TOPICS |
DATE RELEASED |
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Jan 2021
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Dec 2020
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Rhabdomyolysis: Evidence-Based Management in the Emergency Department
Date Released: Dec 2020
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
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Dec 2020
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Nov 2020
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Oct 2020
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Management of Deep Vein Thrombosis in the Emergency Department
Date Released: Oct 2020
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
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Oct 2020
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Sep 2020
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Sep 2020
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Current Topics in Emergency Trauma Care - Trauma EXTRA Supplement (Trauma CME)
Date Released: Aug 2020
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.
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Aug 2020
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Supraventricular Tachydysrhythmias in the Emergency Department
Date Released: Aug 2020
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
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Aug 2020
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Current Topics in Acute Stroke Care - Stroke EXTRA Supplement (Stroke CME)
Date Released: Jul 2020
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.
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Jul 2020
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Ventilator Management of Adult Patients in the Emergency Department
Date Released: Jul 2020
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
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Jul 2020
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Jun 2020
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Jun 2020
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COVID-19: The Impact on Pediatric Emergency Care
Date Released: Jun 2020
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)
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Jun 2020
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Life-Threatening Headaches: Can't-Miss Causes & COVID-19 Connections (On-demand Course)
Date Released: Jun 2020
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. It also includes up to 5 stroke CME credits. CME expires on 06/04/2023.
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Jun 2020
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Acid-Base Disturbances: An Emergency Department Approach
Date Released: Jun 2020
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
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Jun 2020
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Novel 2019 Coronavirus SARS-CoV-2 (COVID-19): An Overview for Emergency Clinicians - 5/1/20
Date Released: May 2020
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.
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May 2020
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High-Risk Cardiovascular Emergencies (Trauma CME and Pharmacology CME)
Date Released: May 2020
Three courses on high-risk cardiovascular presentations encountered by emergency clinicians: non–ST-segment elevation myocardial infarction, patients taking direct oral anticoagulant agents, and blunt cardiac injury. Also included are two video recordings from the 2019 ResusEM conference. 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.
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May 2020
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An Evidence-Based Approach to Abnormal Vision in the Emergency Department
Date Released: Apr 2020
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
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Apr 2020
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Mar 2020
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Influenza in the Emergency Department: 2020 Update (Pharmacology CME)
Date Released: Feb 2020
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
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Feb 2020
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Diabetic Hyperglycemic Emergencies: A Systematic Approach (Pharmacology CME)
Date Released: Feb 2020
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
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Feb 2020
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Emergency Department Management of Non–ST-Segment Elevation Myocardial Infarction
Date Released: Jan 2020
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
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Jan 2020
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Pediatric Stroke: Diagnosis and Management in the Emergency Department - Stroke EXTRA Supplement (Stroke CME and Pharmacology CME)
Date Released: Dec 2019
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. Includes 4 AMA PRA Category 1 Credits™. Included as part of the 4 credits, this CME activity is eligible for 4 Stroke CME and 0.25 Pharmacology CME credits. CME expires on 12/01/2022.
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Dec 2019
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The Timing-and-Triggers Approach to the Patient With Acute Dizziness (Stroke CME)
Date Released: Dec 2019
Acute dizziness is a common presentation in the ED. Quickly differentiate the benign from the deadly with the timing-and-triggers approach to evaluation. Includes 4 AMA PRA Category 1 Credits™. Included as part of the 4 credits, this CME activity is eligible for 2 Stroke CME credits. CME expires on 12/01/2022
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Dec 2019
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Nov 2019
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Nonconvulsive Status Epilepticus: Overlooked and Undertreated (Pharmacology CME)
Date Released: Oct 2019
Altered mental status is a common presentation in the ED, and time is of the essence in diagnosing NCSE and halting seizure activity. 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 on 10/01/2022
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Oct 2019
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Concussion in the Emergency Department: A Review of Current Guidelines - Trauma EXTRA Supplement (Trauma CME)
Date Released: Sep 2019
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. 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 09/15/2022.
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Sep 2019
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Sep 2019
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Aug 2019
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Emergency Department Management of Patients With Complications of Bariatric Surgery
Date Released: Jul 2019
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.
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Jul 2019
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Jun 2019
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Jun 2019
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Depressed and Suicidal Patients in the Emergency Department: An Evidence-Based Approach (Behavioral Health CME)
Date Released: May 2019
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. Includes 4 AMA PRA Category 1 Credits™. Included as part of the 4 credits, this CME activity is eligible for 4 Behavioral Health CME credits. CME expires on 05/01/2022.
