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DATE RELEASED |
Emergency Department Management of Patients With Status Epilepticus
Date Release: Sep 2025
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 09/01/2025
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Difficult Airway Management in Trauma: A Review of Current Guidelines - Trauma EXTRA Supplement (Trauma CME)
Date Release: Aug 2025
This Trauma EXTRA CME supplement (free to Emergency Medicine Practice subscribers) reviews the latest guidelines on managing patients with difficult airways in the ED, the components of a successful difficult airway program, and how to implement a difficult airway response program in a community hospital setting. 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 08/15/2028.
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Updates and Controversies in the Early Management of Sepsis and Septic Shock (Infectious Disease CME and Pharmacology CME)
Date Release: Aug 2025
Early diagnosis and treatment of sepsis is key to survival, and the evolution of definitions, guidelines, and treatment protocols continues to influence ED management. This issue reviews the latest evidence on the diagnosis and treatment of sepsis in the ED. Includes 4 AMA PRA Category 1 Credits™. Included as part of the 4 credits, this CME activity is eligible for 2 Infectious Disease and 2 Pharmacology CME credits, subject to your state and institutional approval. CME expires on 08/01/2025
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Urgent Care Management of Diverticular Disease
Date Release: Aug 2025
This issue reviews colonic diverticular disease, exploring the etiology, pathophysiology, and clinical management in the urgent care setting. Includes 4 AMA PRA Category 1 Credits™. CME expires on 08/01/2025
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Emergency Department Management of Patients With Hand and Wrist Emergencies
Date Release: Jul 2025
Hand and wrist injuries can result in significant morbidity and disability if not managed promptly in the ED, with timely follow-up and specialist referral. This issue reviews common injuries and discusses appropriate disposition of patients with hand injuries. Includes 4 AMA PRA Category 1 Credits™. CME expires on 07/01/2025
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Ocular Injuries: Evidence-Based Strategies for Urgent Care Management (Trauma CME)
Date Release: Jul 2025
Minor ocular injuries can be managed in the urgent care setting, while vision-threatening injuries require prompt identification and referral. This issue discusses injuries to the eye itself—rather than the bony orbit, eyelid, or surround structures—as well as comprehensive management and emergency department or ophthalmology referral as needed. Includes 4 AMA PRA Category 1 Credits™. Included as part of the 4 credits, this CME activity is eligible for 3 Trauma CME credit, subject to your state and institutional approval. CME expires on 07/01/2028
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Emergency Department Management of Status Epilepticus in Pediatric Patients (Pharmacology CME)
Date Release: Jul 2025
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
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Emergency Department Management of Patients With Thyroid Emergencies (Pharmacology CME)
Date Release: Jun 2025
Thyroid emergencies are potentially life-threatening clinical diagnoses. This issue presents the most common comorbidities and physical findings seen in patients with decompensated hypothyroidism and thyroid storm. Includes 4 AMA PRA Category 1 Credits™. Included as part of the 4 credits, this CME activity is eligible for 1 Pharmacology CME credit, subject to your state and institutional approval. CME expires on 06/01/2028
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Evaluation and Management of Wrist Injuries in the Urgent Care Setting (Trauma CME)
Date Release: Jun 2025
Most wrist injuries are rarely life-threatening and can be managed in the urgent care setting. This issue details how a thorough physical examination complemented by appropriate imaging studies can lead to comprehensive management and referral as needed. Includes 4 AMA PRA Category 1 Credits™. Included as part of the 4 credits, this CME activity is eligible for 3 Trauma CME credits. CME expires on 06/01/2025
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Urgent Care Management of Migraine and Other Primary Headaches (Pain Management CME and Pharmacology CME)
Date Release: May 2025
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 05/01/2025.
