STRIVE®
CME Distinguished Lectures
(Grand Rounds)
STRIVE
® CME Distinguished Lectures (Grand Rounds) are comprehensive hospital lectures on acute coronary syndromes (ACS), and stroke. These dynamic forums include up-to-the-minute results from the latest clinical trials as well as case-based presentations by expert clinicians and researchers.
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® CME Distinguished Lectures (Grand Rounds) program at your institution,
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STRIVE
® faculty
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2010 STRIVE® ACS CME Distinguished Lectures
2010 STEMI Lecture Topics (click on text for learning objectives)
Team Management of STEMI: A Systems-based Approach for Best Outcomes
Balancing Efficacy and Safety: Individualizing Application of STEMI Guidelines and Performance Measures
2010 UA/NSTEMI Lecture Topics (click on text for learning objectives)
Managing UA/NSTEMI in 2010: From Assessing Risk to Achieving Results
Ensuring the Continuum of Care for UA/NSTEMI: From Management in the Hospital Through Discharge and Beyond
2010 STRIVE® Stroke CME Distinguished Lectures
2010 Stroke Lecture Topic (click on text for learning objectives)
Ischemic Stroke Management and Secondary Prevention in 2010: An Evidence-based Approach
Preventing Stroke in Patients With Atrial Fibrillation: Synthesizing Current Guidelines and Emerging Data
2010 STRIVE® Emergency Medicine CME Distinguished Lectures
2010 Emergency Medicine Lecture Topic (click on text for learning objectives)
Systems-based Approaches to Improving Patient Outcomes in ACS: An Emergency Department Focus
2010 STRIVE® Percutaneous Coronary Intervention (PCI) CME Distinguished Lectures
2010 Percutaneous Coronary Intervention (PCI) Lecture Topic (click on text for learning objectives)
Choices in PCI: An Evidence-based Guide to Periprocedural Management
2010 ACS Learning Objectives
Team Management of STEMI: A Systems-based Approach for Best Outcomes
After taking part in this activity, participants should be better able to:
- Identify ways to improve systems of care for patients with STEMI by enhancing interdepartmental communications
- Examine current approaches to acute care and transitions, and revise them as necessary
- Outline current ACC/AHA guideline recommendations for the use of PCI and thrombolysis in patients with STEMI
- Employ a multidisciplinary team approach to implementing current ACC/AHA guidelines and performance measures using evidence-based critical pathways and tools
Balancing Efficacy and Safety: Individualizing Application of STEMI Guidelines and Performance Measures
After taking part in this activity, participants should be better able to:
- Review current ACC/AHA guidelines and clinical performance measures for ACS, and incorporate them into existing STEMI protocols as necessary
- Use the CRUSADE Bleeding Score to determine patient risk of bleeding and to complement ischemic risk-prediction tools prior to initiation of therapy
- Evaluate the therapeutic benefits and bleeding risks of currently available antithrombotic agents for ACS
- Adjust antithrombotic therapy based on patient age, weight, and renal function
Managing UA/NSTEMI in 2010: From Assessing Risk to Achieving Results
After taking part in this activity, participants should be better able to:
- Apply risk stratification as an integral prerequisite to decision making in evaluating patients with possible ACS
- Assess the antithrombotic activity and bleeding risks of currently available antithrombotic therapy for ACS
- Examine the benefits of pharmacologic and invasive treatments for UA/NSTEMI, especially among high-risk patients
- Evaluate new developments in ACS management and apply them to clinical practice when appropriate
Ensuring the Continuum of Care for UA/NSTEMI: From Management in the Hospital Through Discharge and Beyond
After taking part in this activity, participants should be better able to:
- Utilize both clinical evaluation and risk scoring in selecting the appropriate initial management strategy for patients with UA/NSTEMI
- Identify potential updates to current UA/NSTEMI critical pathways based on the latest ACC/AHA UA/NSTEMI guidelines and recent UA/NSTEMI clinical trial results
- Evaluate current approaches to discharge planning and follow-up, and modify them as necessary to promote adherence to medical and rehabilitative therapies
- Employ strategies for improving adherence to medication (eg, medication education, simplified medication regimen, addressing potential side effects of medications, reminders, follow-up)