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May 2019
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Apr 2019
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Blunt Cardiac Injury: Emergency Department Diagnosis and Management (Trauma CME)
Date Released: Mar 2019
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. 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 03/01/2022.
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Mar 2019
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Feb 2019
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First Trimester Pregnancy Emergencies: Recognition and Management
Date Released: Jan 2019
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. 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 01/01/2022.
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Jan 2019
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Electrical Injuries in the Emergency Department: An Evidence-Based Review (Trauma CME)
Date Released: Nov 2018
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. 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 11/01/2021.
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Nov 2018
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Updates and Controversies in the Early Management of Sepsis and Septic Shock (Pharmacology CME)
Date Released: Oct 2018
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 10/1/2021
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Oct 2018
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Emergency Department Management of North American Snake Envenomations (Trauma CME and Pharmacology CME)
Date Released: Sep 2018
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 expires on 9/1/2021
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Sep 2018
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Cannabinoids: Emerging Evidence in Use and Abuse (Pharmacology CME)
Date Released: Aug 2018
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. Includes 4 AMA PRA Category 1 Credits™. Included as part of the 4 credits, this CME activity is eligible for 1 Behavioral Health CME and 3 Pharmacology CME credits. CME expires on 8/1/2021
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Aug 2018
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Emergency Department Management of Dyspnea in the Dying Patient (Pharmacology CME)
Date Released: Jul 2018
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. Includes 4 AMA PRA Category 1 Credits™. Included as part of the 4 credits, this CME activity is eligible for 2 Ethics CME, 2 Palliative Care CME, 2 End-of-Life Care CME, and 1 Pharmacology CME credits, subject to your state and institutional approval. CME expires 07/01/2021.
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Jul 2018
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Managing Shoulder Injuries in the Emergency Department: Fracture, Dislocation, and Overuse (Trauma CME)
Date Released: Jun 2018
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. 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 06/01/2021.
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Jun 2018
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Recognizing and Managing Emerging Infectious Diseases in the Emergency Department
Date Released: May 2018
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. Includes 4 AMA PRA Category 1 Credits™. Included as part of the 4 credits, this CME activity is eligible for 4 Infection Control CME credits. CME expires on 05/01/2021.
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May 2018
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Jaundice in the Emergency Department: Meeting the Challenges of Diagnosis and Treatment (Pharmacology CME)
Date Released: Apr 2018
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. 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 4/1/2021
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Apr 2018
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Emergency Department Management of Smoke Inhalation Injury in Adults (Trauma CME)
Date Released: Mar 2018
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.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 03/01/2021.
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Mar 2018
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Emergency Department Management of Patients With Thermal Burns (Trauma CME and Pharmacology CME)
Date Released: Feb 2018
Optimal management of a burn patient begins with accurately classifying and measuring the extent of the burns. Every treatment decision that follows - from IV fluid management, wound care, escharotomy, and criteria for referral - depends on it. This issue reviews the best evidence on managing patients with burns, from prehospital management to disposition. 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 2/1/2021
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Feb 2018
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Managing Patients with Oncologic Complications in the Emergency Department (Pharmacology CME)
Date Released: Jan 2018
This issue reviews 3 of the more common presentations of oncology patients to the emergency department: metastatic spinal cord compression, tumor lysis syndrome, and febrile neutropenia. 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 1/1/2021
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Jan 2018
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Managing Dislocations of the Hip, Knee, and Ankle in the Emergency Department (Trauma CME)
Date Released: Dec 2017
This review presents an algorithmic approach to management that ensures that pain relief, imaging, reduction, vascular monitoring, and emergent orthopedic consultation are carried out in a timely fashion.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 12/01/2020.
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Dec 2017
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Management of Inflammatory Bowel Disease Flares in the Emergency Department
Date Released: Nov 2017
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).
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Nov 2017
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Oct 2017
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Sep 2017
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Emergency Management of Renal and Genitourinary Trauma: Best Practices Update
Date Released: Aug 2017
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).
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Aug 2017
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Jul 2017
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Dental Emergencies: Management Strategies That Improve Outcomes
Date Released: Jun 2017
This issue provides a systematic review of the literature on common acute traumatic and atraumatic dental emergencies with a focus on the historical and physical examination findings that must be understood to identify life-threatening infections, relieve pain, salvage natural teeth, and communicate with specialists in the further management of patients after emergency treatment. (No CME for this activity).