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Emergency Department Management of Pediatric Sexual Abuse (Child Abuse CME, Sexual Assault CME, and Pharmacology CME)
Date Release: May 2025
This issue reviews the definitions and differential diagnosis of pediatric sexual abuse, offers guidance for assessment techniques and diagnostic considerations, and provides evidence-based recommendations for management strategies for children who have experienced sexual abuse. Includes 4 AMA PRA Category 1 Credits™. Included as part of the 4 credits, this CME activity is eligible for 4 Child Abuse CME credits, 4 Sexual Assault CME credits, and 1 Pharmacology CME credit, subject to your state and institutional approval. CME expires on 05/01/2025
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Pediatric Wound Care in the Emergency Department - Trauma EXTRA Supplement (Trauma CME)
Date Release: Apr 2025
This Trauma EXTRA CME supplement (free to Pediatric Emergency Medicine Practice subscribers) reviews the emergency department management of wound care in pediatric patients. 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 04/15/2028..
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Urgent Care Evaluation and Management of Pediatric Elbow and Forearm Pain, Part II (Trauma CME)
Date Release: Apr 2025
This article reviews both traumatic and nontraumatic causes of elbow and forearm pain in children that includes how to conduct a thorough physical examination in an injured child, using a conservative approach for imaging studies, and emergency department referral only for fracture concern. Includes 4 AMA PRA Category 1 Credits™. Included as part of the 4 credits, this CME activity is eligible for 3 Trauma CME credits. CME expires on 04/01/2025.
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Emergency Department Management of Knee Pain
Date Release: Mar 2025
For patients with knee pain, ruling out dangerous causes with appropriate testing and follow-up can contribute to increased patient comfort as well as healthcare cost savings. Includes 4 AMA PRA Category 1 Credits™. CME expires on 03/01/2028
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Management of Patients With Juvenile Idiopathic Arthritis in the Emergency Department
Date Release: Mar 2025
This issue reviews the clinical presentation of juvenile idiopathic arthritis (JIA), provides guidance for differentiating JIA from conditions with similar presentations, and offers recommendations for management of JIA and JIA-related complications in the emergency department. Includes 4 AMA PRA Category 1 Credits™. CME expires on 03/01/2025.
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Management of Traumatic Intracranial Hemorrhage in the Emergency Department (Trauma CME)
Date Release: Feb 2025
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
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Evaluation and Management of Ankle Injuries in Urgent Care (Trauma CME)
Date Release: Feb 2025
Most ankle injuries are rarely life-threatening and can be managed in the outpatient setting. This review details how a thorough physical examination complemented by appropriate imaging studies can lead to comprehensive management and referral as needed. 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 02/01/2025.
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Pediatric Apophysitis Management in the Emergency Department
Date Release: Feb 2025
This issue reviews the classic clinical findings associated with apophysitis, offers guidance for evaluation, and provides evidence-based recommendations for the management of patients with apophyseal injuries in the emergency department. Includes 4 AMA PRA Category 1 Credits™. CME expires on 02/01/2028.
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Management of Nephrolithiasis in the Urgent Care Setting
Date Release: Jan 2025
Nephrolithiasis has variable presentation and treatment recommendations in urgent care. This review aids clinicians in understanding the current evidence-based diagnostic and treatment recommendations for the management of patients who present to urgent care with nephrolithiasis. Includes 4 AMA PRA Category 1 Credits™. CME expires on 01/01/2028.
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Influenza in Urgent Care: 2024-2025 Season Update (Pharmacology CME and Infectious Disease CME)
Date Release: Dec 2024
This issue reviews the current diagnostic and therapeutic recommendations for the management of patients who present to urgent care with influenza-like illness. Includes 4 AMA PRA Category 1 Credits™. Included as part of the 4 credits, this CME activity is eligible for 2 Pharmacology CME credits and 4 Infectious Disease CME credits. CME expires on 12/01/2027.
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Management of Epistaxis in the Urgent Care Setting
Date Release: Nov 2024
This issue provides evidence-based management of the evaluation and treatment of epistaxis in the urgent care setting. It also discusses common causes of epistaxis and what presentations require higher level of care. Includes 4 AMA PRA Category 1 Credits™. CME expires on 11/01/2027.
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Diagnosis and Management of Acute Gastroenteritis in Adults in the Urgent Care Setting
Date Release: Oct 2024
This issue provides evidence-based recommendations for the diagnosis, treatment, and disposition of acute gastroenteritis in adults. It also highlights patient and environmental factors that can increase the likelihood of severe disease that warrants escalation of supportive care. Includes 4 AMA PRA Category 1 Credits™. CME expires on 10/01/2027.
