Patients with closed head injury (CHI) who present to UC require careful evaluation for any high-risk factors requiring imaging or ED transfer. This course reviews clinical guidelines and decision rules as well as recommendations for discharge. Includes 4 AMA PRA Category 1 Credits™. Included as part of the 4 credits, this CME activity is eligible for 4 Trauma CME credits. CME expires 05/01/2028.

This issue discusses materials, methods, and monitoring for pediatric patients undergoing nerve blocks in the emergency department. Recognition and management of local anesthetic systemic toxicity syndrome and special considerations for pediatric patients are also reviewed. No CME for this activity.

Management of the syncopal patient in the UC setting requires distinguishing life-threatening causes from benign ones. Learn the common causes of syncope and the best tools for evaluating syncopal patients. Includes 4 AMA PRA Category 1 Credits™. CME expires 4/1/2028.

This issue provides recommendations for risk stratification of neonates with hyperbilirubinemia and for determination of the need for phototherapy or exchange transfusion using the hour-specific nomogram, phototherapy nomogram, and exchange nomogram, along with hyperbilirubinemia risk factors and neurotoxicity risk factors. No CME for this activity

Acute aortic syndromes—aortic dissection, intramural hematoma, and penetrating atherosclerotic ulcer—are life-threatening conditions that demand swift recognition and treatment in the ED. This issue presents the latest evidence on managing AAS. No CME for this activity

This Stroke EXTRA CME supplement (free to Emergency Medicine Practice subscribers) reviews the evaluation and management of patients with stroke who present to the ED after 3 hours. No CME for this activity

Identifying the cause of syncope can be difficult, but a structured ED approach can help separate life-threatening causes from benign ones, reducing hospitalizations and improving care. No CME for this activity

This issue reviews the most recent literature on mTBI and concussion and provides recommendations for the evaluation, diagnosis, and treatment of mTBI and concussion in the acute setting. Clinical decision rules and their utility in clinical practice will also be discussed. No CME for this activity

In order to prevent stroke in ED patients with atrial fibrillation, pharmacologic and/or electrical control of rate and/or rhythm are essential, along with risk stratification to determine the need for anticoagulation. No CME for this activity

Sepsis and septic shock guidelines, requirements, criteria, and treatments have changed substantially in the last few years. This issue reviews the latest evidence and discusses the changes and current controversies in sepsis diagnosis and management. No CME for this activity

This Trauma EXTRA supplement (free to Emergency Medicine Practice subscribers) reviews the evaluation and management of patients with neck trauma. No CME for this activity.

This Pharmacology EXTRA supplement (free to Emergency Medicine Practice subscribers) reviews the management of alcohol withdrawal syndrome. No CME for this activity

Interdisciplinary teams at Mount Sinai Health Systems in New York developed protocols for management of COVID-19 patients. This February 2021 update of the protocols is based on the latest published literature and current practice.

Recommendations on risk stratification, imaging, testing, and drug therapies for CAP are evolving continuously. This issue reviews the latest evidence on managing CAP in the ED. No CME for this activity

When a patient presents to the ED with symptoms of STEMI, emergency clinicians must be prepared to initiate coordinated, time-sensitive, and effective diagnostic and treatment strategies, with the ultimate goal of initiation of reperfusion. No CME for this activity

Managing ED patients with hemorrhagic shock requires swift coordination of ED resources and protocols. This issue reviews the latest evidence on hemostatic devices and medications, testing, and massive transfusion. No CME for this activity

Diagnosis of deep vein thrombosis in the ED requires risk stratification and targeted diagnostic testing. For patients who have a diagnosed DVT, newer strategies for outpatient management of anticoagulation can reduce costs and improve outcomes. CME expired on 10/01/2023. No CME for this activity

This issue discusses types of supraglottic airway devices that are commonly used in pediatric patients, reviews indications and techniques for placement, and provides evidence-based recommendations for their use. The use of supraglottic airway devices in the patient with a difficult airway is also discussed. CME expired on 10/01/2023. No CME for this activity

This Pharmacology EXTRA CME supplement (free to Emergency Medicine Practice subscribers) provides an evidence-based overview of emergency department management of calcium-channel blocker overdose, beta blocker overdose, and digoxin toxicity, and focuses on the caveats of treatment for each. CME expired on 09/01/2023. No CME for this activity

Infective endocarditis can be difficult to diagnose, given its often subtle presentation and multisystem involvement. This issue presents an evidence-based approach to testing, imaging, and empiric antibiotic therapies. CME expired on 09/01/2023. No CME for this activity

This Trauma EXTRA CME supplement (free to Emergency Medicine Practice subscribers) provides an evidence-based overview of considerations for radiation exposure in trauma imaging as well as strategies for resuscitation in trauma. CME expired on 08/01/2023. No CME for this activity

This Stroke EXTRA CME supplement (free to Emergency Medicine Practice subscribers) provides an evidence-based overview of imaging modalities for acute stroke in the emergency department as well as identification and management strategies for central retinal artery occlusion. CME expired on 07/01/2023. No CME for this activity

This Pediatric Trauma EXTRA CME supplement (free to Pediatric Emergency Medicine Practice subscribers) reviews the management of burn injuries in pediatric patients. CME expired on 06/01/2023. No CME for this activity

The novel coronavirus, COVID-19, has raised serious concerns worldwide, particularly for emergency clinicians. This overview reviews and links the most authoritative early research and provides all the contacts and resources that can keep you continuously updated on this outbreak. This article and related resources are free for everyone.