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Jun 2017
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May 2017
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Apr 2017
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Mar 2017
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Noninvasive Ventilation For Patients In Acute Respiratory Distress: An Update
Date Released: Feb 2017
When noninvasive ventilation is indicated over endotracheal intubation and rapid sequence intubation for patients in respiratory distress. Key contraindications for NIV and signs that positive pressure ventilation has failed. Includes 4 AMA PRA Category 1 Credits™. Included as part of the 4 credits, this CME activity is eligible for 0.5 Pharmacotherapy credits. CME expires on 02/01/2020.
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Feb 2017
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Emergency Department Management of Priapism (Pharmacology CME)
Date Released: Jan 2017
Current evidence for immediate emergency room treatment of ischemic priapism, using a stepwise approach starting with aspiration of cavernosal blood, cold saline irrigation, and penile injection with sympathomimetic agents. 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 1/1/2020
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Jan 2017
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Pelvic Inflammatory Disease: Diagnosis and Treatment in the Emergency Department (Pharmacology CME)
Date Released: Dec 2016
Diagnosing PID through medical history and examination, including evaluation for alternate diagnoses, and initiating appropriate antibiotic therapy. Early diagnosis and treatment of PID by the emergency room physician prevents complications such as chronic pain, ectopic pregnancy, infertility. 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 12/1/2019
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Dec 2016
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Nov 2016
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Optimizing Survival Outcomes for Adult Patients with Nontraumatic Cardiac Arrest (Pharmacology CME)
Date Released: Oct 2016
Systematic review of the basic life support factors for cardiac arrest, including chest compression technique during CPR and rapid defibrillation of shockable rhythms (ventricular tachycardia, ventricular fibrillation), and common underlying causes of cardiac arrest. 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 10/1/2019
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Oct 2016
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Sep 2016
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Aug 2016
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Jul 2016
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Emergency Department Evaluation And Management Of Blunt Chest And Lung Trauma (Trauma CME)
Date Released: Jun 2016
Focuses on the diagnosis and treatment of patients with blunt injuries to the chest, ribs and lung. Decision rules for chest x-ray, CT and bedside lung ultrasonography; treatment controversies including the limitations of needle thoracostomy using standard needle, chest tube placement, and chest tube size. Also airway and ventilation management. 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 06/01/2019.
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Jun 2016
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Evidence-Based Management Of Caustic Exposures In The Emergency Department
Date Released: May 2016
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.
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May 2016
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Apr 2016
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Mar 2016
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The HIV-Infected Adult Patient in the Emergency Department: The Changing Landscape of Disease (Pharmacology CME)
Date Released: Feb 2016
2016 review of long-term HIV infection complications seen in the emergency room, especially noninfectious conditions, complications common in the HAART-adherent HIV patient, and side effects from antiretroviral drugs, as well as recognition of life-threatening and rare opportunistic infections. 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 on 2/1/2019
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Feb 2016
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Jan 2016
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Dec 2015
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Ocular Injuries: New Strategies In Emergency Department Management (Trauma CME)
Date Released: Nov 2015
Evidence-based recommendations for diagnosis and treatment of ocular trauma: ocular burn, corneal abrasion, retrobulbar hemorrhage, open glob injury, traumatic hyphema, retinal detachment, vitreous hemorrhage, lens dislocation. Includes 4 AMA PRA Category 1 Credits™. Included as part of the 4 credits, this CME activity is eligible for 4 Trauma CME credits and 0.5 Pharmacology CME credits. CME expires on 11/01/2018.
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Nov 2015
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Managing Delirium In The Emergency Department: Tools For Targeting Underlying Etiology
Date Released: Oct 2015
Evaluating for delirium using the Confusion Assessment Method (CAM), targeting underlying etiology, and treatment guidelines including nonpharmacological and means and when to use antipsychotics or benzodiazepines. 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 10/01/2018.
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Oct 2015
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Sep 2015
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Allergy And Anaphylaxis: Principles Of Acute Emergency Management
Date Released: Aug 2015
Review of clinical criteria to diagnose anaphylaxis, and treatment guidelines involving the intramuscular administration and dosing of epinephrine, both in and out of the hospital setting. 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 08/01/2018.
