Rectal bleeding is a common, though distressing, complaint that may be benign or may be caused by a life-threatening condition. Determining the source of the bleeding is imperative to ensure prompt, appropriate treatment. Includes 4 AMA PRA Category 1 Credits™. CME expires on 09/01/2026.

Management of upper and lower extremity fractures in children often requires awareness of age-specific injury patterns and conditions. Includes 4 AMA PRA Category 1 Credits™. Included as part of the 4 credits, this CME activity is eligible for 4 Trauma and .25 Pain Management CME credits. CME expires on 09/01/2026.

This issue offers evidence-based recommendations for the identification and management of nonaccidental trauma in children. Includes 4 AMA PRA Category 1 Credits™. Included as part of the 4 credits, this CME activity is eligible for 4 Trauma credits. 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.

The typical symptoms of pulmonary embolism – chest pain and dyspnea – can signal many other medical conditions, making swift identification of patient risk factors and the use of clinical pretest probability scoring systems essential for improving patient outcomes. Includes 4 AMA PRA Category 1 Credits™. CME expires on 08/01/2026.

The causes of red eye presentations in urgent care can range from benign to vision threatening. Includes 4 AMA PRA Category 1 Credits™. Included as part of the 4 credits, this CME activity is eligible for 1 Infectious Disease and .25 Pharmacology CME credits. CME expires on 08/01/2026.

This issue discusses the evaluation and management of pediatric patients with macrocephaly in the emergency medicine setting, providing an evidence-based framework to recognition, initial assessment, and disposition of the child with a large head. Includes 4 AMA PRA Category 1 Credits™. CME expires on 08/01/2026.

This Stroke EXTRA CME supplement (free to Emergency Medicine Practice subscribers) reviews evidence-based recommendations for the ED evaluation and management of patients with acute intracerebral hemorrhage. Includes 4 AMA PRA Category 1 Credits™. Included as part of the 4 credits, this CME activity is eligible for 4 Stroke and .5 Pharmacology CME credits, subject to your state and institutional approval. CME expires on 07/20/2026.

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.

This issue reviews the current evidence on evaluation and management of skin and soft-tissue infections, including identification cellulitis, abscess, and necrotizing infections. Includes 4 AMA PRA Category 1 Credits™. Included as part of the 4 credits, this CME activity is eligible for 4 Infectious Disease and 1 Pharmacology CME credits. CME expires on 07/01/2026.

This issue reviews evidence-based approaches to emergency department management of moderate to severe acute asthma in pediatric patients. Includes 4 AMA PRA Category 1 Credits™. Included as part of the 4 credits, this CME activity is eligible for 2 Pharmacology CME credit. CME expires on 07/01/2026.

Knowing whether and how to treat hypertensive patients in the ED is challenging, and interpretation of guidelines is vital to improve patient outcomes. 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 06/01/2026.

While presentations are sometimes nonspecific, timely diagnosis and treatment of tick-borne illnesses are critical. This issue reviews the diagnosis and management of the tick-borne illnesses most likely to be seen in urgent care. Includes 4 AMA PRA Category 1 Credits™. Included as part of the 4 credits, this CME activity is eligible for 4 Infectious Disease and 1 Pharmacology CME credits. CME expires on 06/01/2026.

This issue reviews resuscitation of children in cardiac arrest and highlights practice changes in the 2020 Pediatric Advanced Life Support guidelines. Includes 4 AMA PRA Category 1 Credits™. Included as part of the 4 credits, this CME activity is eligible for 1 Pharmacology CME credit. CME expires on 06/01/2026

Foreign body ingestion is a common ED presentation, and it is essential to know what type of imaging is most helpful, when emergent intervention is required, and when watchful waiting is appropriate. Includes 4 AMA PRA Category 1 Credits™. CME expires on 05/01/2026.

This issue reviews the urgent care management of common acute traumatic and atraumatic dental emergencies. Includes 4 AMA PRA Category 1 Credits™. Included as part of the 4 credits, this CME activity is eligible for 3 Trauma, 2 Pain Management, 1 Infectious Disease, and 1 Pharmacology CME credits. CME expires on 05/01/2026.

