Baptist Health Critical Limb Ischemia (CLI) Care Management

This course provides practitioners with the latest, evidence-based guidelines for the appropriate management of critical limb ischemia. 

Evidence-based Clinical Care (EBCC) Note: Physicians should bookmark this course to access all protocols, pathways, policies and procedures at your convenience via your CME Portal account. All algorithms will be available on CERNER. 

Target Audience

Miami Cardiac & Vascular Institute affiliated physicians as well as any interested Cardiologists, Interventional Cardiologists, Hospitalists and Physician Assistants. 

Learning Objectives

  • Differentiate acute vs. chronic CLI and potential terminology or key words associated with lower limb CLI.
  • Identify risk factors associated with CLI.
  • Explain the evidence supporting standardization of treatment options for CLI based on current evidence-based practices.
  • Utilize evidence-based protocols and guidelines including acute and chronic CLI protocols, and identify the timing for protocol implementation based on evidence-based practices in the emergency department and acute care setting.
  • Explain current clinical criteria for identification of CLI patients.
  • Identify current clinical diagnostic exams and results to help facilitate diagnosis of acute or chronic CLI.
Additional information
Bibliography: 
  • Overview of Classification Systems in Peripheral Artery Disease, Rulon L. Hardman MD, PhD, M. Jazaen, MD,1.2 Yi, MD,2 M. Smith MD,1 and Raian Gupta MD1,  Semin Intervent Radiol. 2014 Dec; 31(4): 378-388.
  • CLI Compendium:  The Voice of Critical Limb Ischemia:  Turning the Key to Critical Limb Ischemia; JA Mustapha, MD, Larry Jay Diaz Sandoval, MD, Fadi Saab, MD, Brent Vantil, DPM, Metropolitan Health Wyoming, MI, Critical Limb Ischemia Compendium, LLC, (CLIC) 2014.  Editorial.
  • Building a Successful Amputation Prevention Program, JA Mustapha, MD, Carmen Heaney, BSN, Miriam Clark, BSN, Theresa McGoff, BSN, M Andrea Peterson, MSN, Sara Finton, BSN, Carolyn Fox, BSN, Kristy Cusack, BSN, Endovascular Today, 2013, 44-50.
  • The TransAtlantic Inter-Society Consensus (TASC) on the Management of Peripheral Arterial Disease, Sacks, David, MD, Journal of Vascular and Interventional Radiology , Volume 14 , Issue 9 , S351.
  • The Nuts and Bolts of Building a Critical Limb Ischemia Program, Fadi Saab, MD, FACC, JA Mustapha, MD, FACC; ACC, Sept. 2015.
  • How to Treat Critical Limb Ischemia:  The Need for High Grade Evidence, Michael R. Jaff, DO, Ido Weinberg, MD, JACC: Cardiovascular Interventions, Vol 9/24, Dec. 2016.
Resources: 

How to save power plans (EBCC order sets) to your favorites on CERNER? Click here to access video tutorial.​

Course summary
Available credit: 
  • 0.50 AMA PRA Category 1 Credit™
  • 0.50 General certificate of attendance
Course opens: 
10/01/2017
Course expires: 
10/01/2021

Alex Powell, M.D.  
Medical Director, Interventional Radiology
Miami Cardiac & Vascular Institute, Baptist Health South Florida
Affiliate Assistant Professor of Radiology, FIU Herbert Wertheim College of Medicine
Affiliate Assistant Professor of Radiology, University of South Florida College of Medicine

Alex Powell, M.D., indicated that neither he nor his spouse/partner has relevant financial relationships with commercial interest companies, and he will not include off-label or unapproved product usage in his presentations or discussions.

Barry T. Katzen, M.D., is a consultant with Boston Scientific, Philips Medical, W. L. Gore and Bard.

Ian Del Conde Pozzi, M.D., is on the speakers bureau with BMS, Pfizer and Janssen.

All other CLI committee members as well as non-faculty contributors and others involved in the planning, development and editing/review of the content have no relevant financial relationships to disclose.

Disclosure Policy and Disclaimer

Baptist Health South Florida is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. Baptist Health has been re-surveyed by the ACCME and awarded Commendation for 6 years as a provider of CME for physicians.
             
Baptist Health South Florida designates this enduring material for a maximum of 0.50 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
 

Available Credit

  • 0.50 AMA PRA Category 1 Credit™
  • 0.50 General certificate of attendance
Please login or register to take this course.

Required Hardware/software

PC/Mac Users
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Attention: Internet Explorer Users
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Mobile Users
Mobile Users

This site is supported on the following mobile devices:

  • Apple iOS mobile devices running iOS 10 or later
  • Android mobile devices running Android 4.4 or later, with the latest release of Google Chrome or Mozilla Firefox
Technical Support
Technical Support

If you are experiencing technical difficulties or have received an error message, please send an email to CME@baptisthealth.net and include a print screen of the error message, your browser name and version, username and URL where the error occurred. You can expect a response within 48 hours.