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Aug 2015
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Jul 2015
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Jun 2015
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May 2015
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Apr 2015
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Mar 2015
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Feb 2015
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Clinical Decision Making In Seizures And Status Epilepticus
Date Released: Jan 2015
This issue of Emergency Medicine Practice provides an evidence-based review of the diagnosis and management of adult patients presenting to the emergency department (ED) with seizure and SE, with a focus on the clinical situations most commonly encountered in daily practice.
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Jan 2015
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Dec 2014
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Emergency Department Management Of Acute Infective Endocarditis
Date Released: Nov 2014
Infective endocarditis has a high rate of mortality, and most patients suspected of having the disease will require hospital admission. This review examines the literature as it pertains specifically to emergency clinicians who must maintain vigilance for risk factors and obtain a thorough history, including use of intravenous drugs, in order to guide the workup and treatment.
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Nov 2014
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Oct 2014
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Sep 2014
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Aug 2014
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Jul 2014
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Diabetic Emergencies: New Strategies For An Old Disease
Date Released: Jun 2014
This review evaluates the current
strategies for management of diabetic emergencies and offers
new information regarding effective diagnostic strategies, selection
of fluids for rehydration, correction of potassium, the use of
subcutaneous insulin for mild hyperglycemia, and management
of metformin-induced lactic acidosis.
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Jun 2014
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May 2014
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Syncope: Risk Stratification And Clinical Decision Making
Date Released: Apr 2014
This issue reviews
the most relevant evidence for managing and risk stratifying
the syncope patient, beginning with a focused history, physical
examination, electrocardiogram, and tailored diagnostic testing.
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Apr 2014
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Diagnosis And Management Of Shock In The Emergency Department
Date Released: Mar 2014
This issue reviews the 4 primary categories of shock as well as special categories, including shock in pregnancy, traumatic shock, septic shock, and cardiogenic shock in myocardial infarction. Adherence to evidence-based care of the specific causes of shock can optimize a patient's chances of surviving this life-threatening condition.
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Mar 2014
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Jan 2014
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An Evidence-Based Approach To Acute Aortic Syndromes
Date Released: Dec 2013
This issue of Emergency Medicine Practice will discuss nontraumat- ic aortic dissection and its anatomic variants, intra- mural hematoma and penetrating atherosclerotic ulcer. A review of the pathophysiology, risk factors, and appropriate imaging for aortic dissection will be discussed. Treatment options, both surgical and nonsurgical, will also be reviewed, including new noninvasive management techniques.
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Dec 2013
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Nov 2013
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Evaluation And Management Of Bradydysrhythmias In The Emergency Department
Date Released: Sep 2013
This review presents the
electrocardiographic findings seen in common bradydysrhythmias
and emphasizes prompt recognition of these patterns. Underlying
etiologies that may accompany these conduction abnormalities are
discussed, including bradydysrhythmias that are reflex mediated
(including trauma induced) and those with metabolic, environmental,
infectious, and toxicologic causes. Evidence regarding the
management of bradydysrhythmias in the emergency department
is limited; however, there are data to guide the approach to the unstable
bradycardic patient. When decreased end-organ perfusion is
present, the use of atropine, beta agonists, and transcutaneous or
transvenous pacing may be required.
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Sep 2013
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Aug 2013
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An Evidence-Based Approach To The Evaluation And Treatment Of Low Back Pain In The Emergency Department
Date Released: Jul 2013
This review explores an evidence-based rationale for the evaluation of the patient with low back pain, and it provides guidance on risk stratification pertaining to laboratory assessment and radiologic imaging in the emergency department. Published guidelines from the American College of Physicians and American Pain Society are reviewed, with emphasis on best evidence for pharmacologic treatments, self-care interventions, and more invasive procedures and surgery in management of low back pain. Utilizing effective and proven strategies will avoid medical errors, provide better care for pa- tients, and help manage healthcare resources and costs.
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Jul 2013
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Jun 2013
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Apr 2013
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Mar 2013
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Feb 2013
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Transient Ischemic Attack: An Evidence-Based Update (Stroke CME)
Date Released: Jan 2013
Since the 2008 issue of Emergency Medicine Practice on TIA was published, there have been numerous studies focusing on improving risk stratification and early management strategies in TIA. This update will provide the best available evidence on diagnosing and managing TIAs.
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Jan 2013
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Dec 2012
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Angioedema In The Emergency Department: An Evidence-Based Review
Date Released: Nov 2012
This review assesses the evidence on the causes and treatments of angioedema in the emergency department and reviews the new therapeutic options available for treatment of angioedema based on their effectiveness, price, and availability.