This issue reviews the general approach, differential diagnosis, and initial workup and management of life-threatening causes of pediatric headaches. Includes 4 AMA PRA Category 1 Credits™. Included as part of the 4 credits, this CME activity is eligible for 1 Stroke CME credit and 1 Pharmacology CME credit. CME expires on 05/01/2026

This Trauma EXTRA CME supplement (free to Emergency Medicine Practice subscribers) reviews evidence-based recommendations for the evaluation and management of patients who have experienced intimate partner violence. Includes 4 AMA PRA Category 1 Credits™. Included as part of the 4 credits, this CME activity is eligible for 4 Trauma, 4 Domestic Violence, and 4 Ethics CME credits. CME expires on 4/20/2026.

The Urgent Care EKG Course is designed to take the fear out of reading EKGs, improve your on-the-job performance, and boost your clinical confidence when patients present with common chief complaints that could be anything from innocuous to high-risk heart problems in hiding. Includes 5 AMA PRA Category 1 Credits™. CME expires on 04/01/2026.

Managing patients with gunshot injuries depends on the location of the wounds. This issue outlines best practices for gunshot wounds to the head, neck, chest/abdomen, and extremities. 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 04/01/2026.

This issue reviews evidence-based recommendations and current guidelines for management of community-acquired pneumonia in urgent care settings. Includes 4 AMA PRA Category 1 Credits™. Included as part of the 4 credits, this CME activity is eligible for 1 Pharmacology and 4 Infectious Disease CME credits. CME expires on 04/01/2026.

This issue reviews rare but dangerous etiologies of pediatric back pain, highlights potential red-flag signs and symptoms, and provides recommendations for evaluating and managing children with undifferentiated back pain in the emergency department. Includes 4 AMA PRA Category 1 Credits™. CME expires on 04/01/2026

The essential information you need to confidently manage lacerations. From a board-certified emergency physician. Includes 10 AMA PRA Category 1 Credits™. CME expires on 05/01/2025.

For ED patients presenting with symptoms of stroke, be alert to risk factors and history suggestive of endocarditis-associated neurologic complications, as thrombolytics are contraindicated. Includes 4 AMA PRA Category 1 Credits™. Included as part of the 4 credits, this CME activity is eligible for 4 Stroke CME credits. CME expires on 03/01/2026.

This issue reviews the updated guidelines for the diagnosis and treatment of sexually transmitted infections. Includes 4 AMA PRA Category 1 Credits™. Included as part of the 4 credits, this CME activity is eligible for 3 Pharmacology and 4 Infectious Disease CME credits. CME expires on 03/01/2026.

This issue reviews the presentation, systematic evaluation, and management of common pediatric orthopedic injuries of the ankle and foot. Includes 4 AMA PRA Category 1 Credits™. Included as part of the 4 credits, this CME activity is eligible for 4 Trauma credits. CME expires on 03/01/2026

Managing patients injured in a blast event requires rapid assessment of the mechanism of blast and the likely injury patterns in order to diagnose and treat life-threatening injury. 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 02/01/2026.

This issue reviews the clinical evaluation and management of acute hand injuries in the urgent care 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 02/01/2026.

This issue reviews sodium, potassium, calcium, magnesium, and phosphorus abnormalities, and provides a systematic approach to the evaluation and management of the ill child with an electrolyte emergency. Includes 4 AMA PRA Category 1 Credits™. Included as part of the 4 credits, this CME activity is eligible for 1 Pharmacology credits. CME expires on 02/01/2026

ED patients experiencing trauma or serious medical events may be at risk for PTSD. This issue presents strategies for screening, referral, and psychological first aid. Includes 4 AMA PRA Category 1 Credits™. Included as part of the 4 credits, this CME activity is eligible for 2 Trauma CME credits and 4 Behavioral Health CME credits. CME expires on 01/01/2026.

This issue reviews the current recommendations for the evaluation and treatment of pediatric patients who present to urgent care with acute bronchiolitis. 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 01/01/2026.

This issue reviews evidence-based approaches to assessment and management of pain in pediatric patients, with a focus on optimizing nonopioid pain management as a first approach and using opioid medications safely, when appropriate. Includes 4 AMA PRA Category 1 Credits™. Included as part of the 4 credits, this CME activity is eligible for 4 Pain Management credits, 4 Controlled Substances credits, 4 Pharmacology credits, and 1 Addiction Disorders credit. CME expires on 01/01/2026

With evolving research on the causes of pelvic inflammatory disease, emergency clinicians must recognize and treat PID according to the latest evidence and guidelines. 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 2 Pharmacology CME credits. CME expires on 12/01/2025.

