Professional Education

EHAC (Early Heart Attack Care)

CLINICIAN - Finding the Right Message Early Symptom Recognition
of a Heart Attack

Vol. 14 No. 4 August 1996 ISSN 0264-6404
TABLE OF CONTENTS

Introduction: Community Message in Acute Myocardial Ischemia 4

Raymond D. Bahr, MD, FACP, FACC

Concept of Community Chest Pain Centers in Emergency Departments 5

Raymond D. Bahr, MD, FACP, FACC

Reawakening Awareness of the Importance of Prodromal Symptoms in the Shifting Paradigm to Early Heart Attack Care (EHAC) 7

Raymond D. Bahr, MD, FACP, FACC; Henry D. McIntosh, MD, FACP, FACC

The Role of Emergency Medicine in the Future of American Medical Care: A Summary of the Josiah Macy, Jr, Foundation Conference 12

D. Kay Clawson, MD

From ACC/AHA Guidelines to Best Practice: Can "Acute MI Report Cards" Save Lives?
Measuring Quality of Care for Patients With Cardiovascular Disease 16

Martha J. Radford, MD, FACC

Improving Lay Responses to Cardiovascular Emergencies and the Potential of Shifting the Paradigm to Early Heart Attack Care 18

Gordon A. Ewy, MD

National Survey of Chest Pain Centers Rationale and Potential Results 21

Robert J. Zalenski, MD

Outpatient Rule-Out Myocardial Infarction in Observation Units 22

Louis G. Graff, IV, MD, FACP, FACEP

Reducing Time to Thrombolytic Treatment 24

James A. Espinosa, MD, FACEP, FAAFP

Intervention Programs to Reduce Patient Delays in Acute Myocardial Infarction 29

Johan Herlitz, MD, PhD

Public Education Using the Early Heart Attack Care Program Shawnee Mission Medical Center 31

Susan L. Glover, RN, MHA

School Component: Early Heart Attack Care Program Development and Evaluation 33

Helen Stemler, PhD, CHES

Educational Strategies to Prevent Prehospital Delay in Patients at High Risk for Acute Myocardial Infarction 36

Suzanne K. White, MN, RN, FAAN, FCCM, CNAA

Precipitating Factors in Acute Cardiovascular Disease 41

Geoffrey H. Tofler, MBBS; James J. Stec, BS

Use of Myocardial Perfusion Imaging in the Emergency Department for Risk Stratification 44

Ethan J. Spiegler, MD, FACP

The Evolution of Chest Pain Centers: The Impact of Technological Advances on the
Evaluation of Patients With Possible Acute Ischemic Coronary Syndrome 47

W. Brian Gibler, MD; Michael R. Sayre, MD

Critical Pathways for Triage and Treatment of Chest Pain Patients in the Emergency Department 53

Joseph P. Ornato, MD, FACC

Chest Pain Centers: An Emerging Model for the Emergency Evaluation of Chest Pain and Treatment of Acute Myocardial Infarction 56

Anthony J. Joseph, MD, MS, FACEP

The Key to Success in the Chest Pain Emergency Department: The Observational Role of the Nurse 59

Katherine A. Lyle, RN

Triage in Moderate Risk Patients With Chest Pain: The Emerging Role of Real-Time Continuous ECG Monitoring 61

Mitchell W. Krucoff, MD, FACC

Diffusion of Innovations: The Introduction and Impact of the Chest Pain Emergency
Department and its Comparison to the Coronary Care Unit Development 64

Derek G. Gill, PhD

Economics of Chest Pain Centers: What Really Matters? 68

James L. Field, MBA, DBA

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