Procedural Sedation and Analgesia in the Emergency Department (Pharmacology CME)

CME Objectives

1. Identify patients who will benefit from procedural sedation and analgesia (PSA)
2. Describe the mechanisms, risks, benefits, and doses of commonly used medications for PSA
3. Explain the use and algorithmic model for rescue therapy in the event of patient complications
4. Summarize the evidence on preprocedural fasting
5. Discuss the evidence on monitoring modalities used during PSA.

CME Information

Date of Original Release: June 1, 2022. Date of most recent review: May 10, 2022. Termination date: June 1, 2025.

Accreditation: EB Medicine is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. This activity has been planned and implemented in accordance with the accreditation requirements and policies of the ACCME.

Credit Designation: EB Medicine designates this enduring material for a maximum of 4 AMA PRA Category 1 Credits^TM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Specialty CME: Included as part of the 4 credits, this CME activity is eligible for 2 Pharmacology CME credits, subject to your state and institutional requirements.

ACEP Accreditation: Emergency Medicine Practice is approved by the American College of Emergency Physicians for 48 hours of ACEP Category I credit per annual subscription.

AAFP Accreditation: The AAFP has reviewed Emergency Medicine Practice, and deemed it acceptable for AAFP credit. Term of approval is from 07/01/2021 to 06/30/2022. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

• 4.00 Enduring Materials, Self-Study AAFP Prescribed Credit(s)- Procedural Sedation and Analgesia in the Emergency Department

AOA Accreditation: Emergency Medicine Practice is eligible for 4 Category 2-A or 2-B credit hours per issue by the American Osteopathic Association.

Needs Assessment: The need for this educational activity was determined by a practice gap analysis; a survey of medical staff, including the editorial board of this publication; review of morbidity and mortality data from the CDC, AHA, NCHS, and ACEP; and evaluation responses from prior educational activities for emergency physicians.

Target Audience: This enduring material is designed for emergency medicine physicians, physician assistants, nurse practitioners, and residents.

Goals: Upon completion of this activity, you should be able to: (1) identify areas in practice that require modification to be consistent with current evidence in order to improve competence and performance; (2) develop strategies to accurately diagnose and treat both common and critical ED presentations; and (3) demonstrate informed medical decision-making based on the strongest clinical evidence.

Discussion of Investigational Information: As part of the activity, faculty may be presenting investigational information about pharmaceutical products that is outside Food and Drug Administration approved labeling. Information presented as part of this activity is intended solely as continuing medical education and is not intended to promote off-label use of any pharmaceutical product.

Faculty Disclosure: It is the policy of EB Medicine to ensure objectivity, balance, independence, transparency, and scientific rigor in all CME activities. All faculty participating in the planning or implementation of a CME activity are expected to disclose to the participants any relevant financial relationships and to assist in mitigating the relationships. In compliance with all ACCME accreditation requirements and policies, all faculty for this CME activity were asked to complete a full financial disclosure statement. The information received is as follows: the authors, Dr. Joshua Kern, Dr. Alexander Guinn, and Dr. Prayag Mehta; the peer reviewers, Dr. Jennifer Maccagnano and Dr. Mark Silverberg; the Editor-in-Chief, Dr. Andy Jagoda; the Associate Editor-in-Chief, Dr. Kaushal Shah; the Planning Peer Reviewer, Dr. Daniel Egan; and the Research Editors, Dr. Aimee Mishler and Dr. Joseph Toscano report no relevant financial relationships with ineligible companies.

Commercial Support: This issue of Emergency Medicine Practice did not receive any commercial support.

Earning Credit: (1) Go online to www.ebmedicine.net/CME and click on the title of the test you wish to take. When completed, a CME certificate will be emailed to you.

Hardware/Software Requirements: You will need a Macintosh or PC with internet capabilities to access the website.

Additional Policies: For additional policies, including our statement of conflict of interest, source of funding, statement of informed consent, and statement of human and animal rights, visit https://www.ebmedicine.net/policies.