This printable PDF compiles all 42 of the 2023 issues of Points & Pearls for Emergency Medicine Practice, Pediatric Emergency Medicine Practice, and Evidence-Based Urgent Care. FREE to complete bundle subscribers. (No CME for this activity).

Patients with alkali caustic exposure require prompt evaluation for classification of their injuries to determine the need for imaging, intubation, or surgical intervention. Includes 4 AMA PRA Category 1 Credits™. CME expires on 01/01/2028

This Stroke EXTRA CME supplement (free to Emergency Medicine Practice subscribers) reviews the evaluation and management of stroke in the setting of drug intoxication and substance use disorder. Includes 4 AMA PRA Category 1 Credits™. Included as part of the 4 credits, this CME activity is eligible for 4 Stroke credits, 2 Substance Use credits, and 1 Controlled Substances credit. CME expires on 09/15/2027.

The 2025 Lifelong Learning & Self-Assessment Study Guide is designed to prepare emergency medicine physicians to pass the ABEM LLSA exam as well as update you on current topics in emergency medicine. Includes 24 AMA PRA Category 1 Credits™ and 24 Category 2-B credit hours from the American Osteopathic Association. Included as part of the 24 credits, this CME activity is eligible for 2 Cultural Competency credits, 2 Infectious Disease credits, 2 Pain Management credits, 10 Pharmacology credits, 1 Trauma credit. CME expires on 09/01/2027.

Many patients with low-risk electrical injuries can be safely managed in and discharged from urgent care, but clinicians must also be able to recognize high-risk injuries. Includes 4 AMA PRA Category 1 Credit™. Included as part of the 4 credits, this CME activity is eligible 4 Trauma CME credit. CME expires on 04/01/2027.

This issue reviews the definition of a brief resolved unexplained event (BRUE), summarizes the risk-stratification criteria for infants who experience a BRUE, provides management recommendations for patients with a lower-risk BRUE, and also discusses literature published since 2016 that expands on that guidance to include the higher-risk group. Includes 4 AMA PRA Category 1 Credits™. CME expires on 04/01/2027.

This Trauma EXTRA CME supplement (free to Emergency Medicine Practice subscribers) reviews the latest evidence on managing snake envenomations in the ED. Includes 4 AMA PRA Category 1 Credits™. Included as part of the 4 credits, this CME activity is eligible for 4 Trauma credits and 1 Pharmacology credits. CME expires on 02/15/2027.

This issue presents an evidence-based approach to common pediatric ingestions, with a focus on initial emergency department stabilization, diagnosis, and management of a selection of the most common and hazardous ingestions. Includes 4 AMA PRA Category 1 Credits™. Included as part of the 4 credits, this CME activity is eligible for 2 Pharmacology CME credits. CME expires on 12/01/2026.

Patients presenting to the ED with symptoms of methamphetamine use are at risk for rhabdomyolysis, acute kidney injury, and cardiovascular complications if timely treatment is not initiated. Includes 4 AMA PRA Category 1 Credits™. Included as part of the 4 credits, this CME activity is eligible for 1 Pharmacology CME credit, subject to your state and institutional approval. CME expires on 11/01/2026.

This issue reviews commonly used substances in the adolescent population and provides a general framework for approaching, assessing, and managing these patients. Includes 4 AMA PRA Category 1 Credits™. Included as part of the 4 credits, this CME activity is eligible for 3 Controlled Substances CME credits and 2 Pharmacology CME credits. CME expires on 10/01/2026.

The 2024 Lifelong Learning & Self-Assessment Study Guide is designed to prepare emergency medicine physicians to pass the ABEM LLSA exam as well as update you on current topics in emergency medicine. Includes 26 AMA PRA Category 1 Credits™ and 26 Category 2-B credit hours from the American Osteopathic Association. Included as part of the 26 credits, this CME activity is eligible for 4 Addiction Disorders credits, 1 Geriatrics credit, 5 Infectious Disease credits, 9 Pharmacology credits, 1 Pain Management credit, 2 Palliative Care credits, 1 Patient Safety credit, 1 Terminally Ill Care credit. CME expires on 09/01/2026.

This Trauma EXTRA CME supplement (free to Pediatric Emergency Medicine Practice subscribers) reviews evidence-based recommendations for the ED management of mammalian bites in pediatric patients. Includes 4 AMA PRA Category 1 Credits™. Included as part of the 4 credits, this CME activity is eligible for 4 Trauma and .25 Pharmacology CME credits, subject to your state and institutional approval. CME expires on 09/01/2026.

Pericarditis and myocarditis can present with chest pain, dyspnea, and fatigue, making them difficult to distinguish from ACS and heart failure. With many different causes, both infectious and noninfectious, a thorough history and examination can narrow the differential. Includes 4 AMA PRA Category 1 Credits™. CME expires on 07/01/2026.