2010 Stroke Learning Objectives
Ischemic Stroke Management and Secondary Prevention in 2010: An Evidence-based Approach
After taking part in this activity, participants should be better able to:
- Promptly evaluate stroke patients for their suitability for intravenous (IV) tissue plasminogen activator (tPA)
- Administer IV tPA within 4.5 hours (maximum), but ideally as early as possible
- Incorporate ACC/AHA guideline recommendations for primary and secondary prevention of acute ischemic stroke and transient ischemic attack into standing orders or other standardized tools
- Facilitate a formal plan for discharge planning and follow-up of stroke patients based on guideline recommendations
Preventing Stroke in Patients With Atrial Fibrillation: Synthesizing Current Guidelines and Emerging Data
After taking part in this activity, participants should be better able to:
- Outline the risk of stroke in patients with atrial fibrillation (AF)
- Regularly use the CHADS2 risk score to risk stratify patients with AF
- Select antithrombotic therapy for prevention of thromboembolism based on the absolute risks of stroke and bleeding, and the relative risk and benefit for patients with AF
- Facilitate an individualized plan for discharge planning and follow-up of patients with AF
- Evaluate the potential role of new or emerging treatment options for stroke prevention in patients with AF
2010 Emergency Medicine Learning Objectives
Systems-based Approaches to Improving Patient Outcomes in ACS: An Emergency Department Focus
After taking part in this activity, participants should be better able to:
- Enhance collaboration among emergency physicians, cardiologists, and interventionalists to provide timely, evidence-based care for patients presenting with ACS
- Supplement clinical evaluation of cardiac risk factors in patients presenting with chest pain, using a validated risk score such as the TIMI risk score
- Develop and implement a practical, system-compatible, evidence-based approach to ACS management in the emergency department
- Apply a multidisciplinary, evidence-based, risk-appropriate approach to antithrombotic therapy selection in the emergency department
2010 PCI Learning Objectives
Choices in PCI: An Evidence-based Guide to Periprocedural Management
After taking part in this activity, participants should be better able to:
- Promptly identify high-risk ACS patients for invasive or aggressive pharmacologic treatments
- Apply guideline recommendations for timing and dosing of antiplatelet and anticoagulant therapy in patients with NSTEMI and STEMI who are undergoing PCI
- Assess the various characteristics of drug-eluting and bare-metal stents versus individual patient characteristics prior to stent selection for PCI
- Facilitate a structured plan for discharge planning and follow-up of post-PCI ACS patients based on guideline recommendations
2009 STRIVE® ACS CME Distinguished Lectures
2009 STEMI Lecture Topics (click on text for learning objectives)
Achieving Better Outcomes in STEMI: Moving From "Awareness" to "Implementation" of New Guidelines
Optimizing the Management of STEMI in the Emergency Department: A Guideline-based Approach
2009 UA/NSTEMI Lecture Topics (click on text for learning objectives)
Risk Stratification to Risk Reduction: A Guideline-based Approach to Managing UA/NSTEMI
Choosing Pathways in UA/NSTEMI: An Evidence-based Approach for 2009
2009 STRIVE® Interventional Cardiology CME Distinguished Lectures
2009 PCI Lecture Topic (click on text for learning objectives)
Percutaneous Coronary Intervention (PCI) Decisions: Applying the Guidelines, Individualizing Therapy
2009 STRIVE® Stroke CME Distinguished Lectures
2009 Stroke Lecture Topics (click on text for learning objectives)
Preventing and Managing Secondary Stroke: An Evidence-based Update
Improving Stroke Care in the Community Hospital: A Guideline-driven Approach
Best Practices for Stroke Management 2009: Optimizing Outcomes Patient by Patient
2009 ACS Learning Objectives
Achieving Better Outcomes in STEMI: Moving From "Awareness" to "Implementation" of New Guidelines
After taking part in this activity, participants should be better able to:
- Institute a team approach to STEMI that begins in the field and continues with initial presentation in the emergency department through management in the community hospital or PCI facility
- Implement a strategy to reduce time to reperfusion
- Update critical pathways to include current guideline-based recommendations for acute and long-term antithrombotic therapy
- Update critical pathways to include guideline-based recommendations for secondary prevention
