Advancing the Standard of Care - Cardiovascular and Neurovascular Emergencies (2004)

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Advancing the Standard of Care - Cardiovascular and Neurovascular Emergencies (2004)

EMCREG-International is pleased to present this educational monograph summarizing our 2004 ACEP Satellite Symposium on cardiovascular and neurovascular emergency care held in San Francisco. Topics presented included: Point-of-Care Testing for ACS in the ED; STEMI Time-to-Treatment; Chest Pain Center; Heart Sound Recording; Anti-Platelet and Anti-Thrombotics in ACS; BNP Consensus Panel; Stroke, and Intracerebral Hemorrhage. It is our hope that this material will provide emergency physicians with information necessary to help care for these seriously ill patients.

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Third and Fourth Heart Sounds – Lost Art to Modern Advance

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Third and Fourth Heart Sounds – Lost Art to Modern Advance

Even the most proficient of emergency care providers have difficulty discerning the low frequency rumblings of an S3 or S4 from the background noise of monitors in a hectic emergency setting. Nearly half a century has passed since phonocardiography originally was developed to assist in cardiac auscultation. Modern technology is now making it possible to once again use the analysis and reporting of S3 and S4 heart sounds to facilitate the diagnosis of heart failure and acute coronary syndrome (ACS).

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ACC/AHA 2002 Guidelines for the Management of Patients with Unstable Angina and Non-ST-Segment Elevation Myocardial Infarction: A SUMMARY FOR EMERGENCY PHYSICIANS

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ACC/AHA 2002 Guidelines for the Management of Patients with Unstable Angina and Non-ST-Segment Elevation Myocardial Infarction: A SUMMARY FOR EMERGENCY PHYSICIANS

Current literature and clinical practice places a substantial emphasis on evidence-based medicine and evidence-based practice guidelines. In the year 2000, the American College of Cardiology (ACC) and American Heart Association (AHA) published comprehensive, evidence-based guidelines on the management of patients with unstable angina (UA) and non-ST-segment elevation myocardial infarction (NSTEMI). In 2002, these guidelines were updated due to the remarkable clinical advances in the care of these patients. Many aspects of these guidelines pertain directly to emergency physicians.

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Modern Advances in Emergency Cardiac Care: Evolution of Diagnostic and Treatment Options

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Modern Advances in Emergency Cardiac Care: Evolution of Diagnostic and Treatment Options

Patients presenting to the Emergency Department (ED) with chest pain remain a major

clinical challenge. In the United States alone there are over eight million annual visits for this problem, resulting in over four million admissions for possible acute coronary syndromes (ACS). The diagnosis and treatment of congestive heart failure (CHF) is also critically important to emergency physicians as 550,000 new cases present annually. Therefore, it is critical for the emergency physician community remain on the forefront of state of the art diagnostic and treatment options involving the newest regimens for ACS and CHF.

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