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CME Peer-to-Peer Dialogue

HITeducation.com CME Peer-to-Peer Dialogue features insightful audio commentary from a multidisciplinary group of experts in hematology, emergency medicine, and critical care nursing. Listen in for state-of-the-art information as they address timely, clinically relevant topics identified by the HITeducation.com faculty.

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Questions Learning Objectives

Incidence, risk factors, and timing of HIT
How common is HIT in the hospital setting? What are the risk factors that should make us suspect HIT? How long after heparin exposure can HIT occur?

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CME Activity Expires: June 30, 2010
 

Clinical presentation of HIT
What are the clinical signs suggesting HIT? What are the AACP criteria for HIT diagnosis? What is the 4T system?

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CME Activity Expires: July 31, 2010
 

Recent developments in HIT diagnostics comparing the ELISA OD assay with the serotonin release assay
How are ELISA OD results used to assess the risk of HIT? What is a patient example of an ELISA OD assay result? Should positive/negative indicators or numerical values be used for reporting of ELISA OD assay results?

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CME Activity Expires: August 31, 2010
 

Differentiating HIT from alternative causes of thrombocytopenia
What are some alternate conditions that present with similar findings as HIT? What are the key factors that distinguish HIT from other causes of thrombocytopenia?
 
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CME Activity Expires: September 30, 2010
 

Acute and chronic management of HIT
What are the first steps in managing suspected HIT? When is it appropriate to initiate alternative anticoagulants? What are the dangers in transitioning too rapidly to warfarin? What are the ACCP recommendations on warfarin and Vitamin K?

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CME Activity Expires: October 31, 2010
 

Clinical perspectives on HIT diagnosis and management
What are the barriers to increased awareness, accurate diagnosis, and effective management of HIT? What are some practical tips for HIT diagnosis and management in the critical care setting?
 
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CME Activity Expires: November 30, 2010.
 
Management of HIT

What are the relevant guidelines for HIT management and which recommendations deviate from traditional practice? In which health care settings is HIT effectively recognized and how can health care providers be more aware of HIT?

Activity expired October 31, 2009. CME credit no longer available.
 


When should different anticoagulants such as heparin, direct thrombin inhibitors, and warfarin be used in managing HIT or suspected HIT?
 
Activity expired November 30, 2009. CME credit no longer available.
 


What experimental drugs that would be useful for HIT management are in clinical testing? What are their anticipated benefits and risks?

Activity expired Dember 31, 2009. CME credit no longer available.
 

Recognition and Diagnosis of HIT

What are the risk factors for HIT? How can the 4T system be used to help diagnose HIT?
 
Activity expired July 31, 2009. CME credit no longer available.
 


What is a typical time between initiation of heparin therapy and onset of HIT and what are the physiological mechanisms that determine longer or shorter onset times?

Activity expired August 31, 2009. CME credit no longer available.
 


What is measured by the ELISA and serotonin release antibody tests, what is their pathophysiological relevance, and how should the results be used in diagnosing HIT?
 
Activity expired September 30, 2009. CME credit no longer available.