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Management of Sickle Cell Disease in the Emergency Department: A Case-Based Discussion

Premiere Date: Friday, May 31, 2019

This activity offers CE credit for:

1. Physicians (CME)
2. Pharmacists (ACPE)
3. ABIM (MOC)
4. Other

All other clinicians will receive a Certificate of Attendance stating this activity was certified for AMA PRA Category 1 Credit™

Credit Expiration Date:
Thursday, December 31, 2020
Note: Credit Is No Longer Available

Faculty

Lauren E. Siewny, MD  Assistant Professor of Surgery Department of Surgery, Division of Emergency Medicine Duke University Medical Center Durham, NC

John J. Strouse, MD, PhD  Associate Professor of Medicine and Pediatrics Director, Adult Sickle Cell Program Duke University School of Medicine Durham, NC

Statement of Need

Sickle cell disease (SCD) is a painful disease with many life-threatening complications including acute chest syndrome, infections, severe anemia, and venous thromboembolism. Patients with SCD often present to the ED and hence, it is critical for clinicians in the emergency department (ED) to be educated so that they can promptly assess and treat acute sickle cell pain and evaluate and treat associated complications. While there are some current therapies for SCD, novel therapies are presently being investigated in clinical trials. It is important for clinicians to be knowledgeable regarding current and emerging therapies for SCD.

This CME Outfitters Snack is included in the 3-part series on management of benign rare blood disorders in the ED. It features a video physician-patient case scenario with hematological insights on the evaluation and management of patients in the ED and current and emerging treatments for SCD.

Learning Objectives

At the end of this CE activity, participants should be able to:

• Recognize and manage complications associated with benign rare blood disorders, such as SCD in the emergency department setting.
• Evaluate clinical data for the efficacy and safety of current and emerging
• Implement personalized, evidence-based approaches to managing benign rare blood disorders in the emergency department setting.

The following learning objectives pertain only to those requesting CNE or CPE credit:

• Explain the complications associated with benign rare blood disorders such as SCD in the emergency department setting.
• Describe the clinical data for the efficacy and safety of current and emerging treatments for benign rare blood disorders.
• Identify personalized, evidence-based approaches for managing benign rare blood disorders in the emergency department setting.

Financial Support

Supported by educational grants from CSL Behring LLC and Shire, now part of Takeda.

Target Audience

Physicians, physician assistants, nurse practitioners, nurses, and pharmacists.

Credit Information

CME Credit (Physicians):
CME Outfitters, LLC, is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

CME Outfitters, LLC, designates this enduring activity for a maximum of 0.5 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

CPE Credit (Pharmacists):
CME Outfitters, LLC, is accredited by the Accreditation Council for Pharmacy Education as a provider of continuing pharmacy education. 0.5 contact hours (0.05 CEUs) Universal Activity Number:
Enduring: 0376-0000-19-026-H01-P

Type: Knowledge-based

ABIM MOC Credit:
MOC Points available for Internal Medicine and General Medicine Board Certified Physicians.

Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 0.5 Medical Knowledge MOC points in the American Board of Internal Medicine's (ABIM) Maintenance of Certification (MOC) program. Participants will earn MOC points equivalent to the amount of CME credits claimed for the activity. It is the CME activity provider's responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit.

Within 60 days of the end of the activity, ABIM MOC Points will be reported on your behalf.

For information about ACCME accreditation and ABIM MOC for this activity, please email cpdsupport@health.usf.edu.
Learning Format:
Enduring activity

By providing your ABIM number, you consent to have CME Outfitters and/or our educational partners submit your participation in this activity to the ABIM through the ACCME PARS system

MIPS Improvement Activity: This activity counts towards MIPS Improvement Activity requirements under the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA). Clinicians should submit their improvement activities by attestation via the CMS Quality Payment Program website.

Note to Physician Assistants: AAPA accepts certificates of participation for educational activities certified for AMA PRA Category 1 Credit^TM from organizations accredited by the Accreditation Council for Continuing Medical Education.

Note to Nurse Practitioners: Nurse Practitioners can apply for AMA PRA Category 1 Credit™ through the American Academy of Nurse Practitioners (AANP). AANP will accept AMA PRA Category 1 Credit™ from organizations accredited by the Accreditation Council for Continuing Medical Education. Nurse practitioners can also apply for credit through their state boards.

Post-tests, credit request forms, and activity evaluations must be completed online (requires free account activation), and participants can print their certificate or statement of credit immediately (75% pass rate required). This website supports all browsers except Internet Explorer for Mac. For complete technical requirements and privacy policy, visit https://www.cmeoutfitters.com/privacy-and-confidentiality-policy/.

Disclosure Declaration

It is the policy of CME Outfitters, LLC, to ensure independence, balance, objectivity, and scientific rigor and integrity in all of their CE activities. Faculty must disclose to the participants any relationships with commercial companies whose products or devices may be mentioned in faculty presentations, or with the commercial supporter of this CE activity. CME Outfitters, LLC, has evaluated, identified, and attempted to resolve any potential conflicts of interest through a rigorous content validation procedure, use of evidence-based data/research, and a multidisciplinary peer review process. The following information is for participant information only. It is not assumed that these relationships will have a negative impact on the presentations.

Dr. Siewny has no disclosures to report.

Dr. Strouse reports that he is a consultant for Global Blood Therapeutics.

Jeffrey Helfand, DO (peer reviewer) has no disclosures to report.

Mae Ochoa, RPh (peer reviewer) has no disclosures to report.

Kavitha Ramachandran, PhD (planning committee) has no disclosures to report.

Evan Luberger (planning committee) has no disclosures to report.

Jan Perez (planning committee) has no disclosures to report.

Sharon Tordoff (planning committee) has no disclosures to report.

Disclosures were obtained from the CME Outfitters, LLC staff: No disclosures to report.

CME Outfitters, LLC and the faculty do not endorse the use of any product outside of the FDA labeled indications. Medical professionals should not utilize the procedures, products, or diagnosis techniques discussed during this activity without evaluation of their patient for contraindications or dangers of use.

Questions about this activity? Call us at 877.CME.PROS (877.263.7767).