Digital Ischemia

Clinical Pathways promote evidence-based, safe, and high-value patient care by providing clinical recommendations and standard processes. They are developed by multidisciplinary committees of subject matter experts, informed by a methodical review of available evidence and consensus among committee members. 

Digital Ischemia Clinical Pathway: 

• Digital Ischemia Algorithm
• Digital Ischemia Synopsis (provides care standards employed for this clinical pathway) 

Inclusion and exclusion criteria: 

• Inclusion: 
  • Critically ill patients at risk for digital ischemia 

• Exclusion: 
  • Ischemia due to: 
    • Traumatic injury
    • Extravasation 
    • Compartment syndrome

Committee Members and Representation  

• Carlos Martinez, MD, MPH | Orthopedic Surgery | Committee Chair 
• Caleb Grote, MD/PhD | Orthopedic Surgery | Committee Member 
• Brian Haney, MSN, RN, CWCN, CPHQ | Wound, Ostomy Care | Committee Member
• Amy Kiser, OTR/L, CHT | Occupational Therapy | Committee Member 
• Kelsey May, MSN, APRN, CPNP-AC/PC, CCRN | CICU | Committee Member
• Erica Molitor-Kirsch, MD | Critical Care Medicine | Committee Member 
• Natalee Perrin, BSN, RN, CCRN | ICU Staff Nurse | Committee Member 
• Angel Pope-Kirksey, PharmD | Clinical Pharmacist – PICU/CICU | Committee Member 
• Nicolette Saddler, MSN, APRN, FNP-C, CPN | Orthopedic Surgery | Committee Member
• Neha Sinha, MD | Critical Care Medicine | Committee Member 
• Danielle Thornburg, MD | Orthopedic Surgery | Committee Member 
• Jordan Wilson, OTR/L | Occupational Therapist | Committee Member 

EBP Committee Members  

• Todd Glenski, MD, MSHA, FASA | Anesthesiology, Evidence Based Practice 
• Kori Hess, PharmD | Evidence Based Practice 

Publication dates: 

• Finalized date: 05/2026 
• Next expected revision date: 05/2029 

If you have any questions regarding this content or identify a broken link, please email evidencebasedpractice@cmh.edu.  

These pathways do not establish a standard of care to be followed in every case. It is recognized that each case is different, and those individuals involved in providing health care are expected to use their judgment in determining what is in the best interests of the patient based on the circumstances existing at the time. It is impossible to anticipate all possible situations that may exist and to prepare a pathway for each. Accordingly, these pathways should guide care with the understanding that departures from them may be required at times.