Abnormal vision in ED patients can be caused by abnormalities in visual structures (cornea, lens, vitreous, and retina) as well as neurologic, toxicologic, and psychogenic etiologies. High-value history, physical examination, and imaging can provide important clues for management. CME expired on 04/15/2023. No CME for this activity

This Pediatric Trauma EXTRA CME supplement (free to Pediatric Emergency Medicine Practice subscribers) provides evidence-based recommendations for the evaluation and management of pediatric patients who present with blunt abdominal trauma. CME expired on 1/15/2023. No CME for this activity

When patients present to the ED with suspected myocardial infarction, it is critical to differentiate NSTEMI from other cardiac causes and initiate swift, evidence-based management. Review the latest evidence on diagnosis and treatment of NSTEMI. CME expired on 01/01/2023. No CME for this activity

This EXTRA Stroke CME supplement (free to Emergency Medicine Practice subscribers) provides evidence-based recommendations for common causes of ischemic stroke and hemorrhagic stroke in children, offers guidance for differentiating stroke from its mimics, discusses indications for diagnostic studies, and provides recommendations for treatment of pediatric stroke in the emergency department. CME expired on 12/01/2022. No CME for this activity

This issue provides an evidence-based approach for the evaluation and management of pediatric patients with septic arthritis and/or osteomyelitis and offers guidance for appropriate antibiotic treatment. CME expired on 12/01/2022. No CME for this activity

Many options exist to effectively manage pain without opioids. This issue provides the latest evidence what to use and when. CME expired on 11/01/2022. No CME for this activity

This issue reviews common causes of ischemic stroke and hemorrhagic stroke in children, offers guidance for differentiating stroke from its mimics, discusses indications for diagnostic studies, and provides recommendations for treatment of pediatric stroke in the emergency department. CME expired on 11/01/2022. No CME for this activity

This EXTRA Trauma CME supplement (free to Emergency Medicine Practice subscribers) provides evidence-based recommendations for concussion management in the ED and reviews consensus-based guidelines for the evaluation and management of sport-related concussion and mTBI. CME expired on 09/15/2022. No CME for this activity

This issue provides guidance for the management of children with appendicitis, including recommendations for diagnostic studies, pain management, prophylactic antibiotics, and surgical consultation. CME expired on 09/01/2022. No CME for this activity

Direct oral anticoagulant agents do not require INR monitoring like warfarin, but managing bleeding complications or reversal requires different strategies1. CME expired on 08/01/2022. No CME for this activity

This EXTRA Stroke CME supplement (free to Emergency Medicine Practice subscribers) reviews the latest evidence and recommendations for two essential treatments for patients with acute ischemic stroke: IV thrombolysis with rt-PA and endovascular thrombectomy with stentriever. CME expired on 06/15/2022. No CME for this activity

Improve ED assessment of patients with abdominal pain by using strategies that emphasize safe disposition over diagnosis. Recognize high-risk patients and dangerous mimics and choose testing, imaging, and consultation that will improve outcomes. CME expired on 06/01/2022. No CME for this activity

The ED is a critical intervention point for patients in mental health crisis. Emerging evidence shows it is possible and feasible to screen all ED patients for depression and suicidal ideation. Novel tools and strategies can help reduce the risk of suicide. CME expired on 05/01/2022.

This issue offers an evidence-based approach to the management of pediatric patients who present with penetrating trauma to the torso (including gunshot wounds and stab wounds). Guidance and recommendations for the physical examination, primary survey, and secondary survey are provided. CME expired on 05/01/2022. No CME for this activity

The spectrum of blunt cardiac injury can range from minor soreness to dysrhythmia, free wall rupture, hemorrhage, and sudden death. This issue reviews the latest evidence on the swift diagnosis of cardiac injury and best strategies for treatment. CME expired on 03/01/2022. No CME for this activity

Life-threatening secondary headache can be due to vascular disorders or trauma, and can present with sudden, severe onset. This issue presents the red flag signs for the most dangerous causes, with recommendations on swift imaging and treatment. CME expired on 02/01/2022

This issue provides guidance on how to determine whether a patient has bacterial meningitis versus viral meningitis, when a lumbar puncture is indicated, which antibiotics are recommended, and when they should be started. It also reviews evidence on the use of biomarkers such as procalcitonin to detect serious bacterial infections. CME expired on 11/1/2021 - No CME for this activity

This issue reviews the presentation of common tick-borne illnesses and provides recommendations for their diagnosis and management in the ED. Tick-borne illnesses discussed in this issue include: Lyme disease, Rocky Mountain spotted fever, ehrlichiosis, anaplasmosis, babesiosis, tularemia, tick-borne relapsing fever, Colorado tick fever, and tick paralysis. CME expires on 9/1/2021 - No CME for this activity