This issue reviews the current diagnostic and therapeutic recommendations for the management of patients who present to urgent care with influenza-like illness. 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 12/01/2025.

This issue reviews acute cerebellar ataxia, anti-N-methyl-D-aspartate receptor encephalitis, and acute disseminated encephalomyelitis. The common presentations, evaluation, and management of these conditions in the emergency department are discussed. Includes 4 AMA PRA Category 1 Credits™. CME expires on 12/01/2025

Patients with tracheostomies and laryngectomies can present with complications including bleeding, dislodgment, obstruction, and infection, requiring quick intervention in the ED. Includes 4 AMA PRA Category 1 Credits™. CME expires on 11/01/2025.

This issue reviews recommendations for the evidence-based evaluation and risk stratification of patients with chest pain who present to urgent care. Includes 4 AMA PRA Category 1 Credits™. CME expires 11/01/2025.

This issue provides guidance for managing septic shock in children, with a focus on early recognition and appropriate resuscitation. Includes 4 AMA PRA Category 1 Credits™. CME expires on 11/01/2025

This course reviews emergency department management of traumatic pneumothorax; recommendations for the evaluation, cleansing, and repair of acute traumatic wounds; the most recent evidence on diagnosis and management of rib fractures; and initial ED management evaluation of the type of severe spinal cord injury or fracture and choosing immobilization, imaging, and referral. Emergency Medicine Practice subscribers receive this content & CME Credit absolutely free! Log in to your subscription or subscribe now to gain instant access.

Emergency Medicine Practice subscribers receive this content & CME Credit absolutely free! Log in to your subscription or subscribe now to gain instant access.

Emergency Medicine Practice subscribers receive this content & CME Credit absolutely free! Log in to your subscription or subscribe now to gain instant access.

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.

This issue reviews the evaluation and management of pharyngitis in urgent care, including the indications for testing and treatment for group A beta-hemolytic Streptococcus. 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 10/01/2025.

This issue provides an evidence-based approach to management of fever in children aged 3 to 36 months, focusing primarily on fever without a source. Includes 4 AMA PRA Category 1 Credits™. Included as part of the 4 credits, this CME activity is eligible for 1 Pharmacology CME credit. CME expires on 10/01/2025

This Pediatric Trauma EXTRA CME supplement (free to Pediatric Emergency Medicine Practice subscribers) reviews imaging recommendations and interpretations in pediatric thoracic and abdominal 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 09/15/2025

When a patient presents to the ED in cardiogenic shock or cardiac arrest – including those who have implanted mechanical circulatory support devices – prompt diagnosis and treatment is essential to reduce mortality and improve patient outcomes. Includes 4 AMA PRA Category 1 Credits™. CME expires on 09/01/2025.

Urinary tract infection is a common presentation in urgent care, but complications, atypical presentations, UTI mimics, and antibiotic resistance can present management challenges. 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 09/01/2025.

This issue provides guidance for a systematic eye examination and offers recommendations for immediate management of pediatric ocular trauma in the emergency department. Indications for emergent versus urgent ophthalmology referral are also discussed. Includes 4 AMA PRA Category 1 Credits™. Included as part of the 4 credits, this CME activity is eligible for 4 Trauma CME and 0.25 Pharmacology CME credits. CME expires on 09/01/2025

For patients presenting with syncope, dyspnea, edema, tachycardia, or chest pain, determining a potentially valvular origin is a key part of management. This issue reviews the signs, symptoms, and findings in aortic and mitral stenosis and regurgitation. Includes 4 AMA PRA Category 1 Credits™. CME expires on 08/01/2025.

This issue reviews the current evidence for the evaluation, cleansing, and repair of wounds and lacerations in the urgent care setting. Includes 4 AMA PRA Category 1 Credits™. Included as part of the 4 credits, this CME activity is eligible for 4 Trauma CME and 1 Pharmacology CME credits. CME expires 08/01/2025.

