What to Do: My Patient in the ED May Have ARIA

Launch Date

12/20/2023 at 5:00 am EST

Credit Amount

0.5

Credit Expires

12/20/2024

This activity is part of a series

Faculty

Nicolas Villain, MD, PhD

Associate Professor of Neurology

Sorbonne University

Institute of Memory and Alzheimer’s Disease

Department of Neurology

Pitié-Salpêtrière Hospital

Assistance Publique – Hôpitaux de Paris

Paris, France

Jimmy L. Pruitt III, PharmD, BCPS, BCCCP, BCEMP

Emergency Medicine Clinical Pharmacy Specialist

Atrium Health Carolinas Medical Center

Statement of Need

Symptoms of amyloid-related imaging abnormalities (ARIA) are nonspecific and can be mistaken for multiple diagnoses (e.g., stroke), but there are currently no official clinical guidelines to direct emergency medicine clinicians on assessing symptoms consistent with ARIA in association with amyloid-targeting treatment (ATT). It is imperative that these health care professionals have the skills to develop a best-practice protocol to triage patients who present to the emergency care setting for the likelihood of ARIA in association with ATTs.

The second episode of this CMEO BriefCase series focuses on a patient case that demonstrates real-world challenges such as obtainment of an accurate medical history, imaging needs and interpretations, and what to do if magnetic resonance imaging (MRI) is not accessible.

Learning Objective

At the conclusion of this activity, learners will be able to better:

Develop a best practice protocol to triage patients who present to an emergency care setting for the likelihood of ARIA in association with ATT treatment

Financial Support

This activity is supported by an educational grant from Lilly.

Target Audience

Health care providers, on a global level, who are involved in emergency medicine: physicians, nurse practitioners (NPs), physician associates (PAs), nurses, triage specialists, and pharmacists

Credit Information

Jointly accredited provider

In support of improving patient care, CME Outfitters, LLC, is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC) to provide continuing education for the healthcare team.

Interprofessional (IPCE) 0.5

This activity was planned by and for the healthcare team, and learners will receive 0.50 Interprofessional Continuing Education Credit for learning and change.

Physicians (ACCME) 0.5

CME Outfitters, LLC, designates this Enduring Material for a maximum of 0.50 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Nurses (ANCC) 0.5

This activity is designated for 0.50 contact hours.

California Residents: This continuing nursing education activity was approved by the California Board of Registered Nursing. CME Outfitters LLC’s provider number is CEP15510.

Pharmacists (ACPE) 0.5

This application-based activity is approved for 0.50 contact hours ( 0.05 CEUs) of continuing pharmacy credit ( JA0007185-0000-23-131-H01-P ).

PAs (AAPA) 0.5

CME Outfitters, LLC, has been authorized by the American Academy of PAs (AAPA) to award AAPA Category 1 CME credit for activities planned in accordance with AAPA CME Criteria. This activity is designated for 0.50 AAPA Category 1 CME credits. Approval is valid until 12/19/2024. PAs should only claim credit commensurate with the extent of their participation.

ABIM MOC 0.5

Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 0.50 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.

MIPS Improvement Activity

Completion of this accredited CME activity meets the expectations of an Accredited Safety or Quality Improvement Program (IA_PSPA_28) for the Merit-based Incentive Payment Program (MIPS). Clinicians should submit their improvement activities by attestation via the CMS Quality Payment Program website.

Royal College MOC

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UEMS-EACCME®

Through a mutual recognition agreement between the AMA and the UEMS-EACCME, European physicians completing an e-learning activity from a US-based ACCME-accredited CME provider can use AMA PRA Category 1 Credit™ toward their credit requirements. CME Outfitters is based in Radnor, Pennsylvania, USA. Please retain your certificate as proof of completion.

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 mitigated any potential conflicts of interest through a rigorous content validation procedure, use of evidence-based data/research, and a multidisciplinary peer review process.

Dr. Pruitt reports no financial relationships to disclose.

Dr. Villain reports the following financial relationships:

Grants: Travel grant from GE Healthcare SAS; Merz-Pharma; and UCB Pharma GmbH

Other financial or material support: Unpaid local principal investigator or sub-investigator for Alector, Inc.; Biogen; Eisai Inc.; Eli Lilly and Company; Janssen Global Services, LLC/Johnson & Johnson; Novo Nordisk A/S; Roche; and UCB Pharma. Unpaid national coordinator for AB Science and ADvantage Therapeutics GmbH. Unpaid lecturer in symposia organized by Eisai Inc. and the Servier Foundation.

Disclosures were obtained from the following CME Outfitters, LLC, staff, with no disclosures to report:

Marlon (Tony) Graham, MD (peer reviewer)
Elizabeth Naber, MSN, RN, CCRN-K, CNRN, TCRN (peer reviewer)
Susan Perry (planning committee)
Erin Spencer (planning committee)
Susan H. Yarbrough, CHCP (planning committee)
Sandra Caballero, PharmD (planning committee)
Sharon Tordoff (planning committee)

Faculty of this CE activity may include discussions of products or devices that are not currently labeled for use by the FDA. The faculty have been informed of their responsibility to disclose to the audience if they will be discussing off-label or investigational uses (any uses not approved by the FDA) of products or devices.

Obtaining Credit

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