Pearls

This issue reviews updates of the best practices in neonatal resuscitation, describes over over-arching goals, and offers evidence-based recommendations for management of newborns who need resuscitation. Includes 4 AMA PRA Category 1 Credits™. CME expires on 12/01/2023

Rhabdomyolysis is a complex pathological process that requires prompt treatment to prevent potentially life-threatening sequelae. This issue reviews the broad differential and presents evidence-based recommendations for the management of rhabdomyolysis. Includes 4 AMA PRA Category 1 Credits™. CME expires on 12/01/2023

This issue reviews the signs and symptoms, evaluation, and treatment of seven pediatric head and neck infections. Conditions reviewed include mastoiditis, sinusitis, Ludwig angina, peritonsillar abscess, retropharyngeal abscess, Lemierre syndrome, and acute suppurative thyroiditis. Includes 4 AMA PRA Category 1 Credits™. Included as part of the 4 credits, this CME activity is eligible for 4 Infectious Disease CME and 1 Pharmacology CME credits. CME expires on 11/01/2023.

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. 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 11/01/2023

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. Includes 4 AMA PRA Category 1 Credits™. CME expires on 10/01/2023

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. Includes 4 AMA PRA Category 1 Credits™. CME expires on 10/01/2023

Lack of knowledge of appropriate care and interactions with transgender and gender-diverse (TGD) youth can negatively affect the quality of emergency care a patient receives. This issue provides recommendations for caring for TGD children and adolescents in the ED and reviews the benefits and complications of social, medical, and surgical affirmation. Includes 4 AMA PRA Category 1 Credits™. Included as part of the 4 credits, this CME activity is eligible for 4 Ethics CME credits. CME expires on 09/01/2023

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. Includes 4 AMA PRA Category 1 Credits™. Included as part of the 4 credits, this CME activity is eligible for 2 Infectious Disease CME credits. CME expires on 09/01/2023

This issue provides a review of the primary forms of noninvasive ventilation used in pediatric patients (high-flow nasal cannula, continuous positive airway pressure, and bilevel positive airway pressure), indications for their use in the ED, and evidence-based recommendations for their use in the management of various disease processes. Includes 4 AMA PRA Category 1 Credits™. CME expires on 08/01/2023

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. Includes 4 AMA PRA Category 1 Credits™. CME expires on 08/01/2023

This issue reviews indications for mechanical ventilation and offers recommendations for initial ventilator settings and management of ventilated pediatric patients, with a focus on patient populations in whom the approach to mechanical ventilation may be different. Includes 4 AMA PRA Category 1 Credits™. CME expires on 07/01/2023

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. Includes 4 AMA PRA Category 1 Credits™. CME expires on 07/01/2023

This issue reviews common presentations and causes of neonatal seizures, provides recommendations for management in the ED, and evaluates the evidence regarding antiepileptic medications for neonates. 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 06/01/2023

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. Includes 4 AMA PRA Category 1 Credits™. CME expires on 06/01/2023

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. CME credit is available for subscribers.

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. Includes 4 AMA PRA Category 1 Credits™. CME expires on 04/01/2023.

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. Includes 4 AMA PRA Category 1 Credits™. CME expires on 04/01/2023

This issue provides a review of common etiologies of failure to thrive and offers recommendations for the management of patients with failure to thrive, with a focus on which diagnostic studies should be obtained and when they are warranted. Includes 4 AMA PRA Category 1 Credits™. CME expires on 03/01/2023.

Acute gastroenteritis is common in the ED, but what is the evidence on whether testing, antibiotics, and antiemetics are useful and necessary? 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 03/01/2023

Influenza can present with a wide range of nonspecific clinical signs and symptoms, making ED management challenging. This issue reviews the latest evidence on recognizing influenza in the ED, performing rapid testing and initiating antiviral treatment, and how to manage complications in high-risk patient groups. 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 03/01/2023

This issue provides a review of physical examination findings associated with eating disorders (anorexia nervosa, bulimia nervosa) and offers recommendations for treatment of acute complications of eating disorders, with a specific focus on the pathophysiology and management differences between a patient with an eating disorder and an otherwise healthy patient. Includes 4 AMA PRA Category 1 Credits™. CME expires on 02/01/2023.

Follow a systematic approach for managing patients with DKA and HHS in the ED: volume repletion, correction of hyperglycemia, and electrolyte replacement. 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 02/01/2023

This issue reviews common and life-threatening skin rashes with fever in children, offers guidance for differentiating the types of infections based on signs and symptoms, discusses indications for diagnostic studies, and provides recommendations for treatment of pediatric skin rash with fever 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 and 0.5 Pharmacology CME credits. CME expires on 01/01/2023.

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. Includes 4 AMA PRA Category 1 Credits™. CME expires on 01/01/2023

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. Includes 4 AMA PRA Category 1 Credits™. Included as part of the 4 credits, this CME activity is eligible for 4 Infectious Disease CME and 0.5 Pharmacology CME credits. CME expires on 12/01/2022.