Online Education

18CE051 - Bleeding Disorders Interactive Primer: Sports Injuries in Mild Hemophilia

The purpose of this module is to enable the learner to relate to the diagnostics and treatments of sports-related injuries and complications that may occur in persons with mild hemophilia.

• Explain common treatments utilized in management of mild hemophilia
• Identify the primary laboratory test utilized to differentiate mild hemophilia A and Type 2N von Willebrand disease
• Evaluate the use of desmopressin in patients with mild hemophilia, including potential limitations
• Explain the benefits of Rest, Ice, Compression, and Elevation (RICE) when utilized in musculoskeletal bleeding episodes
• Assess the use of physical therapy for managing acute musculoskeletal bleeding episodes in mild hemophilia
• Recommend appropriate sports activities for persons with mild hemophilia
• Review the clinical presentation, management, and potential complications of iliopsoas bleeding in persons with mild hemophilia

This learning activity is targeted toward nursing professionals, physician assistants and other members of the multidisciplinary comprehensive care team in the federally recognized U.S. Hemophilia Treatment Center Network (USHTCN) who treat persons with mild hemophilia. The activity also aims to educate nursing professionals, physician assistants, and other providers in emergency, primary care, joint/orthopedic health and sports medicine settings in which persons with mild hemophilia may present with bleeding complications.

Sports Injuries in Mild Hemophilia is an interactive learning activity that explains the treatment of mild hemophilia, including information about the use of desmopressin and its potential limitations in patients with mild hemophilia A, the role of RICE therapy as an important nonpharmacologic intervention to treat bleeding episodes, and the importance of physical therapy in management and resolution of musculoskeletal bleeding episodes. The activity covers the clinical presentation, medical management, physical therapy, and complications of iliopsoas bleeds, which warrant particular attention given their potential to be life-threatening. The activity also addresses distinction between mild hemophilia A and Type 2N von Willebrand disease, which must be included in the differential diagnosis. Finally, the learning activity discusses selection of appropriate sports activities for persons with bleeding disorders. The learner will be presented with Reading Room material that may be printed or saved for future reference. Two case studies are presented with patient chart information and interactive question-and-answer slides to allow the learner the opportunity to apply what has been learned.

• Sweta Gupta, MD
• Christine Kempton, MD, MSc

June 1, 2018

5:00 PM, Eastern, June 1, 2019

The estimated time to complete this activity is 45 minutes. In order to receive contact hours, you must complete the following prior to the course expiration date:

• Read the Program Announcement Form
• Complete the learning activity
• Complete the evaluation
• Complete the post-test with a score of 80% or better
• Upon successful completion of the post-test your certificate of completion will be available to print or save

The University of Nebraska Medical Center College of Nursing Continuing Nursing Education is accredited with distinction as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation.

This activity is provided for 0.75 contact hours under ANCC criteria.

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This activity has been reviewed by the AAPA Review Panel and is compliant with AAPA CME Criteria. This activity is designated for 0.75 AAPA Category 1 CME credits. Approval is valid for one year from 06/01/2018. PAs should only claim credit commensurate with the extent of their participation.

Contact Information

If you have any questions about this activity, please contact Natalie Duncan in Indianapolis, IN, 317-871-0011 ext 273, toll-free 877-256-8837, or via email at nduncan@ihtc.org. For technical support please email support@partnersprn.org or open a ticket in the Partners Support Center.

System Requirements

• 2 gigabytes of RAM
• High speed internet connection
• Any one Internet browser:
  • Firefox (Most Current Version)
  • Safari (Most Current Version)
  • Google Chrome (Most Current Version)
  • MS Internet Explorer (Most Current Version)
  • Cookies and JavaScript must be enabled in all browsers.
  • All browsers must have flash plug in installed and enabled.
• Cookies and JavaScript must be enabled in all browsers.
• All browsers must have flash plug in installed and enabled.