This issue reviews the current evidence for initial assessment and acute management of firearm injuries to the extremities of 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 and 0.5 Pharmacology CME credits. CME expires on 08/01/2025

The 2023 Lifelong Learning & Self-Assessment Study 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 20 AMA PRA Category 1 Credits™. Included as part of the 20 credits, this CME activity is eligible for 3 stroke credits, 2 ethics/end-of-life care/terminally ill care/palliative care credits, 2 controlled substances credits, 2 trauma credits, 6 pharmacology credits, and 2 infectious disease credits. CME expires on 07/01/2025.

Quickly differentiating anaphylaxis from lower-risk allergic reactions in the ED is essential for patient safety and comfort. 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 07/01/2025.

This issue reviews the evidence-based recommendations for urgent care management of thermal burns, including sunburn. 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 07/01/2025.

This issue reviews the ways in which children and adolescents are trafficked, important indicators for trafficking, and best practice recommendations for addressing suspected or confirmed trafficking based on current evidence. Includes 4 AMA PRA Category 1 Credits™. Included as part of the 4 credits, this CME activity is eligible for 4 Human Trafficking CME credits and 4 Ethics CME credits. CME expires on 07/01/2025

This Pediatric Trauma EXTRA CME supplement (free to Pediatric Emergency Medicine Practice subscribers) addresses emergency department management of submersion injuries 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 06/15/2025

Procedural sedation and analgesia are essential in emergency medicine. This issue reviews how to choose the optimal agents and procedures, individualized for each patient. 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 06/01/2025.

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. 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 06/01/2025.

This issue reviews history and physical examination findings associated with spinal epidural abscess, provides an approach to diagnostic studies, and discusses treatment options based on current evidence. Includes 4 AMA PRA Category 1 Credits™. CME expires on 06/01/2025.

Review the most current information on ED management of skin and soft-tissue infection, including dangerous necrotizing infections. 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. CME expires on 05/01/2025.

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 05/01/2025.

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. Includes 4 AMA PRA Category 1 Credits™. Included as part of the 4 credits, this CME activity is eligible for 4 Pain Management CME credits and 4 Pharmacology CME credits. CME expires on 05/01/2025

This Trauma EXTRA CME supplement (free to Emergency Medicine Practice subscribers) addresses emergency department management of traumatic pneumothorax. Includes 4 AMA PRA Category 1 Credits™. Included as part of the 4 credits, this CME activity is eligible for 4 Trauma credits. CME expires on 04/15/2025.

The most common discharge diagnosis for children who present to urgent care with nausea, vomiting, and diarrhea is acute gastroenteritis. This course reviews urgent care evidence-based recommendations for the evaluation and management of pediatric acute gastroenteritis. Includes 4 AMA PRA Category 1 Credits. Included as part of the 4 credits, this CME activity is eligible for 1 Pharmacology CME credit and 2 Infectious disease CME credits. CME expires 04/15/2025.

When a patient presents to the ED and meningitis or encephalitis are suspected, prompt, evidence-based testing and treatment are required. Includes 4 AMA PRA Category 1 Credits™. Included as part of the 4 credits, this CME activity is eligible for 4 Infectious Disease CME credit. CME expires on 04/01/2025

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 4/1/2025.

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. 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 04/01/2025

Postpartum patients may present with varied signs and symptoms for weeks after a normal delivery. This issue uses a symptom-focused approach in identifying life-threatening causes. Includes 4 AMA PRA Category 1 Credits™. Included as part of the 4 credits, this CME activity is eligible for 1 Pharmacology CME credit. CME expires on 03/01/2025

This issue reviews the performance characteristics of lactate, C-reactive protein, ferritin, and procalcitonin in potential bacterial meningitis, common bacterial infections, and appendicitis. Includes 4 AMA PRA Category 1 Credits™. CME expires on 03/01/2025.

This Stroke EXTRA CME supplement (free to Emergency Medicine Practice subscribers) covers emergency department management of spontaneous subarachnoid hemorrhage. Includes 4 AMA PRA Category 1 Credits™. Included as part of the 4 credits, this CME activity is eligible for 4 Stroke credits. CME expires on 02/15/2025.

