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CSFP2502 - CME/CMLE - Differentiating Between Exogenous and Endogenous Postmortem Blood GHB Concentration: A Case Report
Course Description

Faculty/Authors

Alana Engleson, BS1
Jennifer Hammers, DO2
Chloe Padasak, PA (ASCP)1
Sarah Boring, BS1 

1Jennifer Hammers Pathology, LLC
2College of Osteopathic Medicine and Forensic Science and Law Program
Bayer School of Natural and Environmental Sciences
Duquesne University
Pittsburgh, Pennsylvania 

CME or CMLE Credit: 2.0
Estimated Completion Time: 2 hours
Format: Online Educational Activity and Post Exam

Physician Competencies: Patient Care, Medical Knowledge

Eligibility for CME/CMLE credit: Max three attempts. You will have a maximum of three attempts to meet the following criteria:

  • Module ≥80% = CME credit
  • Module <80% = No CME credit, after a maximum of three attempts

Default Credit Type: None (You must meet the eligibility requirements in order to obtain CME credit.)

Accreditation Statement: The American Society for Clinical Pathology (ASCP) is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education (CME) for physicians. This activity has been planned and implemented in accordance with the Essential Areas and Policies of the Accreditation Council for Continuing Medical Education (ACCME).

Credit Designation Statement: The American Society for Clinical Pathology (ASCP) designates this enduring material for a maximum of 2 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Instructions

  1. Review the Technical Considerations.
  2. Click Go to Course to view an overview of the modules in this course.
  3. Click Access to begin the course.
  4. Choose the CME Activity to earn CME credit or the CMLE Activity to earn CMLE credit.

To claim CME credit for the exercise, do the following:

  1. Review the Educational Activity.
  2. Complete and submit the Post Exam. You will have a maximum of three attempts to obtain the required score. You will be notified if you have met the credit requirements after each attempt.
  3. Submit the course Evaluation.
  4. Enter the maximum number of credits offered and click Claim CME to register credit.

To claim CMLE credit for the exercise, do the following:

  1. Review the Educational Activity.
  2. Complete and submit the Post Exam.
  3. Submit the course Evaluation.
  4. Enter the maximum number of credits offered and click Claim CME to register credit.

Faculty Disclosures

Technical Considerations

Release Date: 4/30/2025   
Review Date:
Expiration Date: 12/31/2027  

Learning Objectives
Upon completion of this activity, you will be able to:

  • differentiate between endogenous, therapeutic, and lethal levels of postmortem GHB; 

  • select appropriate next investigative steps after a positive GHB toxicology report; 

  • describe the processes by which GHB can form postmortem; 

  • identify the approved, off-label, and illicit uses for GHB; and 

  • explain how GHB analogues are abused and how they are detected. 

Summary
Availability: On-Demand
Credit Offered:
2 CME Credits
2 CMLE Credits
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