Pearls

Adrenal insufficiency has many causes and triggers, from autoimmune conditions to chronic corticosteroid use, and it can present with vague and subtle symptoms. When suspected in the ED, swift treatment can prevent adrenal crisis. Includes 4 AMA PRA Category 1 Credits™. CME expires on 10/01/2025

This issue provides a practical approach to the evaluation and management of adolescent colitis and associated acute complications in the emergency department. Includes 4 AMA PRA Category 1 Credits™. CME expires on 10/01/2028.

This issue provides evidence-based guidance for the diagnosis and treatment of the most common presenting symptoms in international travelers, including fever, diarrhea, and rash. Includes 4 AMA PRA Category 1 Credits™. Included as part of the 4 credits, this CME activity is eligible for 4 Infectious Disease credits and 2 Pharmacology CME credits, subject to your state and institutional approval. CME expires on 10/01/2025

Effective ED management of status epilepticus includes an algorithmic approach to termination of seizures as well as management of the underlying cause: acute, nonacute, or chronic. Includes 4 AMA PRA Category 1 Credits™. CME expires on 09/01/2025

This issue discusses the presentation, diagnosis, management, and prognosis of simple febrile seizures and complex febrile seizures in children. Includes 4 AMA PRA Category 1 Credits™. CME expires on 09/01/2028

This issue reviews the evidence on red flag signs and symptoms for low back pain, current diagnostic studies recommendations, and best-practice treatment and disposition strategies. Includes 4 AMA PRA Category 1 Credits™. CME expires on 09/01/2025

This Trauma EXTRA CME supplement (free to Emergency Medicine Practice subscribers) reviews the latest guidelines on managing patients with difficult airways in the ED, the components of a successful difficult airway program, and how to implement a difficult airway response program in a community hospital setting. 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 08/15/2028.

Early diagnosis and treatment of sepsis is key to survival, and the evolution of definitions, guidelines, and treatment protocols continues to influence ED management. This issue reviews the latest evidence on the diagnosis and treatment of sepsis in the ED. Includes 4 AMA PRA Category 1 Credits™. Included as part of the 4 credits, this CME activity is eligible for 2 Infectious Disease and 2 Pharmacology CME credits, subject to your state and institutional approval. CME expires on 08/01/2025

This issue discusses the epidemiology, pathophysiology, diagnosis, and current recommended management of pediatric diphtheria, pertussis, and tetanus in the emergency department. Includes 4 AMA PRA Category 1 Credits™. Included as part of the 4 credits, this CME activity is eligible for 4 Infectious Disease CME credits and 1 Pharmacology CME credit, subject to your state and institutional approval. CME expires on 08/01/2028

This issue reviews colonic diverticular disease, exploring the etiology, pathophysiology, and clinical management in the urgent care setting. Includes 4 AMA PRA Category 1 Credits™. CME expires on 08/01/2025

Hand and wrist injuries can result in significant morbidity and disability if not managed promptly in the ED, with timely follow-up and specialist referral. This issue reviews common injuries and discusses appropriate disposition of patients with hand injuries. Includes 4 AMA PRA Category 1 Credits™. CME expires on 07/01/2025

This issue reviews the updated International League Against Epilepsy definition of status epilepticus and discusses evidence-based medication recommendations and treatment protocols for management of pediatric status epilepticus in the emergency department. Includes 4 AMA PRA Category 1 Credits™. Included as part of the 4 credits, this CME activity is eligible for 2 Pharmacology CME credit, subject to your state and institutional approval. CME expires on 07/01/2028

Minor ocular injuries can be managed in the urgent care setting, while vision-threatening injuries require prompt identification and referral. This issue discusses injuries to the eye itself—rather than the bony orbit, eyelid, or surround structures—as well as comprehensive management and emergency department or ophthalmology referral as needed. Includes 4 AMA PRA Category 1 Credits™. Included as part of the 4 credits, this CME activity is eligible for 3 Trauma CME credit, subject to your state and institutional approval. CME expires on 07/01/2028