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Emergency Department Management of Acute Scrotal Pain in Pediatric Patients
Date Release: Oct 2024
This issue reviews common causes of acute scrotal pain in pediatric patients. The literature is reviewed and recommendations are provided to guide the emergency clinician in appropriate management and disposition of boys with acute scrotal pain. Includes 4 AMA PRA Category 1 Credits™. CME expires on 10/01/2027.
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Urgent Care Management of Abnormal Uterine Bleeding in the Nonpregnant Patient
Date Release: Sep 2024
Abnormal uterine bleeding is a common and distressing experience for many women. Urgent care clinicians should have a comprehensive understanding of the pathophysiology and etiologies of this condition to effectively manage these patients. Includes 4 AMA PRA Category 1 Credits™. CME expires on 09/01/2027.
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Emergency Department Management of Patients With Complications of Dialysis
Date Release: Jul 2024
This issue reviews best practice management of hemodialysis and peritoneal dialysis patients presenting to the ED with complications of dialysis as well as conditions related to their end-stage renal disease. Includes 4 AMA PRA Category 1 Credits™. CME expires on 07/01/2027.
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Managing Emergency Department Patients With Opioid Use Disorder (Substance Use Disorders CME)
Date Release: Jun 2024
This issue provides guidance on managing ED patients with opioid overdose and withdrawal, best-practice recommendations on assessing patient readiness for medication for opioid use disorder (MOUD), and initiation strategies for MOUD. Includes 4 AMA PRA Category 1 Credits™. Included as part of the 4 credits, this CME activity is eligible for 4 Substance Use Disorders CME credits, subject to your state and institutional approval. CME expires on 06/01/2027. This CME activity is eligible for 4 credit hours toward the United States Department Justice Drug Enforcement Administration Medication Access and Training Expansion (MATE) requirements.
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Current Concepts in Ketamine Therapy in the Emergency Department (Pharmacology CME and Pain Management CME)
Date Release: May 2024
Ketamine has many established uses in the ED, including procedural sedation, analgesia, and intubation. This issue reviews current evidence for these uses, plus emerging uses for depression, asthma, status epilepticus, and alcohol use disorder. Includes 4 AMA PRA Category 1 Credits™. Included as part of the 4 credits, this CME activity is eligible for 4 Pharmacology CME credits and 1 Pain Management CME credit, subject to your state and institutional approval. CME expires on 05/01/2027.
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Evidence-Based Management of Angioedema in Urgent Care (Pharmacology CME)
Date Release: May 2024
While many cases are self-limiting, angioedema can be a symptom of a life-threatening emergency and requires thorough evaluation. Includes 4 AMA PRA Category 1 Credit™. Included as part of the 4 credits, this CME activity is eligible for 1 Pharmacology CME credit. CME expires on 05/01/2027.
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Managing Emergency Department Patients With Otalgia
Date Release: Apr 2024
Although ear pain is typically benign, a systematic approach to its evaluation and management will enable identification of serious causes, while ensuring appropriate treatment. Includes 4 AMA PRA Category 1 Credits™. CME expires on 04/01/2027.
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Brief Resolved Unexplained Events: Practical Evaluation and Management in the Emergency Department
Date Release: Apr 2024
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.
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Emergency Department Evaluation and Management of Constipation (Palliative Care CME)
Date Release: Mar 2024
Constipation is an increasingly common complaint in the ED, and though it is typically benign, serious causes and complications must be ruled out, and patients seeking relief can be given options for treatment and self-care. Includes 4 AMA PRA Category 1 Credits™. Included as part of the 4 credits, this CME activity is eligible for 0.5 Palliative Care CME credit, subject to your state and institutional approval. CME expires on 03/01/2027.
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Emergency Department Management of Patients With Right Heart Failure
Date Release: Feb 2024
Right heart failure can result from many etiologies – cardiovascular, pulmonary, infectious, and chronic disease. Recognition of RHF is essential for managing the underlying etiologies and avoiding decompensation. Includes 4 AMA PRA Category 1 Credits™. CME expires on 02/01/2027.
