This issue provides evidence-based recommendations for the recognition, diagnosis, and management of intracranial hemorrhage following intravenous thrombolysis for acute ischemic stroke, including diagnostic workup, reversal agents, blood pressure management, and escalation of care. Includes 4 AMA PRA Category 1 Credits™. Included as part of the 4 credits, this CME activity is eligible for 4 Stroke CME credits and 1 Pharmacology CME credit, subject to your state and institutional approval. CME expires on 08/01/2029.

This Trauma EXTRA supplement (free to Pediatric Emergency Medicine Practice subscribers) provides an evidence-based review of the diagnosis and management of pediatric cervical spine injuries in the emergency department, covering prehospital care, spinal immobilization, clinical decision-making rules, imaging strategies, and initial ED treatment. 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 07/15/2029.

This issue provides an evidence-based review of tranexamic acid (TXA) for the management of acute hemorrhage in pediatric patients and offers guidance for its use across a range of bleeding scenarios 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 Pharmacology CME credits, subject to your state and institutional approval. CME expires on 07/01/2029.

This issue reviews the diagnosis and management of heat-related illness, from heat cramps and heat exhaustion to life-threatening heat stroke, with evidence-based guidance on cooling methods, complication management, and disposition. Includes 4 AMA PRA Category 1 Credits™. CME expires on 06/01/2029.

Severe traumatic brain injury remains a leading global cause of death and long-term disability. This issue highlights critical early interventions and evolving best practices that can shape patient outcomes. Includes 4 AMA PRA Category 1 Credits™. Included as part of the 4 credits, this CME activity is eligible for 4 Trauma CME credits, subject to your state and institutional approval. CME expires on 03/01/2029

This issue provides an evidence-based approach for emergency management of children with medical complexity who use 3 commonly encountered technologies: tracheostomies, enteral feeding tubes, and cerebrospinal fluid shunts. Includes 4 AMA PRA Category 1 Credits™. CME expires on 03/01/2029

Syphilis can present in many forms, depending on the stage of infection, and swift recognition and targeted testing is paramount to prevent long-term morbidity and public health impacts. 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 3 Pharmacology CME credits, subject to your state and institutional approval. CME expires on 01/01/2029

This Stroke EXTRA CME supplement (free to Emergency Medicine Practice subscribers) reviews the occurrence of stroke in young adults, along with evidence-based guidance on the assessment and management of this patient population to reduce the extent of disability. 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 12/20/2028.

This Stroke EXTRA CME supplement (free to Emergency Medicine Practice subscribers) reviews ED management of cerebral venous sinus thrombosis, an uncommon cause of stroke. 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 10/01/2028.

This issue provides evidence-based guidance for the diagnosis and treatment of the most common presenting symptoms in international travelers, including fever, diarrhea, and rash. Includes 4 AMA PRA Category 1 Credits™. Included as part of the 4 credits, this CME activity is eligible for 4 Infectious Disease credits and 2 Pharmacology CME credits, subject to your state and institutional approval. CME expires on 10/01/2028.

Effective ED management of status epilepticus includes an algorithmic approach to termination of seizures as well as management of the underlying cause: acute, nonacute, or chronic. Includes 4 AMA PRA Category 1 Credits™. CME expires on 09/01/2028.

This issue discusses the presentation, diagnosis, management, and prognosis of simple febrile seizures and complex febrile seizures in children. Includes 4 AMA PRA Category 1 Credits™. CME expires on 09/01/2028

This printable PDF compiles all 42 of the 2023 issues of Points & Pearls for Emergency Medicine Practice, Pediatric Emergency Medicine Practice, and Evidence-Based Urgent Care. FREE to complete bundle subscribers. (No CME for this activity).

This issue reviews the updated International League Against Epilepsy definition of status epilepticus and discusses evidence-based medication recommendations and treatment protocols for management of pediatric status epilepticus in the emergency department. Includes 4 AMA PRA Category 1 Credits™. Included as part of the 4 credits, this CME activity is eligible for 2 Pharmacology CME credit, subject to your state and institutional approval. CME expires on 07/01/2028

ED management of patients with the chronic neurologic diseases, Parkinson, myasthenia gravis, and multiple sclerosis, requires targeted management strategies based on patient history and disease course. 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 05/01/2028

Headache is among the most common chief complaints seen in urgent care. This article reviews management strategies for primary headache disorders, which include migraine, tension-type headache, and cluster headache, as well as secondary headache disorders such as medication overuse headache. Includes 4 AMA PRA Category 1 Credits™. Included as part of the 4 credits, this CME activity is eligible for 2 Pain Management CME credits and 2 Pharmacology CME credits. CME expires on 05/01/2028.

This Trauma EXTRA CME supplement (free to Emergency Medicine Practice subscribers) reviews the latest evidence on managing mild traumatic brain injury, or concussion, 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 CME credits. CME expires on 02/15/2028

This issue reviews the evidence on the diagnosis and treatment of patients with suspected traumatic intracranial hemorrhage. Includes 4 AMA PRA Category 1 Credits™. Included as part of the 4 credits, this CME activity is eligible for 4 Trauma CME credits, subject to your state and institutional approval. CME expires on 02/01/2028

This issue provides an evidence-based review of pediatric primary headache disorders and offers guidance 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 2 Pain Management credits and 2 Pharmacology CME credits. CME expires on 01/01/2028.

Low back pain is usually due to benign causes, but emergency clinicians must be able to identify red flag causes of pain in order to avoid patient morbidity, disability, and mortality. Includes 4 AMA PRA Category 1 Credits™. CME expires on 11/01/2027

This Stroke EXTRA CME supplement (free to Emergency Medicine Practice subscribers) reviews the evaluation and management of stroke in the setting of drug intoxication and substance use disorder. Includes 4 AMA PRA Category 1 Credits™. Included as part of the 4 credits, this CME activity is eligible for 4 Stroke credits, 2 Substance Use credits, and 1 Controlled Substances credit. CME expires on 09/15/2027.

This issue reviews the presentation, evaluation, and management of pediatric patients with COVID-19, MIS-C, and long COVID. Includes 4 AMA PRA Category 1 Credits™. CME expires on 07/01/2027.

This Stroke EXTRA CME supplement (free to Emergency Medicine Practice subscribers) reviews the use of ultrasound in acute stroke, with a focus on applications of interest to emergency clinicians. 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 05/15/2027.

Many patients with low-risk electrical injuries can be safely managed in and discharged from urgent care, but clinicians must also be able to recognize high-risk injuries. Includes 4 AMA PRA Category 1 Credit™. Included as part of the 4 credits, this CME activity is eligible 4 Trauma CME credit. CME expires on 04/01/2027.

This issue reviews the definition of a brief resolved unexplained event (BRUE), summarizes the risk-stratification criteria for infants who experience a BRUE, provides management recommendations for patients with a lower-risk BRUE, and also discusses literature published since 2016 that expands on that guidance to include the higher-risk group. Includes 4 AMA PRA Category 1 Credits™. CME expires on 04/01/2027.