Angioedema can cause life-threatening airway compromise, and determining the cause is essential to timely management. Includes 4 AMA PRA Category 1 Credits™. Included as part of the 4 credits, this CME activity is eligible for 4 Pharmacology CME credits. CME expires on 10/01/2025.

Quickly differentiating anaphylaxis from lower-risk allergic reactions in the ED is essential for patient safety and comfort. No CME for this activity

This Pediatric Trauma EXTRA CME supplement (free to Pediatric Emergency Medicine Practice subscribers) addresses emergency department management of submersion injuries in pediatric patients. No CME for this activity

Although rabies vaccine is rarely administered at urgent care centers, urgent care clinicians can play a role in the prevention of rabies before and after mammalian bites or exposures by identifying patients who require pre- or post-exposure prophylaxis. No CME for this activity.

This issue reviews lead poisoning in pediatric patients, including key signs and symptoms, management in the emergency department, and formulation of a safe discharge plan. No CME for this activity.

This issue discusses low-voltage, high-voltage, and lightning strike injuries and provides evidence-based recommendation for management in the emergency department. No CME for this activity

Travel-associated infectious diseases (TAIDs) in children are often misdiagnosed. This issue reviews the epidemiology, clinical presentation, diagnosis, and management of various TAIDs, with the goal of early recognition and disease-specific treatment. No CME for this activity

High-altitude illness is a spectrum of respiratory and neurologic effects resulting from hypobaric hypoxia. Swift intervention can manage these life-threatening disorders, and pretravel planning and counseling can prevent them. No CME for this activity

This issue provides recommendations for the clinical evaluation and management of pediatric patients who have been envenomated by spiders, bees, wasps, fire ants, scorpions, snakes, or lizards. Indications for antivenom use and dosing recommendations are also provided. No CME for this activity

Before or after mammalian bites or exposures, rabies is completely preventable, but ED management must be timely and administered correctly. No CME for this activity

Review the recognition and management of intoxication emergencies in adults, adolescents, and children associated with cannabinoids, synthetic cannabinoids, and other synthetic “designer drugs,” including cathinones, phenethylamines, and methoxetamine. Presentations are discussed for both adult and pediatric patients Emergency Medicine Practice and Pediatric Emergency Medicine Practice subscribers receive this content & CME Credit absolutely free! Log in or subscribe now to gain instant access.

Heart palpitations is a common chief complaint in the ED, and emergency clinicians need to be able to quickly and accurately identify serious tachydysrhythmias to determine treatment that is safe, effective, and comfortable for patients. CME expired on 08/01/2023. No CME for this activity

When a patient must be placed on a ventilator in the ED, clinicians choose the mode and initial settings based on institutional protocols and presentation, but the patient’s clinical scenario and respiratory response will dictate strategies for further management. CME expired on 07/01/2023. No CME for this activity

Acid-base disturbances signal many disorders and diseases, and interpretation of testing results can be difficult. Using descriptive methodologies, comparing various approaches, and following a diagnostic algorithm will improve diagnosis and treatment. CME expired on 06/01/2023. No CME for this activity

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 issue describes typical clinical presenting features associated with common and life-threatening marine envenomations and provides recommendations for management of marine envenomations based on the envenomating creature and the geographic location. CME expired on 04/15/2023. No CME for this activity

Altered mental status is a common presentation in the ED, and time is of the essence in diagnosing NCSE and halting seizure activity. CME expired on 10/01/2022. No CME for this activity

When a medical emergency occurs onboard a commercial aircraft and you raise your hand to help, what are the resources and risks in volunteering? CME expired on 09/01/2022. No CME for this activity

Appropriate management of cold injuries depends on their severity. This issue offers guidance for determining the severity of cold injuries and provides recommendations for the management of pediatric patients with hypothermia, frostbite, and frostnip. CME expired 01/01/2022. No CME for this activity

Patients with electrical injuries in the ED can suffer trauma, external burns, and occult injuries to deep tissues, affecting all body systems. Fluids, cardiac monitoring, and disposition of low-voltage, high-voltage, and lightning strike injuries can vary. CME expired on 11/01/2021. (No CME for this activity).

This issue reviews the pathophysiology and clinical findings associated with cannabinoid use, including acute intoxication, the recent emergence of cannabinoid hyperemesis syndrome, and novel treatments for its symptoms. CME expired on 8/1/2021 - No CME for this activity

The signs and symptoms of thyroid disease in children are vague and nonspecific, which can make accurate and timely diagnosis challenging. This issue reviews common presentations for emergencies of thyroid function and anatomy, including hypothyroidism, hyperthyroidism, thyroid nodules, and thyroid trauma, and provides evidence-based recommendations for evaluation and treatment of patients with various thyroid emergencies. CME expired on 7/1/2021 - No CME for this activity

The continually changing chemical formulations of synthetic drugs makes recognition and diagnosis of intoxication from these substances challenging. This issue outlines common presentations of intoxication from synthetic cannabinoids, cathinones, and phenethylamines and summarizes best practices for evaluating and managing patients who present with intoxication after consumption of these synthetic drugs of abuse. CME expired on 5/1/2021 - No CME for this activity

Although corticosteroids have been used for over half a century, their use for management of many pediatric conditions is controversial. This issue reviews the evidence-based role of corticosteroid use for management of acute asthma exacerbations, croup, acute pharyngitis, anaphylaxis, acute spinal injury, and bacterial meningitis. (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).