This issue reviews the latest evidence on standard therapies for managing ED patients with acute asthma exacerbations, as well as newer diagnostic, treatment, and ventilation strategies. Includes 4 AMA PRA Category 1 Credits™. CME expires on 02/01/2025

This issue reviews causes of cardiac and non-cardiac pediatric chest pain and provides recommendations for a more standardized evaluation in the ED to minimize the risk of missing a life-threatening pathology while reducing unnecessary testing. Includes 4 AMA PRA Category 1 Credits™. CME expires on 02/01/2025.

Although acute joint pain in the ED can have a benign source, septic arthritis, gout, and postinfectious reactive causes must be ruled out. This issue reviews current recommendations on diagnosis and treatment of arthritis. Includes 4 AMA PRA Category 1 Credits™. CME expires on 01/01/2025

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. Includes 4 AMA PRA Category 1 Credits™. CME expires on 01/01/2025.

This Trauma EXTRA CME supplement (free to Emergency Medicine Practice subscribers) reviews the current evidence for the evaluation, cleansing, and repair of wounds and lacerations 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 credit. CME expires on 12/15/2024.

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. Includes 4 AMA PRA Category 1 Credits™. CME expires on 12/01/2024

This issue discusses low-voltage, high-voltage, and lightning strike injuries and provides evidence-based recommendation 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 4 Trauma CME credits. CME expires on 12/01/2024.

When rib fractures are suspected following blunt thoracic trauma, initiating multimodal pain control and choosing imaging based on patient risk factors is critical. 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 11/01/2024

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. 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 1.5 Pharmacology CME credits. CME expires on 11/01/2024.

This summary and analysis of the international literature on vaccine effectiveness, breakthrough infection, waning immunity, and emergence of variants will help inform the decisions of physicians and institutions regarding vaccination boosters and nonpharmaceutical interventions. Two personal views of the controversies are also included.

Cervical spine injuries can have devastating consequences, and initial ED management is critical in determining the type of injury or fracture and choosing immobilization, imaging, and referral. 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 10/01/2024

This issue discusses the management of pediatric transplant patients, with a special focus on general and organ-specific complications after transplantation. Management of hematopoietic stem cell transplant patients is also discussed, since the approach to these patients differs slightly from that of solid organ transplant recipients. 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 10/01/2024

This course reviews evidence-based recommendations to improve care and outcomes for pregnant and postpartum patients with hemorrhage or severe hypertension. Emergency Medicine Practice and Pediatric Emergency Medicine Practice subscribers receive this content & CME Credit absolutely free! Log in to your subscription or subscribe now to gain instant access.

The 2022 Lifelong Learning & Self-Assessment Study Guide will prepare you for the ABEM LLSA examination as well as update you on current topics in emergency medicine. Includes 35 AMA PRA Category 1 Credits™. Included as part of the 35 credits, this CME activity is eligible for 4.5 stroke credits and 6 pharmacology credits. CME expires on 08/20/2024.

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. Includes 4 AMA PRA Category 1 Credits™. CME expires on 08/01/2024

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. Includes 4 AMA PRA Category 1 Credits™. Included as part of the 4 credits, this CME activity is eligible for 0.5 Trauma CME and 1 Pharmacology CME credits. CME expires on 09/01/2024.

This Pediatric Trauma EXTRA CME supplement (free to Pediatric Emergency Medicine Practice subscribers) reviews imaging recommendations and interpretations in pediatric head and neck 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 08/15/2024.

Abnormal uterine bleeding can be a sign of serious and life-threatening conditions as well as being distressing and inconvenient. There are now effective diagnostic and management strategies that emergency clinicians can offer. Includes 4 AMA PRA Category 1 Credits™. CME expires on 08/01/2024

This issue discusses injury patterns associated with common less-lethal weapons used by law enforcement, including conducted electrical weapons, pepper spray, tear gas, K-9 bites, and kinetic impact projectiles. Recommendations are provided for evaluation and management of these injuries in the emergency department. Includes 4 AMA PRA Category 1 Credits™. Included as part of the 4 credits, this CME activity is eligible for 1.5 Trauma CME credits. CME expires on 08/01/2024

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 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

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.

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

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

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

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

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 white paper outlines essential elements of planning and preparedness for emergency department pandemic surge response, based on lessons learned from the 2020 COVID-19 pandemic experience in New York City

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 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.

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.

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

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.

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.

