Training and certification in acute cardiac care

Author(s):  
Susanna Price ◽  
Sofie Gaevert ◽  
Alessandro Sionis ◽  
Eric Bonnefoy ◽  
Magda Heras

Advances in the treatment of cardiovascular diseases have changed their natural course and resulted in improved outcomes with prolongation of life. In parallel, subspecialization in cardiology has meant that training in the advanced management of critically ill cardiac patients to the level that is now required is no longer met within general cardiology. The growing demand for training in intensive cardiac care has led to the recognition of acute cardiac care as a subspecialty in its own right. This chapter describes the concept of clinical competence and its assessment within this challenging field. It also details the core curriculum and certification process established by the Acute Cardiovascular Care Association of the European Society of Cardiology to train and certify physicians in acute cardiac care.

Author(s):  
Magda Heras ◽  
Alessandro Sionis ◽  
Susanna Price

Advances in the treatment of cardiovascular diseases have changed their natural course and resulted in improved outcomes with prolongation of life. In parallel, subspecialization in cardiology has meant that training in the advanced management of critically ill cardiac patients to the level that is now required is no longer met within general cardiology. The growing demand for training in intensive cardiac care has led to the recognition of acute cardiac care as a subspecialty in its own right. This chapter describes the concept of clinical competence and its assessment within this challenging field. It also details the core curriculum and certification process established by the Acute Cardiovascular Care Association of the European Society of Cardiology to train and certify physicians in acute cardiac care.


2017 ◽  
Vol 7 (1) ◽  
pp. 80-95 ◽  
Author(s):  
Eric Bonnefoy-Cudraz ◽  
Hector Bueno ◽  
Gianni Casella ◽  
Elia De Maria ◽  
Donna Fitzsimons ◽  
...  

Acute cardiovascular care has progressed considerably since the last position paper was published 10 years ago. It is now a well-defined, complex field with demanding multidisciplinary teamworking. The Acute Cardiovascular Care Association has provided this update of the 2005 position paper on acute cardiovascular care organisation, using a multinational working group. The patient population has changed, and intensive cardiovascular care units now manage a large range of conditions from those simply requiring specialised monitoring, to critical cardiovascular diseases with associated multi-organ failure. To describe better intensive cardiovascular care units case mix, acuity of care has been divided into three levels, and then defining intensive cardiovascular care unit functional organisation. For each level of intensive cardiovascular care unit, this document presents the aims of the units, the recommended management structure, the optimal number of staff, the need for specially trained cardiologists and cardiovascular nurses, the desired equipment and architecture, and the interaction with other departments in the hospital and other intensive cardiovascular care units in the region/area. This update emphasises cardiologist training, referring to the recently updated Acute Cardiovascular Care Association core curriculum on acute cardiovascular care. The training of nurses in acute cardiovascular care is additionally addressed. Intensive cardiovascular care unit expertise is not limited to within the unit’s geographical boundaries, extending to different specialties and subspecialties of cardiology and other specialties in order to optimally manage the wide scope of acute cardiovascular conditions in frequently highly complex patients. This position paper therefore addresses the need for the inclusion of acute cardiac care and intensive cardiovascular care units within a hospital network, linking university medical centres, large community hospitals, and smaller hospitals with more limited capabilities.


The ESC Textbook of Intensive and Acute Cardiovascular Care is the official textbook of the Acute Cardiovascular Care Association (ACCA) of the ESC. This new updated edition continues to comprehensively approach all the different issues relating to intensive and acute cardiovascular care. It is addressed to all those involved in intensive and acute cardiac care, from cardiologists to emergency physicians and healthcare professionals. The chapters cover the various acute cardiovascular diseases that need high quality intensive treatment, but also organizational issues, cooperation among professionals, and interaction with other specialities in medicine. The largest section of the textbook is devoted to non-cardiac disease which could acutely involve the cardiovascular system. Other noteworthy chapters are on ethical issues important in acute cardiac care, such as patient safety, donor organ management and palliative care. A unique characteristic of the title is the presence of a whole section devoted to biomarkers, which underline the growing importance of laboratory medicine in the field of intensive and acute cardiac care.


Cardiovascular diseases (CVDs) are a major cause of premature death worldwide and a cause of loss of disability-adjusted life years. For most types of CVD early diagnosis and intervention are independent drivers of patient outcome. Clinicians must be properly trained and centres appropriately equipped in order to deal with these critically ill cardiac patients. This new updated edition of the textbook continues to comprehensively approach all the different issues relating to intensive and acute cardiovascular care and addresses all those involved in intensive and acute cardiac care, not only cardiologists but also critical care specialists, emergency physicians and healthcare professionals. The chapters cover the various acute cardiovascular diseases that need high quality intensive treatment as well as organisational issues, cooperation among professionals, and interaction with other specialities in medicine.


The ESC Textbook of Intensive and Acute Cardiac Care is a key reference for training and accreditation in this specialty. It serves as a reference for experienced and trainee cardiologists and intensivists from all over Europe. It establishes a common basis of knowledge in the field and a uniform and improved quality of care, is fully consistent with guidelines specified in the ESC Core Curriculum for Acute Cardiac Care, and features numerous videos as well as images that are downloadable to Powerpoint.


Author(s):  
Menachem Nahir ◽  
Doron Zahger ◽  
Yonathan Hasin

Care for the critically ill cardiovascular patients and their families requires a unique environment that is structurally different from other clinical units. Coronary care units were introduced in the 1960s for the main purpose of prevention and prompt treatment of life-threatening cardiac arrhythmias related to acute myocardial infarction. Since then, major progress in cardiology in general and acute cardiac care, in particular, dictated a major change in the structure and organization of these units, symbolically expressed in the new title of ‘intensive cardiac care unit’. Contemporary intensive cardiac care units receive older and more complex patients, often with multiple comorbidities and diverse diagnoses. The modern intensive cardiac care unit incorporates sophisticated monitoring and up-to-date equipment to meet the changing needs of the patient with cardiovascular disease requiring critical care. The intensive cardiac care unit operates in the centre of the hospital’s cardiology service, receiving patients from the mobile care unit (directly or via an ST elevation myocardial infarction network), the emergency department, and other wards, including coronary, structural, and electrophysiology intervention laboratories and operating rooms. Patients are usually unstable and require immediate full attention by highly trained medical and nursing staff. The 2005 recommendations for the structure, organization, and operations of the intensive cardiac care unit were issued by Hasin et al. for the Working Group of Acute Cardiac Care of the European Society of Cardiology, which serves as basis for this chapter. The chapter will focus on the requirements for staffing, training, and accreditation, as well as the structure organization and equipment of the intensive and intermediate cardiac care units.


Sign in / Sign up

Export Citation Format

Share Document