007_mono.html 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 Wed, 27 Feb 2008 15:30:45 -0500 http://www.emcreg.org/publications/monographs/acep/2007/ACEP2007_mono.pdf Podcasts http://www.annemergmed.com/issues 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 Thu, 20 Mar 2008 10:30:45 -0500 http://www.emcreg.org/education/cme/cme.html Podcasts 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 Thu, 20 Mar 2008 10:30:45 -0500 http://www.emcreg.org/education/cme/cme.html Podcasts http://www.emcreg.org/education/cme/cme.html 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 Fri, 16 Jan 2009 10:30:45 -0500 http://www.emcreg.org//pdf/monographs/2009/HTN2009.pdf Podcasts