This Pediatric Trauma EXTRA CME supplement (free to Pediatric Emergency Medicine Practice subscribers) reviews the management of infants with traumatic injuries. This issue does not include CME.

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

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.

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 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.

This Stroke EXTRA CME supplement (free to Emergency Medicine Practice subscribers) provides an evidence-based overview of the recognition and management in the emergency department management of blunt cerebrovascular injuries, and focuses on the appropriate diagnostic studies and stroke prevention. Includes 4 AMA PRA Category 1 Credits™. Included as part of the 4 credits, this CME activity is eligible for 4 Stroke CME credits. CME expires on 12/15/2023.

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 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

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 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.

This Trauma EXTRA CME supplement (free to Emergency Medicine Practice subscribers) reviews emergency department management of the pregnant trauma patient. 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 10/15/2023.

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

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

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. Includes 4 AMA PRA Category 1 Credits™. Included as part of the 4 credits, this CME activity is eligible for 4 Pharmacology CME. CME expires on 09/15/2023.

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.

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

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

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. Includes 4 AMA PRA Category 1 Credits™. Included as part of the 4 credits, this CME activity is eligible for 4 Trauma CME. CME expires on 08/15/2023.

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 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

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. Includes 4 AMA PRA Category 1 Credits™. Included as part of the 4 credits, this CME activity is eligible for 4 Stroke CME. CME expires on 07/15/2023.

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 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

This Pediatric Trauma EXTRA CME supplement (free to Pediatric Emergency Medicine Practice subscribers) reviews the management of burn injuries 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 6/30/2023.

Summary and review of the results of a survey of 65 pediatric emergency department leaders in the U.S. and Canada.

This Pediatric EXTRA supplement describes the epidemiology, reviews presenting features, and offers management recommendations for COVID-19 in pediatric patients. It includes a discussion of multisystem inflammatory syndrome in children (MIS-C) associated with COVID-19, as well as other aspects of the COVID-19 pandemic that are affecting children and families. (No CME)

Life-threatening secondary headache can be due to vascular disorders or trauma, and they can present with sudden, severe onset. This course presents the red flag signs for the most dangerous causes of life-threatening headaches, with recommendations on swift imaging and treatment. 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. Includes 4 AMA PRA Category 1 Credits™. CME expires on 06/01/2023

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

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

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.

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

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.

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

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 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.

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 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. 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

Acute dizziness is a common presentation in the ED. Quickly differentiate the benign from the deadly with the timing-and-triggers approach to evaluation. 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

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

This issue reviews risk factors for apnea and severe bronchiolitis; discusses treatments and therapies such as oxygen supplementation, fluid administration, bronchodilators, corticosteroids, high-flow nasal cannula, and continuous positive airway pressure; and provides evidence-based recommendations for the management of pediatric patients with bronchiolitis. CME expired on 10/01/2022. 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

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

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 issue reviews pain assessment scales for preverbal patients (eg, the FLACC scale) and for self-reporting by patients and discusses pediatric pain management using nonpharmacologic techniques; topical, local, and regional anesthesia; and systemic agents (eg, acetaminophen, NSAIDs, and opioids). CME expired on 08/01/2022. No CME for this activity

This Pediatric Trauma EXTRA CME supplement (free to Pediatric EM Practice subscribers) reviews common indications for diagnostic POCUS in pediatric trauma. CME expired on 07/15/2022. No CME for this activity

As bariatric surgery for weight loss becomes increasingly common, more patients are presenting to the ED with complications. This issue reviews the most common types of surgery, their early and late complications, and diagnostic and management options. CME expired on 07/01/2022. No CME for this activity

Febrile young infants, even those who are well-appearing, are at high risk for serious bacterial infections. This issue provides evidence-based guidance for determining which febrile young infants require a full sepsis workup and offers recommendations for the management of these patients in the emergency department. CME expired on 07/01/2022. No CME for this activity

The 2020 Lifelong Learning & Self-Assessment Study Guide will prepare you for the ABEM LLSA examination. It includes our "pass-or-it's-free" guarantee as well as 35 AMA PRA Category 1 Credits. Included as part of the 35 credits, this CME activity is eligible for 6 infectious disease, 3 child abuse, 4 trauma, 3 controlled substances, 3 pharmacology, and 3 stroke credits. CME Expires on 7/31/22. Upon termination of CME credit, this activity will be reviewed and updated, and the CME credit will be extended for 3 years.

