Topical Hemostatic Agents in Action: Intraoperative Perspectives

This activity is part of a series


James E. Dowdell III, MD
Spine Surgery
Assistant Attending of Orthopedic, Surgery Hospital for Special Surgery, New York, NY
James E. Dowdell III, MD

Dr. James Dowdell is an Assistant Attending Orthopedic Surgeon at Hospital for Special Surgery and an Instructor of Orthopedic Surgery at Weill Cornell Medical College. His expertise lies with treating degenerative spinal pathologies in both a minimally invasive and open fashion. He believes in a holistic approach to patient care and focuses on the development of the surgeon-patient relationship to ensure a proper plan of care. His research interests focus on the use of enabling technologies in spine surgery, specifically the use of navigation, robotic, and augmented reality technologies. His future interests involve using these technologies for training of residents and fellows to make spine surgery safer and more efficient. He has authored over 30 articles, book chapters, and textbooks.

Dr. Dowdell received his medical degree from Jefferson Medical College in Philadelphia, PA where he was selected for both the Alpha Omega Alpa (AOA) and Gold Humanism Honor Society (GHHS) medical honor societies indicating both academic achievement and compassionate patient care. He completed his orthopedic surgery residency at Mount Sinai Hospital in New York, NY. He then completed fellowship training in spine surgery at HSS where he received specialized training in a spectrum of spinal pathologies utilizing both open and minimally invasive techniques. Dr. Dowdell is a member of the North American Spine Society, American Academy of Orthopaedic Surgeons, and serves on the Editorial Board for Spinal Deformity journal.

Michael Capito, RN, BSN, CNOR
Perioperative Nurse, Hospital for Special Surgery, New York, NY
Michael Capito, RN, BSN, CNOR

Michael Henry Capito, RN, BSN, CNOR is a registered nurse at the Hospital for Special Surgery where he has served as a perioperative nurse since 2012. He completed his Bachelor of Science in nursing at the Hunter-Bellevue School of Nursing in 2009.

Beyond his professional endeavors, Michael is accomplished competitive break-dancer, breaking instructor, and has recently become certified as an Olympic level judge for breaking.

Statement of Need

In this third of three CMEO Snacks, Dr. Dowdell and his team demonstrate the application of topical hemostasis during a procedure performed at an ambulatory surgery center. Specifically, the use of a flowable agent is prepared and administered to provide prompt and reliable hemostasis for cancellous bone bleeding – a common need in orthopedic and spine procedures. In addition, Dr. Dowdell provides tips and pearls for navigating difficult-to-access and difficult-to-visualize operative sites of bleeding and discusses topical hemostatic agents appropriate for capillary, venous, and arteriolar bleeding.

Learning Objectives

At the end of this CME/CE activity, participants should be able to implement strategies to control bleeding in hospital outpatient and ambulatory surgery settings.

Financial Support

Supported by an educational grant from Pfizer Inc.

Target Audience

Physicians, physician associates (PAs), nurse practitioners (NPs), and nurses specializing in surgery, orthopedics, and/or otolaryngology

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 0.5 Interprofessional Continuing Education (IPCE) Credit for learning and change.

Physicians (ACCME) 0.5

CME Outfitters, LLC, designates this enduring activity for a maximum of 0.5 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 0.5 contact hours.

Note for California Nurses

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 0.5 contact hours (0.05 CEUs) of continuing pharmacy credit.
Activity UAN: JA0007185-0000-22-120-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 0.5 AAPA Category 1 CME credits. Approval is valid until expiration date listed above. PAs should only claim credit commensurate with the extent of their participation.


Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 0.5 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

Through an agreement between the Accreditation Council for Continuing Medical Education and the Royal College of Physicians and Surgeons of Canada, medical practitioners participating in the Royal College MOC Program may record completion of accredited activities registered under the ACCME’s “CME in Support of MOC” program in Section 3 of the Royal College’s MOC Program.

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. The following information is for participant information only. It is not assumed that these relationships will have a negative impact on the presentations.

Dr. Dowdell reports no financial relationships to disclose.

Mr. Capito reports no financial relationships to disclose.

The following peer reviewer and CME Outfitters staff have no financial relationships:

  • Michael Franks, APRN, AGACNP-BC, FNP-BC (peer reviewer)
  • Thomas Mitchell (planning committee)
  • Warren Beckman (planning committee)
  • Susan H. Yarbrough, CHCP (planning committee)
  • Sharon Tordoff (planning committee)
  • Sandra Caballero, PharmD (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 Credits

Post-tests, credit request forms, and activity evaluations must be completed online (requires free account activation), and participants can print their certificate or statement of credit immediately (75% pass rate required). This website supports all browsers except Internet Explorer for Mac. For complete technical requirements and privacy policy, visit

Questions about this activity?

Call us at 877.CME.PROS (877.263.7767).


Topical Hemostatic Agents in Action: Intraoperative Perspectives
Event Date: 12/20/2022