This issue presents evidence-based recommendations and best practices in heat-illness resuscitation, including managing children who are obese, have special needs or take medications, and advocacy for prevention strategies. (No CME for this activity).

A review of the pathophysiology, diagnostic decision-making tools, and pharmaceutical treatment options to create a patient-tailored approach to sedative-hypnotic withdrawal.

This review discusses the limitations of routine pulse oximetry and carboxyhemoglobin measurement in determining carbon monoxide exposure, and notes effects of co-ingestions and comorbidities.

Reviews common sources of alcohol ingestion, basic mechanisms of toxicity, physical examination and laboratory findings that may guide rapid assessment and management, and indications for treatment. 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 9/1/2019

This study guide, available online, is designed to prepare emergency medicine physicians to pass the ABEM exam, as required to maintain board certification. It includes our "pass-or-it's-free" guarantee. (CME expired 11/30/2023).

Diagnosis and treatment of caustic ingestions and exposures, including staging, pathophysiology, and surgical consult. Includes 4 AMA PRA Category 1 Credits™. Included as part of the 4 credits, this CME activity is eligible for 0.25 Pharmacology CME credits. CME expires on 05/01/2019.

This issue provides a review of these studies as well as consensus guidelines addressing the initial resuscitation, diagnosis, and treatment of common pediatric ingestions. Also discussed are current recommendations for decontamination, administration of antidotes for specific toxins, and management of ingested foreign bodies. Includes 4 AMA PRA Category 1 Credits™. Included as part of the 4 credits, this CME activity is eligible for 3 Pharmacology CME credits. CME expires on 4/1/2019

In-depth look at the treatment of human and animal bites, including the timing of wound closure, the use of prophylactic antibiotics, and the latest recommendations for rabies postexposure prophylaxis (PEP). Includes 4 AMA PRA Category 1 Credits™. Included as part of the 4 credits, this CME activity is eligible for 4 Trauma CME and 0.5 Pharmacology CME credits. CME expires on 4/1/2019

2016 review of the pathophysiology, differential diagnosis, and emergency room rewarming and treatment of patients with mild, moderate, and severe hypothermia with or without hemodynamic instability. Includes 4 AMA PRA Category 1 Credits™. CME expires on 01/01/2019.

Review of clinical criteria to diagnose anaphylaxis, and treatment guidelines involving the intramuscular administration and dosing of epinephrine, both in and out of the hospital setting. 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 08/01/2018.

Resuscitating and treating adult drowning patients in the emergency department, including pathophysiology of drowning and concerns such as hypothermia, mechanical ventilation, and trauma. 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 05/01/2018.

This review examines the physiology, diagnosis, and treatment of exertional, classic, and drug-induced hyperthermia.

This issue of Pediatric Emergency Medicine Practice provides the results of these evidencebased studies and the most up-to-date guidelines to assist the emergency clinician in caring for pediatric patients presenting with jaundice.

This issue of Pediatric Emergency Medicine Practice discusses Dehydration In The Pediatric Patient

This issue of Emergency Medicine Practice discusses the general management of cocaine-associated emergencies. Additionally, it will make evidence-based recommendations for the treatment and disposition of these patients.

Toxic exposures present a unique set of issues to clinicians caring for children. Children commonly ingest household products and sometimes are exposed to medications that are taken by others living in the household. The clinician must be quick to recognize potentially dangerous exposures in order to intervene and prevent or mitigate adverse outcomes. Fortunately, the majority of pediatric ingestions involve unintentional exposure to small doses of nontoxic or minimally toxic substances. However, it is those few truly toxic exposures that demonstrate the invaluable role played by a skilled emergency physician. This review will primarily focus on pediatric poison exposures in children ages six years and under.

This issue of Emergency Medicine Practice provides a comprehensive overview of the spectrum of altitude illness with a focus on prevention strategies and life saving interventions in the eventuality for severe disease.

Illicit drug use escalated in the youth population in the mid- 1960s and it remains a major concern for the nation. Smoking, drinking, and drug use are leading causes of morbidity and mortality, both during adolescence and later in life

This issue of Emergency Medicine Practice discusses what is currently known about herbal toxicology.

This issue of Emergency Medicine Practice provides answers to these and other pressing questions.