Targeted Oral Anticoagulation in the Emergency Department: Key Factors in Stroke Prevention in Atrial Fibrillation

Release Date: January 29, 2015

Last Reviewed: December 15, 2014

Expiration Date: January 29, 2016

Time to Complete Activity: 1.0 hour

*This activity expired for credit on January 29, 2016 and is no longer available for credit

This activity is provided by the University of Cincinnati.

In collaboration with the Hospital Quality Foundation.

Faculty

Charles V. Pollack, Jr, MA, MD, FACEP, FAAEM, FAHA, FCPP (Chair)

Professor, Department of Emergency Medicine

Perelman School of Medicine

University of Pennsylvania

Chairman, Department of Emergency Medicine

Pennsylvania Hospital

Philadelphia, PA

Deborah B. Diercks, MD, MSc

Professor, Department of Emergency Medicine

University of Texas Southwestern

Chair, Department of Emergency Medicine

Dallas, TX

Gerald V. Naccarelli, MD, FACC, FAHA, FHRS

Bernard Trabin Chair in Cardiology

Professor of Medicine

Chief, Division of Cardiology

Penn State University College of Medicine

Heart and Vascular Institute

Hershey, PA

Target Audience

This activity has been designed to address the educational needs of emergency medicine physicians and other emergency medicine professionals, hospitalists, clinical pharmacists, and other healthcare professionals involved in the management of patients with atrial fibrillation (AF) in the hospital setting.

Learning Objectives

Upon proper completion of this activity, participants should be better able to:

Describe the pharmacologic differences among oral anticoagulants and their use in patients with nonvalvular AF.
Accurately assess the degree of anticoagulation in patients with AF who present with bleeding in order to determine an individualized management plan.
Critically evaluate the data of emerging anticoagulation reversal agents and their emergent use in patients with nonvalvular AF.

Table of Contents

Faculty and Introduction
Atrial Fibrillation in the Emergency Department
Managing Atrial Fibrillation and Thromboembolic Risk
The Oral Anticoagulants: Pharmacology and Administration
Assessing the Degree of Anticoagulation
Managing Anticoagulant-Associated Bleeding: Strategies in the Emergency Department, Present and Future
Conclusion
Get Credit
References

Physician Continuing Education
Accreditation Statement
The University of Cincinnati, Global Education Group, and Paradigm Medical Communications, LLC are each accredited by the ACCME to provide continuing medical education for physicians, and have collaborated to design and execute this enduring activity.

For accreditation purposes, the University of Cincinnati is responsible for certification and documentation of attendance for this activity.

The University of Cincinnati is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

Credit Designation Statement

The University of Cincinnati designates this enduring material for a maximum of 1.0 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

For information about the physician accreditation of this program, please contact the University of Cincinnati at (513) 558-3197 or forneyba@uc.edu.

Approved by the American College of Emergency Physicians for a maximum of 1.0 hour of ACEP Category I credit.

Pharmacist Continuing Education
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Global Education Group is accredited by the Accreditation Council for Pharmacy Education as a provider of continuing pharmacy education.

This activity is jointly provided by Global Education Group and Paradigm Medical Communications, LLC.

Credit Designation Statement

Global Education Group designates this continuing education activity for 1.0 contact hour (0.1 CEU) of the Accreditation Council for Pharmacy Education.

(Universal Activity Number – 0530-9999-15-001-H01-P)

This is a knowledge-based activity.

For information about the pharmacy accreditation of this program, please contact Global at (303) 395-1782 or inquire@globaleducationgroup.com.

Disclosure of Commercial Support

This activity is supported by educational grants from Boehringer Ingelheim Pharmaceuticals, Inc.and Daiichi Sankyo, Inc.

Instructions for Participation

To receive a CE certificate of participation, participants must:

Follow instructions to register or log in with your professional information and complete the pretest.
View the online activity in its entirety.
Complete and submit the online posttest and evaluation. You must answer 70% of the posttest questions correctly to earn credit. You will have unlimited opportunities to successfully complete the posttest.
A certificate of participation will be available for download/printing immediately following your successful completion of the posttest and evaluation.

Please note:To claim CPE credit, please make sure you include your date of birth and NABP number. All credit information will be uploaded into CPE Monitor within 30 days.

For questions regarding credit, contact the Paradigm CME Department at (845) 398-5949.

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Disclosures

In accordance with ACCME and ACPE requirements on disclosure, faculty and contributors are asked to disclose any relationships with commercial interests associated with the area of medicine featured in the activity. These relationships are described below.

Faculty
Charles V. Pollack, Jr, MA, MD, FACEP, FAAEM, FAHA, FCPP (Chair)

Consultant: Boehringer Ingelheim Pharmaceuticals, Inc.; Janssen Pharmaceuticals, Inc.; Daiichi-Sankyo, Inc.; Bristol Myers Squibb Company; /Pfizer, Inc.

Deborah B. Diercks, MD, MSc

Advisory Board: Daichii Sankyo, Inc.

Consultant: Novartis

Board Member: Society of Cardiovascular Patient Care

Gerald V. Naccarelli, MD, FACC, FAHA, FHRS

Consultant: Janssen Pharmaceuticals; Daiichi Sankyo, Inc.; Otsuka American Pharmaceutical, Inc.; Xention Ltd.; GlaxoSmithKline

Speaker’s Bureau: Janssen Pharmaceuticals, Inc.; Boehringer Ingelheim Pharmaceuticals, Inc.; Pfizer, Inc. / Bristol Myers Squibb Company

Planning Committee Members

Barb Forney, CME compliance: No Relevant Relationships

Rick Ricer, MD, University of Cincinnati College of Medicine, Advisory Board; Primary Care Education Consortium, No Relevant Relationships

Ashely Marostica, RN, MSN, Amanda Glazer, PhD, Kelly Enders, and Laura Gilsdorf, who serve as independent clinical reviewers from Global Education Group for this program, have nothing to disclose.

Paradigm Medical Communications, LLC staff members have no financial relationships to disclose.

Off-Label Disclosure Statement

Faculty members are required to inform the audience when they are discussing off-label, unapproved uses of devices and drugs. Physicians should consult full prescribing information before using any product mentioned during this educational activity.

Learner Assurance Statement

The University of Cincinnati is committed to resolving all conflict of interest issues that could arise as a result of prospective faculty members’ significant relationships with drug or device manufacturer(s). The University of Cincinnati is committed to retaining only those speakers with financial interests that can be reconciled with the goals and educational integrity of the CME activity.

Disclaimer Statement

The opinions expressed during the enduring activity are those of the faculty and do not necessarily represent the views of the University of Cincinnati, Global Education Group, or Paradigm Medical Communications, LLC. The information is presented for the purpose of advancing the attendees’ professional development.

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