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| Contact me: blake.wachter@gmail.com | ||||||||||||||||||||||||||||||||
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Design a heart failure specific multi-point data interface | |
| I am interested in developing a user friendly multi-point heart failure data interface system that would integrate seamlessly multiple data point information that would be easy and beneficial to the practitioner caring for the patient. The system would also be accessible to the patient to help them better manage their health on a real-time basis. This interface would also integrate with the current physicians EMR. | |
Design a cardiology specific EMR | |
| I am interested in developing a more user friendly cardiology specific EMR system that would not be so combersome to the physician. First and foremost, it would be important to flow with cardiologist's work process flow. It would also be important for this system to integrate seamlessly with outside tools such as laboratories, local hospitals, nuclear and echo reports, cath lab reports, ect. It would also be important to be compliant with current ICD billing and be able to seamlessly generate an accurate and complete billing charge. | |
CPR Education in the Idaho Falls Community | |
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I am working with the Idaho Falls Fire Department to develop a CPR study to evaluate the CPR use and comfort level of the Idaho Falls general
population. I am first gathering data about the public's knowledge and comfort level of CPR. I am also performing a retrospective study on
the EMS / 911 related out of hospital cardiovascular (CV) events and survival to discharge from EIRMC. The Fire Department and my team will then aggressively educate the
Idaho Falls public about CPR for several years. I will then follow up with a post-intervention CPR knowledge and comfort level of CPR as well
as a prospective look at survival to discharge from EIRMC following an out of hospital CV event. If you live in the Idaho Falls area, please go to: Idaho Falls CPR Survey (pre) | |
Education of the nurses and health practitioner's in Idaho Falls | |
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I am have created CardiacQWiki's to help educate the nursing staff, EMT / Firedepartment and other students in the Idaho Falls area.
CardiacQWiki's are designed to be 5-10 minute quick teaching points that can be used anywhere and preferably executed live bedside with a patient. CardiacQWiki's can be found at: www.CardiacQwiki.com (TBD) | |
Dedication to education of the Idaho Falls community | |
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Dr. Blank and myself have committed ourselves to education of the community through a fun / hands on experience for grade school children. We
bring cow and deer hearts to the schools as well as other educational models and posters. We teach the children gross anatomy and the importance
of living a heart healthy lifestyle. We also encourage children teaching children! | |
 Dylan, 2nd grade, teaching 5th graders |
 Learning about the anatomy of the heart |
Heart Failure Important Trials |
| go to cardiology trials.org |
| Consensus |
| Solved |
| CHARM |
| I-PRESERVE |
| ValHeFT |
| EMPHASIS-HF |
| RALES |
| WARCEF |
| CIBIS-II |
| COMET |
| MADIT-CRT |
| SCD-HEFT |
| DIG |
| BEAUTIFUL |
| SHIFT |
| CORONA |
| STITCH |
| CARRESS-HF |
My Publications |
| Wachter SB, Gilbert EM Beta-Adrenergic receptors, from their discovery and characterization through their manipulation to beneficial clinical application, Cardiology 2012; 122(2):104-12 |
| Wachter SB, McCandless SP, Gilbert EM, Stoddard GJ, Kfoury AG, Reid BB, McKellar SH, Nativi-Nicolau J, Saidi A, Barney J, McCreath L, Koliopoulou A, Wright SE, Fang JC, Stehlik J, Selzman CH, Drakos SG Elevated resting heart rate in heart transplant recipients: innocent bystander or adverse prognostic indicator? Clin Transplant. 2015 Sep;29(9):829-34. doi: 10.1111/ctr.12587. Epub 2015 Jul 27 |
| MacGregor JF, Wachter SB, Munger M, Stoddard G, Bristow MR, Gilbert EM. Carvedilol produces sustained long-term benefits: follow-up at 12 years. Congest Heart Fail. 2009 Jan-Feb;15(1):5-8. |
| Wachter SB, Johnson K, Albert R, Syroid N, Drews F, Westenskow D. The evaluation of a pulmonary display to detect adverse respiratory events using high resolution human simulator. J Am Med Inform Assoc. 2006 Nov-Dec;13(6):635-42. Epub 2006 Aug 23. |
| Wachter SB, Markewitz B, Rose R, Westenskow D. Evaluation of a pulmonary graphical display in the medical intensive care unit: an observational study. J Biomed Inform. 2005 Jun;38(3):239-43. Epub 2004 Nov 30 |
| Wachter SB, Agutter J, Syroid N, Drews F, Weinger MB, Westenskow D. The employment of an iterative design process to develop a pulmonary graphical display. J Am Med Inform Assoc. 2003 Jul-Aug;10(4):363-72. Epub 2003 Mar 28. |
Patents |
| Patent for Method and apparatus for monitoring dynamic cardiovascular funciton using N-dimensional representation of critical functions |
Cardiology Professional Experience |
|
