Pearls

This issue reviews the clinical presentation and management of the primary pediatric primary bone tumors that are most commonly encountered in the emergency department. Typical radiographic features are also reviewed, with a focus on differentiating between malignant and benign tumors as well as determining the tumor type based on the location in the bone. Includes 4 AMA PRA Category 1 Credits™. CME expires on 07/01/2024

ED management of HIV patients now includes management of age-related concerns, side effects of antiretroviral therapies, and PEP and PrEP regimens. Includes 4 AMA PRA Category 1 Credits™. Included as part of the 4 credits, this CME activity is eligible for 4 Infectious Disease CME, 4 Pharmacology CME and 4 HIV CME credits. CME expires on 07/01/2024

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. Includes 4 AMA PRA Category 1 Credits™. Included as part of the 4 credits, this CME activity is eligible for 4 Stroke CME and 1 Pharmacology CME credits. CME expires on 06/15/2024.

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. 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 06/01/2024

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. Includes 4 AMA PRA Category 1 Credits™. CME expires on 06/01/2024

General consent, informed consent, refusal of care, and shared decision-making can be more complex in emergency settings involving pediatric patients. This issue reviews the essential elements of informed consent, the distinction between the informed consent process and the document, how to approach treatment refusal, and approaches to involving patients and their surrogates in shared decision-making. 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 05/01/2024

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. Includes 4 AMA PRA Category 1 Credits™. CME expires on 05/01/2024

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. 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 10/1/2023

This Trauma EXTRA CME supplement (free to Emergency Medicine Practice subscribers) reviews the evaluation and management of patients with neck 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 04/15/2024.

This issue reviews 3 pediatric syndromes - spina bifida, Down syndrome, and Marfan syndrome - each of which are associated with unique emergent conditions. The issue discusses the pitfalls in interpreting routine testing and reviews diagnostic and therapeutic approaches helpful in evaluating children with these syndromes.Includes 4 AMA PRA Category 1 Credits™. CME expires on 04/01/2024.

Before or after mammalian bites or exposures, rabies is completely preventable, but ED management must be timely and administered correctly. 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. CME expires on 04/01/2024

This Pharmacology EXTRA CME supplement (free to Emergency Medicine Practice subscribers) reviews the management of alcohol withdrawal syndrome. 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 02/15/2024.

This issue reviews the common presentations of Guillain-Barré syndrome and acute transverse myelitis and provides evidence-based recommendations for the workup, treatment, and disposition of patients with these syndromes. Includes 4 AMA PRA Category 1 Credits™. CME expires on 03/01/2024.

While men, women, and children who present with urinary retention require fast, effective, and comfortable relief, it is essential to investigate the cause - structural, toxicologic, neurologic, or infectious - to prevent life-threatening sequelae. Includes 4 AMA PRA Category 1 Credits™. CME expires on 03/01/2024

Nontraumatic ocular complaints in children are common but can be difficult to diagnose. This issue reviews the presentations of common nontraumatic ocular complaints and provides evidence-based recommendations for management in the emergency department. Includes 4 AMA PRA Category 1 Credits™. Included as part of the 4 credits, this CME activity is eligible for 1 Infectious Disease CME and 0.25 Pharmacology CME credits. CME expires on 02/01/2024.

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. 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. CME expires on 02/01/2024

This issue reviews the clinical presentation of influenza in children, offers guidance for infection control measures, and provides recommendations for the evaluation and management of suspected influenza and its complications in pediatric patients. Includes 4 AMA PRA Category 1 Credits™. Included as part of the 4 credits, this CME activity is eligible for 4 Infectious Disease CME. CME expires on 01/01/2024.

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. Includes 4 AMA PRA Category 1 Credits™. CME expires on 01/01/2024

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