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Nov 2012
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Management Of Mild Traumatic Brain Injury In The Emergency Department (Trauma CME)
Date Released: Sep 2012
This review assesses the burgeoning research in the field and reviews current clinical guidelines and decision rules on mild traumatic brain injury, addressing the concept of serial examinations to identify clinically significant intracranial injury, the approach to pediatric and elderly patients, and the management of patients who are on anticoagulants or antiplatelet agents or have bleeding disorders.
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Sep 2012
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Aug 2012
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Four Evolving Strategies In The Emergent Treatment Of Acute Ischemic Stroke (Stroke CME)
Date Released: Jul 2012
This issue outlines and reviews the literature on 4 evolving strategies reflecting developing advancements in the care of acute ischemic stroke and their potential to impact patients in the emergency department setting: (1) the expanding window for intravenous rt-PA, (2) the use of multimodal computed tomographic scanning in emergent diagnostic imaging, (3) endovascular therapies for stroke, and (4) stroke systems of care.
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Jul 2012
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Jun 2012
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May 2012
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Jan 2012
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Ballistic Injuries In The Emergency Department (Trauma CME)
Date Released: Dec 2011
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.
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Dec 2011
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Traumatic Hemorrhagic Shock: Advances In Fluid Management (Trauma CME)
Date Released: Nov 2011
This issue of Emergency Medicine Practice focuses on advances in knowledge that should fundamentally change how we treat trauma patients in hemorrhagic shock. The best available evidence from the literature suggests that we must shift away from the paradigms that have guided emergency clinicians in the past.
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Nov 2011
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Evidence-Based Management Of Suspected Appendicitis In The Emergency Department
Date Released: Oct 2011
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.
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Oct 2011
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Aug 2011
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Jul 2011
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Apr 2011
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Mar 2011
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Oct 2010
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Aug 2010
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Jul 2010
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Apr 2010
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Dec 2009
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Aug 2009
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May 2009
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Apr 2009
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Mar 2009
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An Evidence-Based Approach To Male Urogenital Emergencies
Date Released: Feb 2009
The goal of this issue of Emergency Medicine Practice is to provide a risk management tool and to provide an evidence-based best practice approach to the male complaining of acute scrotal or penile pain.
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Feb 2009
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Aug 2008
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Apr 2008
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An Evidence-Based Approach To Cocaine-Associated Emergencies
Date Released: Jan 2008
This issue of Emergency Medicine Practice discusses the general management of cocaine-associated emergencies. Additionally, it will make evidence-based recommendations for the treatment and disposition of these patients.
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Jan 2008
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An Evidence-Based Approach To Imaging Of Acute Neurological Conditions
Date Released: Dec 2007
Emergency physicians are frequently confronted with patients with neurological complaints requiring emergent imaging for diagnosis and treatment. The diversity and variations of imaging modalities may appear confusing, resulting in physician uncertainty about the most appropriate modality to evaluate the presenting complaint. An evidence-based approach, with the modality and technique selected based on patient characteristics and differential diagnosis, is essential. In this review, the evidence supporting the use of computed tomography (CT) and magnetic resonance imaging (MRI) for the diagnosis and treatment of emergency brain disorders will be reviewed. Adjunctive imaging techniques will also be considered, including conventional angiography, plain films, and ultrasound. Clinical decision rules intended to target imaging utilization to high-risk
patients will also be discussed.
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Dec 2007
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Symptomatic Hypotension: ED Stabilization And The Emerging Role Of Sonography
Date Released: Nov 2007
This issue of Emergency Medicine Practice is designed to provide an evidencebased, algorithmic approach to the management and diagnosis of conditions causing hypotension. Specific attention will be given to the role of ultrasound in the clinical decision making involved in caring for these patients.
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Nov 2007
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Critical Care Monitoring In The Emergency Department
Date Released: Jul 2007
This issue of Emergency Medicine Practice provides an overview of the current evidence regarding the benefit of respiratory, hemodynamic, and neurologic monitoring of the critically ill patient.