When a child with multiple traumatic injuries presents to the ED, a systematic approach to evaluation and management will ensure that no major injuries are missed. This issue provides recommendations for early recognition of serious injuries, utilization of proper diagnostic studies, and rapid stabilization of injuries, which are key to reducing morbidity and mortality. CME expired on 06/01/2021 - No CME for this activity

Whether you are at the referring facility, the accepting facility, or part of the transport team, communication and coordination during emergency transport are essential to ensuring the best possible outcomes for patients. This issue discusses the process of interfacility transfer, the role of the emergency clinicians involved with the transfer, and commonly used diagnostic studies and treatments needed during interfacility transfers of pediatric patients. Includes 4 AMA PRA Category 1 Credits™. CME expires 04/01/2021.

This issue reviews the critical steps that should be taken to manage a patient who presents with jaundice, including the history and physical examination, necessary laboratory testing, imaging, and treatment. Management of neonates, pregnant patients, and transplant patients are also reviewed. (No CME for this activity).

This issue reviews the diagnosis and management of airway compromise that can result from fire, smoke, and heat injury, as well as carbon monoxide and cyanide toxicity. Although a standardized diagnostic protocol is lacking, the evidence on best-practice diagnostic tools, airway management, and medical adjuncts are presented. (No CME for this activity).

Optimal management of a burn patient begins with accurately classifying and measuring the extent of the burns. Every treatment decision that follows - from IV fluid management, wound care, escharotomy, and criteria for referral - depends on it. This issue reviews the best evidence on managing patients with burns, from prehospital management to disposition. (No CME for this activity).

This issue reviews 3 of the more common presentations of oncology patients to the emergency department: metastatic spinal cord compression, tumor lysis syndrome, and febrile neutropenia. (No CME for this activity).

This issue reviews the signs and symptoms of GAS pharyngitis, as well as associated complications, and provides recommendations for appropriate treatment that focuses on reducing the severity and duration of symptoms, reducing the incidence of nonsuppurative complications, and reducing transmission. (No CME for this activity).

This review presents an algorithmic approach to management that ensures that pain relief, imaging, reduction, vascular monitoring, and emergent orthopedic consultation are carried out in a timely fashion. (No CME for this activity).

This issue discusses the most common as well as the life-threatening etiologies of acute and chronic stridor and its management in the emergency department. (No CME for this activity).

This issue presents strategies and algorithms for the early use of evidence-based interventions, including appropriate use of antibiotics, bronchodilators, and corticosteroids, along with noninvasive ventilation with capnography, to minimize morbidity and mortality associated with this disease. (No CME for this activity).

This issue reviews the etiology and pathophysiology of child-specific fractures, as well as common injuries of the upper and lower extremities. Evidence-based recommendations for management of pediatric fractures, including appropriate diagnostic studies and treatment, are also discussed. (No CME for this activity).

From the prehospital care setting to disposition and follow-up, this systematic review addresses the fundamentals of the emergency department evaluation of patients determined to be at low risk for acute coronary syndromes or adverse outcomes. (No CME for this activity).

Altered level of consciousness in a child can have many causes, some life-threatening. Includes 4 AMA PRA Category 1 Credits™. Included as part of the 4 credits, this CME activity is eligible for 0.5 Pharmacology CME credits. CME expires on 1/1/2020

Focuses on the diagnosis and treatment of patients with blunt injuries to the chest, ribs and lung. Decision rules for chest x-ray, CT and bedside lung ultrasonography; treatment controversies including the limitations of needle thoracostomy using standard needle, chest tube placement, and chest tube size. Also airway and ventilation management. Includes 4 AMA PRA Category 1 Credits™. Included as part of the 4 credits, this CME activity is eligible for 4 Trauma CME credits. CME expires on 06/01/2019.

The use and limitations of the FAST examination in patients with blunt pelvic trauma, including the when to perform the exam during the trauma survey and how FAST can be used for abdominal trauma with pelvic injuries. Includes 4 AMA PRA Category 1 Credits™. Included as part of the 4 credits, this CME activity is eligible for 4 Trauma CME credits. CME expires on 03/01/2019.

This issue reviews the 4 primary categories of shock as well as special categories, including shock in pregnancy, traumatic shock, septic shock, and cardiogenic shock in myocardial infarction. Adherence to evidence-based care of the specific causes of shock can optimize a patient's chances of surviving this life-threatening condition.

This issue reviews the current state of pediatric readiness in emergency departments, the necessary steps to ensure day-to-day readiness, the published guidelines for pediatric readiness, and systems-based innovations in pediatric readiness.

This issue presents a review of the current evidence guiding the emergency medicine approach to the diagnosis and treatment of pulmonary embolism.

This issue of Emergency Medicine Practice reviews the available evidence and consensus guidelines for the management of common infectious diseases presenting to the ED and presents recommendations for treatment.