8/2013 ? present: Idaho Heart Institute, Advanced Heart Failure Director I am currently working as a board certified cardiologist with emphasis in advanced heart failure/transplant and LVADs in Idaho Falls. I have an affiliation with Eastern Idaho Regional Medical Center (EIRMC) as the Advanced Heart Failure Clinic Director. I am a team member of an excellent team of cardiologist and highly trained support Nurse Practicioners, Nurses and support staff. I have experience reading Echos, Nuclear stress tests, Pacemakers, Monitors, Treadmill tests. I also have experience with invasive procedures such as right heart caths and heart biopsies. |
Resarch Experience |
| Heart Rate Post Heart Transplant |
| 2012-2015 Cardiology, University of Utah, Salt Lake City, Utah Preceptor: Stavros Drakos, M.D. Background:The elevated baseline heart rate (HR) of a heart transplant recipient has previously been considered inconsequential. However, we hypothesized that a resting HR above 100 beats per minute (bpm) may be associated with morbidity and mortality. Conclusion: Heart transplant recipients with elevated resting HR appear to have higher mortality than those with lower resting HR. Whether pharmacologically lowering the HR would result in better outcomes warrants further investigation. Manuscript: Beta-Adrenergic receptors, from their discovery and characterization through their manipulation to beneficial clinical application |
| Lactic Acidosis |
| 2012-2013 HF/Cardiology, University of Utah, Salt Lake City, Utah Preceptor: Edward M. Gilbert, M.D. Background: Lactic acidosis is common in critically ill patients and is frequently observed early post orthotopic heart transplantation (OHT). Our objective was to determine if lactic acidosis after OHT had the same characteristics and effect on postoperative outcomes as lactic acidosis observed after elective left ventricular assist device implantation (LVAD). Conclusion: Patients undergoing OHT have a greater degree of post-operative lactic acidosis and hyperglycemia then patients undergoing LVAD. However, OHT patients had a better 30 day outcome compared to LVAD patients. This suggests that the lactic acidosis may be transient and a more benign disorder post OHT. A possible explanation may be induction of a type B lactic acidosis with corticosteroids after OHT but further studies are necessary. Manuscript:Are the Clinical Implications of Lactic Acidosis Similar Post-Cardiac Transplantation Verses Post-LVAD Implantation |
| Cavernous Malformations |
| 2009-2012 Cardiology, University of Utah, Salt Lake City, Utah Preceptor: Kevin Whitehead, M.D., Ph.D. I determined the population characteristics of people with cerebral cavernous malformations. |
| LV Dysfunction with Weight Loss |
| 2007-2009 Cardiology, University of Utah, Salt Lake City, Utah Preceptor: Sheldon Litwin, M.D. I have studied the possible correlation of left and right ventricular timing and the relation to ventricular dysfunction and the effects of weight loss. |
Software Engineering/Medical Informatics Professional Experience |
| 8/99 ? 8/06: Women?s and Newborn, IHC Lake Park, Salt Lake City, Utah Medical Informatician for Maternal Fetal Medicine I designed, programed, tested, implemented, and supported a unique software tool that generates fetal ultrasound reports. The software program is designed with a graphical user interface that integrates with perinatologists workflow processes. The program uses discrete data elements that populates drop down boxes and popups to support research endeavors easily. The database utilizes Oracle as the backend for speed, flexibility, and stability. The program is currently installed at Intermountain Health Care Hospitals throughout Utah. |
| 8/99 ? 11/02: OB Diagnostic Center, Univ. of Utah Hospital, Utah Medical Informatician for OB Diagnostic Center I designed, programmed, tested, implemented, and supported a unique software tool that generated fetal ultrasound reports. The software was intended to share data elements with the Intermountain Health Care version of software. The University of Utah OB Diagnostic department decided to discontinue the project. |
| 7/00-11/00: DoHealth, Salt Lake City, Utah Women?s Health Web Developer Lead I was the lead developer responsible for the women?s health section of a medical information web page. I worked with a team of information managers, graphic artists, program managers, and other test leads. |
| 7/99-4/00: UsMedicalNetwork, New York, New York Software Developer Consultant I worked as an independent remote medical informatics consultant for a New York based company that developed software for a medical knowledge system. |
| 7/97-8/99: Intlex, Hill Air Force Base, Utah Combined Test Facility Lead, Integration Test Schedule lead, Co-lead on the information system development team I was the technical team manager charged with overseeing operational tests of the U2 reconnaissance aircraft software. In addition, as the integration test schedule lead of all aircraft, I was responsible for ensuring all tests were scheduled, timely, and successful. |
| 4/93-7/97: Lockheed Martin Management & Data Systems, Valley Forge, PA Software Engineer, Test Director, Systems Engineer I worked both as software systems engineer in the Systems Integration department and as a software engineer in the Technical Operations department and held classified security clearances. As a systems engineer, I designed and coded test simulators, prepared deliverable databases, and developed test requirements. As a software engineer, I designed, implemented, and verified database development using C++, embedded SQL, Fortran, and Object Oriented Analysis and Design programming. |