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Jul 2007
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Pediatric Toxicology Update: Rational Management of Pediatric Exposures and Poisonings
Date Released: May 2007
Toxic exposures present a unique set of issues to clinicians caring for children. Children commonly ingest household products and sometimes are exposed to medications that are taken by others living in the household. The clinician must be quick to recognize potentially dangerous exposures in order to intervene and prevent or mitigate adverse outcomes. Fortunately, the majority of pediatric ingestions involve unintentional exposure to small doses of nontoxic or minimally toxic substances. However, it is those few truly toxic exposures that demonstrate the invaluable role played by a skilled emergency physician. This review will primarily focus on pediatric poison exposures in children ages six years and under.
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May 2007
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Mar 2007
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Imaging In The Adult Patient With Nontraumatic Abdominal Pain
Date Released: Feb 2007
Anyone who works in an emergency department (ED) knows that abdominal pain (or some variation of it) is one of the most frequent presenting complaints evaluated. Although it is difficult to truly quantify, it is estimated that abdominal pain accounts for 5 - 10% of all ED visits and that emergency physicians care for nearly eight million patients with abdominal pain each year.1-3 The sheer volume of potential diagnoses coupled with the lack of evidenced-based standards create a dilemma when determining a diagnostic study choice. The question of which radiological modality and when to utilize it is further complicated by the rapid advances in radiolographic technology. The goal of this Emergency Medicine Practice article is to provide a functional framework for the diagnostic evaluation of the patient with nontraumatic abdominal pain.
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Feb 2007
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Nov 2006
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Oct 2006
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Acute Spinal Injuries: Assessment and Management
Date Released: May 2006
Acute spinal cord injuries (ASCIs) remain a devastating consequence of traumatic injuries around the globe. These injuries cause permanent, profound disabilities and lead to changes in lifestyle ranging from employment to marital status.
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May 2006
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Blast Injuries: Preparing For The Inevitable
Date Released: Apr 2006
This issue of Emergency Medicine Practice will review the current literature, including the potential mechanisms of injury. early signs of these injuries, and the natural course of the problems caused by explosive blasts.
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Apr 2006
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Aortic Emergencies Part II: Abdominal Aneurysms And Aortic Trauma
Date Released: Mar 2006
This month's issue of Emergency Medicine Practice is the second in a 2-part review of aortic emergencies. The first part focused on the thoracic aorta and emphasized the pivotal role the emergency physician plays in
diagnosing and directing care for these patients. This month's issue reviews abdominal aortic aneurysms and aortic trauma. While aortic emergencies are relatively unusual in the total scope of emergency practice, their associated morbidity and mortality is high, making recognition and management a mandatory competency for the emergency physician.
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Mar 2006
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Mar 2005
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Jan 2005
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Intimate Partner Violence: Challenges In Identification And Management
Date Released: Sep 2004
This issue of Emergency Medicine Practice reviews the epidemiology, dynamics, and characteristic presentations of intimate partner violence (IPV), with the goal of bridging the gap between assumption and evidence and providing a practical approach to patients in the ED. It also discusses some of the legal issues inherent in the evaluation and treatment of victims of IPV.
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Sep 2004
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Jul 2004
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Evidence-Based Risk Stratification Of Patients With Suspected UA/NSTEMI
Date Released: Apr 2004
This review highlights the advances in our understanding of ACS: its pathophysiology, clinical diagnosis, risk stratification, and therapeutics. There is a particular focus on the subgroup of unstable angina (UA) and non-STsegment elevation myocardial infarction (NSTEMI).
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Apr 2004
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Orthopedic Sports Injuries: Off The Sidelines And Into The Emergency Department
Date Released: Apr 2003
This issue of Emergency Medicine Practice describes management strategies for common orthopedic sports injuries. Prior issues of Emergency Medicine Practice, such as the January 2000 issue on mild head trauma, the February 2000 issue on back pain, the October 2001 issue on cervical spine injuries, the November 2001 issue on wrist injuries, and the May 2002 issue on ankle injuries, also provide pertinent information.
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Apr 2003
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Mar 2003
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The Critically Ill Or Comatose Infant: An Organized Approach
Date Released: Oct 2002
The crashing infant is a challenge in any setting. From the largest specialty children's center to the smallest rural ED, a dying baby creates havoc. Even when you think you're prepared, things appear chaotic. Procedures go wrong; rarely used equipment seems to disappear. IV access becomes impossible for even the most experienced hands; your mind freezes when trying to calculate drug doses. The right decisions must come quickly or a baby will die.
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Oct 2002
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Jul 2002
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Jun 2002
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Nov 2001
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Dec 2000
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May 2000
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Oct 1999
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Aug 1999
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