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

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.

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

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

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

Before or after mammalian bites or exposures, rabies is completely preventable, but ED management must be timely and administered correctly. Includes 4 AMA PRA Category 1 Credits™. Included as part of the 4 credits, this CME activity is eligible for 4 Infectious Disease CME credits. CME expires on 04/01/2024

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.

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

Recommendations on risk stratification, imaging, testing, and drug therapies for CAP are evolving continuously. This issue reviews the latest evidence on managing CAP in the ED. Includes 4 AMA PRA Category 1 Credits™. Included as part of the 4 credits, this CME activity is eligible for 4 Infectious Disease CME credits. CME expires on 02/01/2024

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

This course combines video, audio, and digital components to review ventilator management for adult patients, mechanical ventilation and supraglottic airway devices for pediatric patients, and intubation of COVID-19 patients. 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.

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.

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

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

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)

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

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.

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.

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

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 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. 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 0.5 Pharmacology CME credits. CME expires on 01/01/2023.

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. 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 0.5 Pharmacology CME credits. CME expires on 12/01/2022.

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. 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 10/01/2022.

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. 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 07/01/2022.

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.

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. Includes 4 AMA PRA Category 1 Credits™. Included as part of the 4 credits, this CME activity is eligible for 0.5 Pharmacology CME and 4 Infectious Disease CME credits. CME expires on 04/01/2022.

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. Includes 4 AMA PRA Category 1 Credits™. Included as part of the 4 credits, this CME activity is eligible for 1 Pharmacology CME and 4 Infectious Disease CME credits. CME expires on 04/01/2022.

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. Includes 4 AMA PRA Category 1 Credits™. Included as part of the 4 credits, this CME activity is eligible for 0.5 Infectious Disease, 0.5 Pharmacology, and 0.25 Sexual Assault CME credits. CME expires on 02/01/2022.

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

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

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

This issue reviews the common etiologies of acute gastroenteritis, discusses more-severe conditions that should be considered in the differential diagnosis, and provides evidence-based recommendations for management of acute gastroenteritis in patients with mild-to-moderate dehydration, severe dehydration, and hypoglycemia. (No CME for this activity).

This issue reviews the signs and symptoms of GAS pharyngitis, as well as associated complications, and provides recommendations for appropriate treatment that focuses on reducing the severity and duration of symptoms, reducing the incidence of nonsuppurative complications, and reducing transmission. (No CME for this activity).

This issue discusses the most common as well as the life-threatening etiologies of acute and chronic stridor and its management in the emergency department. (No CME for this activity).

This issue presents strategies and algorithms for the early use of evidence-based interventions, including appropriate use of antibiotics, bronchodilators, and corticosteroids, along with noninvasive ventilation with capnography, to minimize morbidity and mortality associated with this disease. (No CME for this activity).

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).

Diagnosis and recommended emergency room treatment and management of diphtheria, pertussis, and tetanus, including isolation protocol and obtaining diphtheria antitoxin from the CDC. 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 3/1/2020

Recognize the distinctive features of rashes associated with measles, rubella, and varicella; identify children at risk for severe complications; and evaluate treatment options. 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 12/01/2019.

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

This issue focuses on the clinical evaluation and treatment of patients with acute rheumatic fever by offering a thorough review of the literature on diagnosis and recommendations on appropriate treatment. Includes 4 AMA PRA Category 1 Credits™. Included as part of the 4 credits, this CME activity is eligible for 2 Infectious Disease CME and 0.25 Pharmacology CME credits. CME expires on 8/1/2019

Ebola virus disease (EVD) is a severe multisystem disease. Prehospital personnel, hospitals, and clinicians must be prepared to provide care for patients with EVD, with special attention to rigorous infection control in order to limit the spread of infection. 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 7/1/2019

This study guide, available online, is designed to prepare emergency medicine physicians to pass the ABEM exam, as required to maintain board certification. It includes our "pass-or-it's-free" guarantee, as well as 35 AMA PRA Category 1 CME Credits™ (Specialty CME credits also included: 3 hours trauma credit, and 6 hours ethics credit) (CME expires 11/30/2023).

In-depth look at the treatment of human and animal bites, including the timing of wound closure, the use of prophylactic antibiotics, and the latest recommendations for rabies postexposure prophylaxis (PEP). 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 4/1/2019

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.

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

Identifies common organisms that cause catheter-associated bloodstream infections, provides guidelines for empiric antibiotic therapy for children with central venous catheters, and discusses signs and symptoms of sepsis. Includes 4 AMA PRA Category 1 Credits™. CME expires on 12/01/2018.

