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. 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 1/15/2023.

This issue provides guidance for the management of children with appendicitis, including recommendations for diagnostic studies, pain management, prophylactic antibiotics, and surgical consultation. Includes 4 AMA PRA Category 1 Credits™. CME expires on 09/01/2022.

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. Includes 4 AMA PRA Category 1 Credits™. CME expires on 07/01/2022.

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. Includes 4 AMA PRA Category 1 Credits™. CME expires on 06/01/2022.

This issue reviews the literature on management of IBD flares in the emergency department, including laboratory testing, imaging, and identification of surgical emergencies, emphasizing the importance of coordination of care with specialists on treatment plans and offering patients resources for ongoing support. (No CME for this activity).

This review provides a best-practice approach to the diagnosis and management of renal and genitourinary injuries, with an emphasis on the systematic approach needed to identify subtle injuries and avoid long-term urinary sequelae such as hypertension, incontinence, erectile dysfunction, chronic kidney disease, and nephrectomy. (No CME for this activity).

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

This review summarizes the literature on complications of ventriculoperitoneal shunts, examines the literature regarding the workup and management of patients with ventriculoperitoneal shunts, and makes recommendations for the management of these patients in the emergency department.

Best approaches to managing common problems with enteral feeding tubes, tracheostomies, and ventricular shunts, and in sedating a pediatric patient with autism or developmental delays. Includes 4 AMA PRA Category 1 Credits™. Included as part of the 4 credits, this CME activity is eligible for 0.75 Pharmacology CME credits. CME expires on 06/01/2018.

This issue of Emergency Medicine Practice will focus on the management of patients with upper gastrointestinal bleeding.

A systematic approach in the emergency department, as outlined in this review, is required to identify the serious causes of vomiting in the neonate.

This review goes over complications and diagnostic challenges that the emergency clinician must be cognizant of when evaluating inflammatory bowel disease.

This review examines the effects of blunt trauma to the pediatric chest, as well as its relevant etiologies and associated mortality. Diagnostic and treatment options for commonly encountered injuries such as pulmonary contusions, rib fractures, and pneumothoraces are examined. Additionally, this review discusses rarely encountered-yet highly lethal-chest wall injuries such as blunt cardiac injuries, commotio cordis, nonaccidental trauma, and aortic injuries.

A critical appraisal of the existing guidelines for the management of motor vehicle trauma and for the use of appropriate child-safety restraints is presented.

This review identifies the causes of pediatric obesity and addresses the comorbidities of pediatric obesity in the emergency department, including impairments in patients' physical and emotional quality of life.

This review evaluates the literature on 4 biomarkers, including: (1) erythrocyte sedimentation rate, (2) C-reactive protein, (3) interleukin-6, and (4) procalcitonin, and reviews these biomarkers' diagnostic ability when applied to 4 common pediatric clinical scenarios, including: (1) acute meningitis, (2) serious bacterial infection, (3) appendicitis, and (4) septic arthritis.

This review looks at the evidence on diagnosing ovarian torsion, focusing particularly on diagnostic imaging modalities and the major guideline recommendations to effectively differentiate ovarian torsion from the many other possible causes of abdominal pain in the pediatric female.

This issue examines existing literature on constipation, though few randomized double-blind, controlled clinical trials of good quality existed in the literature until recently.

This issue reviews the physics of ballistics as it relates to the tracts and patterns of tissue injury caused by different types of firearms and missiles, and it takes a regional approach to reviewing the current evidence for managing gunshot wounds to the head, neck, thorax, abdomen, genitourinary (GU) system, extremities, and soft tissues. Current guidelines as well as new research and evidence regarding fluid resuscitation, airway management, evaluation strategies, drug therapies, and documentation are discussed.

In this issue of Emergency Medicine Practice, the most current findings in regard to the diagnosis of appendicitis in the emergency department (ED) will be discussed, with particular attention towards elucidating the elements of history, physical examination, and laboratory testing that will most benefit the emergency clinician faced with the dilemma of diagnosing possible appendicitis.

This month's issue of Pediatric Emergency Medicine Practice will delve into the problem of the male with a possible TOSC. The authors examine existing literature to develop a strong strategy for clinicians that explains what to do and when to do it in the diagnosis and treatment of TOSC.

This issue of Emergency Medicine Practice expands on this review and summarizes the existing and best available literature concerning these EUS applications.

This issue of Emergency Medicine Practice focuses on the management of ALF and the acutely symptomatic cirrhotic patient.

Clinical judgment based on the current evidence can help guide a cost-effective work-up of patients with diarrhea that will identify patients with more severe etiologies or at risk for complications.

This issue of Emergency Medicine Practice reviews the diagnostic and management challenges associated with caring for children with abdominal pain, placing emphasis on the best available evidence from the literature.