Optimizing the Management of STEMI in the Emergency Department: A Guideline-based Approach
After taking part in this activity, participants should be better able to:
- Enhance communications and protocols to improve prehospital management of STEMI
- Implement strategies to reduce time to reperfusion in a PCI-capable facility
- Implement strategies to reduce time to reperfusion in hospitals without cath labs
- Apply new guidelines for safely optimizing acute medical therapy in STEMI, including avoidance of contraindicated medications and proper choice, dosing, and timing of adjuvant antiplatelet and anticoagulation therapies
Risk Stratification to Risk Reduction: A Guideline-based Approach to Managing UA/NSTEMI
After taking part in this activity, participants should be better able to:
- Stratify patients initially presenting with possible ACS using appropriate risk score tools, and continue to assess risk during subsequent clinical evaluation
- Choose the appropriate strategy – early invasive or initial conservative – depending upon risk stratification
- Tailor antiplatelet and anticoagulation therapy to the initial treatment strategy
- Plan discharge medications and lifestyle changes and follow-through with long-term secondary prevention efforts
Choosing Pathways in UA/NSTEMI: An Evidence-based Approach for 2009
After taking part in this activity, participants should be better able to:
- Use appropriate biomarkers, ECG findings, and other signs/symptoms to accurately stratify risk in patients presenting with suspected ACS
- Differentiate more extensively between high- and low-risk UA/NSTEMI groups, and follow the appropriate management pathway
- Individualize antithrombotic therapy based on patient age, history, and comorbidities
- Implement new guidelines for higher loading dose options, earlier (upstream) administration, and longer-term administration (especially after drug-eluting stent placement) for antiplatelet therapy
- Apply strategies for more aggressive secondary prevention efforts (eg, longer-term antiplatelet therapy, more intense lipid and blood pressure control, smoking cessation)
2009 Interventional Cardiology Learning Objectives
Percutaneous Coronary Intervention (PCI) Decisions: Applying the Guidelines, Individualizing Therapy
After taking part in this activity, participants should be better able to:
- Utilize a standardized approach to risk stratification of patients with NSTEMI based on current guidelines
- Outline current guideline recommendations for the use of percutaneous coronary intervention (PCI) in patients with STEMI
- Implement guideline-based strategies for timing and dosing of antithrombotic and antiplatelet therapy in PCI
- Review and assess recent data on the safety and efficacy of drug-eluting stents and bare-metal stents
- Apply guideline recommendations for long-term management of patients with STEMI and NSTEMI post-PCI
2009 Stroke Learning Objectives
Preventing and Managing Secondary Stroke: An Evidence-based Update
After taking part in this activity, participants should be better able to:
- Describe the prevalence and clinical and cost burden of secondary stroke
- Outline the AHA/ASA guidelines for prevention of ischemic stroke in patients who have experienced a
previous ischemic stroke or transient ischemic attack
- Summarize emerging data on pharmacologic approaches to secondary stroke prevention and
management
Improving Stroke Care in the Community Hospital: A Guideline-driven Approach
After taking part in this activity, participants should be better able to:
- Identify the challenges that community hospitals face regarding access to coordinated stroke care
- Streamline protocols for both prehospital and hospital acute stroke care
- Apply the latest evidence-based strategies for the diagnosis, treatment, and primary and secondary
prevention of ischemic stroke
Best Practices for Stroke Management 2009: Optimizing Outcomes Patient by Patient
After taking part in this activity, participants should be better able to:
- Outline the pathophysiology of ischemic stroke and define the nonmodifiable and
modifiable risk factors
- Identify clinically important advances in stroke management and prevention over the past year, and
apply the latest AHA/ASA guidelines into clinical practice
- Explore the rationale for becoming a stroke center and describe the steps that would need to be
taken
2008 STRIVE® ACS CME Distinguished Lectures
2008 STEMI Lecture Topics (click on text for learning objectives)
STEMI Management 2008: New Guidelines, New Strategies
Acute Management of STEMI: A Practical Guide to Decision-Making in the ED