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

This issue reviews the criteria for diagnosing a pediatric patient with anaphylaxis and offers evidence-based recommendations for first- and second-line treatment, including the use of epinephrine, antihistamines, and corticosteroids. Biphasic reactions and fatal anaphylaxis are also discussed. CME expires 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

Sexually transmitted diseases are a significant and growing public health threat that can cause lasting danger to the health of men, women, and unborn babies. Swift diagnosis and effective treatment strategies can lessen the public health consequences. CME expired on 04/01/2022.

Distinguishing bacterial pneumonia from viral pneumonia is critical to providing effective treatment but remains a significant challenge. This issue provides guidance for the management of pediatric community-acquired pneumonia as well as associated complications including pleural effusion/empyema. CME expired on 04/01/2022. 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

Although pediatric hypertension is increasing in incidence, it often goes unrecognized in asymptomatic patients. This issue provides recommendations to ensure that asymptomatic patients with hypertension receive appropriate testing and referrals and that patients with a true hypertensive emergency are managed appropriately. 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 recommendations for the evaluation and management of common as well as life-threatening obstetric and gynecologic emergencies. Psychosocial and confidentiality issues pertaining to adolescent sexual health services are also discussed. CME expired on 02/01/2022. No CME for this activity

Common first-trimester ED presentations include miscarriage, ectopic pregnancy, nausea and vomiting, urinary tract infections, and potential appendicitis. This issue reviews the evidence on these common conditions to ensure swift and safe management. CME expired 01/01/2022. 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

This issue reviews the highest-risk bioterrorism agents including anthrax, botulism, plague, smallpox, tularemia, and viral hemorrhagic fevers (eg, Ebola); provides guidance for diagnosing and managing pediatric patients who have been exposed to these agents; and reviews available resources that can provide support during a bioterrorism crisis. CME expired on 12/1/2021 - No CME for this activity

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

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 most common traumatic genital injuries (straddle injuries, hematomas, and impalement injuries) and nontraumatic genital emergencies (imperforate hymen and urethral prolapse), and provides evidence-based recommendations for their management in the ED. CME expired on 10/01/2021 - 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

Venomous North American snakes include pit vipers (copperheads, water moccasins/cottonmouths, and rattlesnakes) and coral snakes. The diagnostic studies, antivenom treatment, and follow-up required depend on the type of snake and the bite severity. The latest evidence on managing snake bites in the ED is reviewed. Includes 4 AMA PRA Category 1 Credits™. Included as part of the 4 credits, this CME activity is eligible for 4 Trauma CME and 1 Pharmacology CME credits. CME expired on 9/1/2021 - No CME for this activity

Key aspects of managing pediatric dental trauma involve determining whether the affected dentition is primary or permanent and knowing which injuries need emergent intervention. This issue reviews common pediatric dental injuries and provides a systematic emergency medicine-based approach for appropriate evaluation and management of injuries including a fractured tooth, a luxated tooth, and an avulsed tooth.CME expired on 8/1/2021 - 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

Dyspnea is a distressing symptom in the dying process, but it can be managed in the ED to keep patients comfortable, alleviate patient and family anxieties, and honor the patient's goals of care. CME expired 07/01/2021 - No CME for this activity

This study guide, delivered in print, online, and audio digital formats, is designed to prepare emergency medicine physicians to pass the ABEM exams, as required to maintain board certification. It includes our "pass-or-it's-free" guarantee. CME Expired on 06/15/2021

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

Determining the source of shoulder pain - fracture, dislocation, or overuse - is an essential part of management. This issue offers information about effective strategies in diagnostic techniques, pain management, and indications for surgical referral for patients presenting to the ED with shoulder injuries and pain. CME expires on 06/01/2021 - 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

For ED patients with signs and symptoms of infectious disease - including fever, rash, joint pain, and headache - obtaining a travel history is essential in order to quickly identify emerging (or re-emerging) infections. This issue reviews diagnostic and management best practices for three infections: Middle East respiratory syndrome, chikungunya virus infection, and Zika virus infection. CME expired on 05/01/2021 - 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).

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).