Most wrist injuries are rarely life-threatening and can be managed in the urgent care setting. This issue details how a thorough physical examination complemented by appropriate imaging studies can lead to comprehensive management and referral as needed. Includes 4 AMA PRA Category 1 Credits™. Included as part of the 4 credits, this CME activity is eligible for 3 Trauma CME credits. CME expires on 06/01/2025

Thyroid emergencies are potentially life-threatening clinical diagnoses. This issue presents the most common comorbidities and physical findings seen in patients with decompensated hypothyroidism and thyroid storm. 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 06/01/2028

This issue reviews key considerations in the evaluation and initial management of pediatric hematuria in the emergency department, including evidence-based recommendations for laboratory and imaging choices. Includes 4 AMA PRA Category 1 Credits™. CME expires on 06/01/2025

Headache is among the most common chief complaints seen in urgent care. This article reviews management strategies for primary headache disorders, which include migraine, tension-type headache, and cluster headache, as well as secondary headache disorders such as medication overuse headache. Includes 4 AMA PRA Category 1 Credits™. Included as part of the 4 credits, this CME activity is eligible for 2 Pain Management CME credits and 2 Pharmacology CME credits. CME expires on 05/01/2025.

ED management of patients with the chronic neurologic diseases, Parkinson, myasthenia gravis, and multiple sclerosis, requires targeted management strategies based on patient history and disease course. Includes 4 AMA PRA Category 1 Credits™. Included as part of the 4 credits, this CME activity is eligible for 2 Pharmacology CME credits, subject to your state and institutional approval. CME expires on 05/01/2028

This issue reviews the definitions and differential diagnosis of pediatric sexual abuse, offers guidance for assessment techniques and diagnostic considerations, and provides evidence-based recommendations for management strategies for children who have experienced sexual abuse. Includes 4 AMA PRA Category 1 Credits™. Included as part of the 4 credits, this CME activity is eligible for 4 Child Abuse CME credits, 4 Sexual Assault CME credits, and 1 Pharmacology CME credit, subject to your state and institutional approval. CME expires on 05/01/2025

This Trauma EXTRA CME supplement (free to Pediatric Emergency Medicine Practice subscribers) reviews the emergency department management of wound care 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 CME credits. CME expires on 04/15/2028..

This article reviews both traumatic and nontraumatic causes of elbow and forearm pain in children that includes how to conduct a thorough physical examination in an injured child, using a conservative approach for imaging studies, and emergency department referral only for fracture concern. Includes 4 AMA PRA Category 1 Credits™. Included as part of the 4 credits, this CME activity is eligible for 3 Trauma CME credits. CME expires on 04/01/2025.

Sodium disorders can have a wide range of etiologies, including medical conditions, drugs, and environmental stresses. Prompt interpretation and analysis of laboratory results will direct management. Includes 4 AMA PRA Category 1 Credits™. CME expires on 04/01/2028.

This issue reviews various etiologies and patient presentations of common SSTIs, discusses findings on the history and physical examination that can differentiate SSTIs from mimics, and provides evidence-based recommendations for management of SSTIs in the emergency department. Includes 4 AMA PRA Category 1 Credits™. Included as part of the 4 credits, this CME activity is eligible for 4 Infectious Disease CME credits and 1 Pharmacology CME credit, subject to your state and institutional approval. CME expires on 04/01/2025

For patients with knee pain, ruling out dangerous causes with appropriate testing and follow-up can contribute to increased patient comfort as well as healthcare cost savings. Includes 4 AMA PRA Category 1 Credits™. CME expires on 03/01/2028

This issue reviews the clinical presentation of juvenile idiopathic arthritis (JIA), provides guidance for differentiating JIA from conditions with similar presentations, and offers recommendations for management of JIA and JIA-related complications in the emergency department. Includes 4 AMA PRA Category 1 Credits™. CME expires on 03/01/2025.