2008 UA/NSTEMI Lecture Topics (click on text for learning objectives)
UA/NSTEMI in Focus: Implementing New ACC/AHA Guidelines in the Emergency Department and Beyond
Managing UA/NSTEMI in 2008: From Acute Care to Long-term Prevention of Secondary Events
2008 STRIVE® Interventional Cardiology CME Distinguished Lecture
2008 PCI Lecture Topic (click on text for learning objectives)
Applying New Guidelines to a PCI-based Treatment Strategy in 2008
2008 STRIVE® Stroke CME Distinguished Lectures
2008 Stroke Lecture Topics (click on text for learning objectives)
Preventing Secondary Vascular Events After Ischemic Stroke
An Evidence-based Approach to Optimizing Stroke Care at Community Hospitals
Best Practices for Stroke Management: Strategies for Optimizing Care in 2008
2008 ACS Learning Objectives
STEMI Management 2008: New Guidelines, New Strategies
After taking part in this activity, participants should be better able to:
- Implement methods for improving time to reperfusion for patients diagnosed with STEMI
- Apply updated ACC/AHA guidelines for the acute management of STEMI
- Outline a guideline-based continuum of care that bridges acute management with long-term secondary prevention postdischarge
Acute Management of STEMI: A Practical Guide to Decision-Making in the Emergency Department
After taking part in this activity, participants should be better able to:
- Implement strategies to improve triage and treatment for patients with suspected STEMI, including prehospital management if feasible
- Outline evidence-based strategies for adjunctive antithrombotic therapy in STEMI patients treated with fibrinolysis, PCI, or both
- Update critical pathways for STEMI based on the latest ACC/AHA guidelines
UA/NSTEMI in Focus: Implementing New ACC/AHA Guidelines in the Emergency Department and Beyond
After taking part in this activity, participants should be better able to:
- Describe the development of atherothrombosis and its role in UA/NSTEMI
- Outline evidence-based approaches for conservative and invasive management of UA/NSTEMI in 2008, and delineate when each pathway is most appropriate
- Discuss practical ways to ensure current guidelines for UA/NSTEMI are implemented in the hospital
Managing UA/NSTEMI in 2008: From Acute Care to Long-term Prevention of Secondary Events
After taking part in this activity, participants should be better able to:
- List updates to the ACC/AHA guidelines for UA/NSTEMI
- Implement an evidence-based approach to acute management of UA/NSTEMI
- Apply a guideline-based strategy for effective secondary prevention after hospital discharge for UA/NSTEMI
2008 Interventional Cardiology Learning Objectives
Applying New Guidelines to a PCI-based Treatment Strategy in 2008
After taking part in this activity, participants should be better able to:
- Outline indications for PCI in UA/NSTEMI and STEMI
- Apply updated ACC/AHA guidelines to a PCI-based treatment strategy for UA/NSTEMI
- Apply updated ACC/AHA guidelines to a PCI-based treatment strategy for STEMI
- Implement evidence-based strategies for adjunctive therapies during the acute phase of treatment, immediately after PCI, at discharge, and long-term to prevent secondary events
2008 Stroke Learning Objectives
Preventing Secondary Vascular Events After Ischemic Stroke
After taking part in this activity, participants should be better able to:
- Recognize the pathogenesis common to different vascular events (stroke, myocardial infarction, peripheral arterial disease)
- Integrate recent study results for secondary prevention of vascular events after stroke into critical pathways for the care of patients
- Apply the latest practice guidelines for secondary prevention of stroke into clinical practice
An Evidence-based Approach to Optimizing Stroke Care at Community Hospitals
After taking part in this activity, participants should be better able to:
- Streamline protocols for the identification, evaluation, and treatment of ischemic stroke
- Address the unique challenges of community hospital teams with varying levels of resources for managing stroke
- Apply evidence-based long-term strategies and therapies to prevent future vascular events in patients after hospital discharge
Best Practices for Stroke Management: Strategies for Optimizing Care in 2008
After taking part in this activity, participants should be better able to:
- Outline the epidemiology and pathophysiology of ischemic stroke
- Apply recent study results and guidelines for acute management and secondary prevention of stroke to the care of patients
- Discuss the rationale and basic steps for developing stroke centers