This issue reviews the various international guidelines for pharyngitis and notes controversies in diagnostic and treatment strategies, specifically for management of suspected bacterial, viral, and fungal etiology.

Reviews signs and symptoms of myocarditis and pericarditis in children, diagnostic tests, and treatment strategies for both conditions. Includes 4 AMA PRA Category 1 Credits™. Included as part of the 4 credits, this CME activity is eligible for 1.5 Pharmacology CME credits. CME expires on 07/01/2018.

This issue of Emergency Medicine Practice will focus on the recognizing and managing Septic Shock

This issue of Pediatric Emergency Medicine Practice will focus on the management of children with skin and soft-tissue infections, based on the current literature.

Get this digital 2015 Lifelong Learning and Self-Assessment Study Guide for only $99! Includes 35 CME credits (CME expires 1/1/23). NOTE: The 2015 ABEM exam is no longer available.

This issue reviews the presentation, diagnostic criteria, and management of Kawasaki disease in the emergency department. Emergency clinicians should consider Kawasaki disease as a diagnosis in pediatric patients presenting with prolonged fever, as prompt evaluation and management can significantly decrease the risk of serious cardiac sequelae.

This review discusses the diagnosis and treatment of the 3 most common mosquito-borne illnesses seen in the United States: Plasmodium falciparum malaria, dengue, and West Nile virus.

In this issue, a systematic approach to the workup and treatment of a child who presents with possible acute hematogenous osteomyelitis is discussed. The most critical components of the history and physical examination, diagnostic studies, and treatment options are reviewed, including algorithms to guide management. Special populations are given consideration throughout the discussion, and management algorithms are provided.

This issue reviews the common clinical presentations of the herpes simplex virus, the life-threatening infections that require expedient identification and management, and recommended treatment regimens.

This issue of Emergency Medicine Practice provides an evidence-based review of asthma as it relates to emergency department (ED) care and establishes best-practice approaches to management.

This issue of Pediatric Emergency Medicine Practice will present evidence-based recommendations for the diagnosis of AOM and will review the efficacy of different treatment modalities.

Manifestations of hyponatremia, which is one of the more common electrolyte abnormalities in clinical medicine, depend on multiple factors, including the chronicity of the symptoms, the absolute level of sodium, and the patient's overall health.

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 issue of Pediatric Emergency Medicine Practice will review the epidemiology and pathophysiology of pediatric rhinosinusitis, review current guidelines differentiating viral and bacterial rhinosinusitis, and offer recommendations on appropriate therapies for treating this common condition.

This issue of Emergency Medicine Practice reviews the available evidence and consensus guidelines for the management of common infectious diseases presenting to the ED and presents recommendations for treatment.

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 Pediatric Emergency Medicine Practice provides the results of these evidencebased studies and the most up-to-date guidelines to assist the emergency clinician in caring for pediatric patients presenting with jaundice.

The goal of this review is to provide an analysis of the current literature and recommendations regarding the diagnosis and management of CA-MRSA in the ED based on the best available evidence.

Given the possible severe sequelae of enteroviral infection in neonates, this issue of Pediatric Emergency Medicine Practice explores the controversy of taking an evidence-based approach. The clinical presentation of enteroviral infection and the potential complications arising from the infection will be described. Furthermore, the diagnostic evaluation of the newborn baby including the utility of viral studies and treatment availability will be discussed.

Fever is a common presenting complaint among pediatric patients, accounting for approximately 20% of emergency department (ED) visits by children. Hence, management of the febrile child is a challenge faced by emergency physicians on a daily basis. Despite the fact that the vast majority of children with fever have self-limited viral illnesses, there is a finite number who may harbor serious bacterial illnesses (SBIs), and, in many cases, these patients are clinically indistinguishable from the rest. The emergency physician's challenge is to identify and treat those children who have SBIs while avoiding overtreatment with antibiotics of those without SBIs, thereby limiting the propagation of antimicrobial resistance.

This issue of Emergency Medicine Practice provides a systematic review of the diseases that present with a chief complaint of "swollen extremity" and provides a costeffective approach to guide in the selection of diagnostic tests to aid in clinical decision-making.

In this issue of Pediatric Emergency Medicine Practice, we will review the available evidence on the evaluation of a child with a non traumatic limp.

This issue of Pediatric Emergency Medicine PRACTICE focuses on the identification, evaluation, and treatment of diseases in the returning international child traveler who presents with fever.

This issue of Emergency Medicine Practice will address the unique issues involved in assessment and treatment of the febrile senior. Special attention is given to differences in presentation between the infected elderly and younger adults.