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Clinical redesign based upon our recent research has been a critical part of the Emergency Cardiology Groups work. Read about the ACRE project here…

The Emergency Cardiology Group

The Accelerated Chest Pain Risk Evaluation (ACRE) project is a statewide project supported by the Queensland Health Clinical Access and Redesign Unit (CARU) under the Health Innovation Fund (HIF).
When complete, the project has the potential to impact the care of up to 15,000 patients per year across Queensland, with potential estimated savings of approximately $21 million per year.
Translating research findings into practice, the project has already made rapid improvements in the assessment process of patients presenting with chest pain to Queensland emergency departments.

Find out more about the ACRE project here…

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The bibliography has been updated over at the ECG blog…

The Emergency Cardiology Group

… was to get the bibliography up to date!

The links go to the full article where possible, but some of these remain behind paywalls.

For individual reprint requests for academic/educational use please leave a message and we will provide these wherever possible according to copyright restrictions.

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The Emergency Cardiology Group

The ACRE project was featured on the ABC radio AM news and current affairs programme this morning.

You can listen to the story featuring interviews with Will Parsonage and Terry George from Nambour Hospital here.

Nambour was where the ACRE project pilot was rolled out and the results of the pilot project have been published here.

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The Emergency Cardiology Group

Will Parsonage writes…Next week I’ll be presenting on some of our clinical redesign work at this meeting under the title ‘NEATs, SLICs and ACREs’. It is a great opportunity to present to a much wider audience on the rationale, method and outcome of the project we have been conducting with the team at Nambour Hospital to translate our research into practice around patients presenting to emergency departments with chest pain.

The full program for the meeting is here.

I will post a copy of the presentation here following the meeting or for more information please contact me through the blog.

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Cross blogged from our Emergency Cardiology Site…

The Emergency Cardiology Group

There has been lots of media interest in our paper ‘Validation of high-sensitivity troponin I in a 2-h diagnostic strategy to assess 30-day outcomes in emergency-department patients with possible acute coronary syndrome‘ that went online in in the Journal of the American College of Cardiology in the last few days.

Those in Queensland may have heard reference to the study on the ABC Radio news this morning and Louise Cullen has been interviewed today by ABC Radio National and Channel Nine.

We may have lost out to Black Caviar on the Channel Nine News though…

A copy of the press release from the Queensland Government is available here: RBWH media release – improved testing for potential heart attack patient.

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The Emergency Cardiology Group

A/Prof Louise Cullen writes…

The minefield of differences in troponin assays confuses clinicians, in an area of medicine that is already complex. Determining which patients presenting to Emergency Departments (EDs) with symptoms of possible Acute Coronary Syndromes actually have this underlying diagnosis is challenging. Current guidelines recommend lengthy assessment processes generally not achievable in acceptable time frames for patients to remain in the ED, and thus encourage Emergency Physicians to admit ‘all’ who present with possible symptoms of ACS.

Add to this mix the variability in analytical characteristics between troponin assays and information on change values (deltas) and it seems to many clinicians that this is simply getting too tough.

Our latest paper Delta troponin for the early diagnosis of AMI in emergency patients with chest pain’ in the International Journal of Cardiology highlights how early (0 and 2hr post ED presentation) troponin values may be used to…

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