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The Timing-and-Triggers Approach to the Urgent Care Patient With Acute Dizziness (Stroke CME)
Date Release: Feb 2024
The diagnostic approach to dizziness has changed from a focus on symptom quality to a timing-and triggers approach. This approach can be used in urgent care to quickly differentiate benign dizziness from deadly causes. Includes 4 AMA PRA Category 1 Credit™. Included as part of the 4 credits, this CME activity is eligible 1 Stroke CME credit. CME expires on 02/01/2027.
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Evaluation and Management of Hypotensive Patients in the Emergency Department (Pharmacology CME)
Date Release: Dec 2023
When a patient presents to the ED with hypotension, it is essential to quickly determine the cause, to initiate appropriate treatment and avoid shock and end-organ damage. Includes 4 AMA PRA Category 1 Credits™. Included as part of the 4 credits, this CME activity is eligible for 1 Pharmacology CME credit, subject to your state and institutional approval. CME expires on 12/01/2026.
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Management of Pediatric Toxic Ingestions in the Emergency Department (Pharmacology CME)
Date Release: Dec 2023
This issue presents an evidence-based approach to common pediatric ingestions, with a focus on initial emergency department stabilization, diagnosis, and management of a selection of the most common and hazardous ingestions. 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 12/01/2026.
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Emergency Department Management of Pediatric Blunt Thoracic Injuries - Trauma EXTRA Supplement (Trauma CME)
Date Release: Nov 2023
This Pediatric Trauma EXTRA CME supplement (free to Pediatric Emergency Medicine Practice subscribers) reviews diagnostic and treatment modalities for commonly encountered injuries in pediatric blunt thoracic trauma. Includes 4 AMA PRA Category 1 Credits™. Included as part of the 4 credits, this CME activity is eligible for 4 Trauma CME credits, subject to your state and institutional approval. CME expires on 11/15/2026.
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Evidence-Based Emergency Department Management of Methamphetamine Toxicity (Pharmacology CME)
Date Release: Nov 2023
Patients presenting to the ED with symptoms of methamphetamine use are at risk for rhabdomyolysis, acute kidney injury, and cardiovascular complications if timely treatment is not initiated. Includes 4 AMA PRA Category 1 Credits™. Included as part of the 4 credits, this CME activity is eligible for 1 Pharmacology CME credit, subject to your state and institutional approval. CME expires on 11/01/2026.
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Management of Acute Asthma Exacerbations in Urgent Care (Pharmacology CME)
Date Release: Nov 2023
The management of asthma in urgent care is most often focused on stabilization of an acute exacerbation, after which the patient can be bridged to long-term management. Includes 4 AMA PRA Category 1 Credit™. Included as part of the 4 credits, this CME activity is eligible for 1 Pharmacology CME credits. CME expires on 11/01/2026.
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Ocular Injuries: Emergency Department Strategies - Trauma EXTRA Supplement (Trauma CME)
Date Release: Oct 2023
This Trauma EXTRA CME supplement (free to Emergency Medicine Practice subscribers) reviews evidence-based recommendations for the diagnosis, treatment, and disposition of patients with traumatic ocular injuries. 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 10/01/2026.
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Emergency Department Management of Patients With Rectal Bleeding
Date Release: Sep 2023
Rectal bleeding is a common, though distressing, complaint that may be benign or may be caused by a life-threatening condition. Determining the source of the bleeding is imperative to ensure prompt, appropriate treatment. Includes 4 AMA PRA Category 1 Credits™. CME expires on 09/01/2026.
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Evidence-Based Management of Pulmonary Embolism in the Emergency Department
Date Release: Aug 2023
The typical symptoms of pulmonary embolism – chest pain and dyspnea – can signal many other medical conditions, making swift identification of patient risk factors and the use of clinical pretest probability scoring systems essential for improving patient outcomes. Includes 4 AMA PRA Category 1 Credits™. CME expires on 08/01/2026.
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Emergency Department Management of Children With Macrocephaly
Date Release: Aug 2023
This issue discusses the evaluation and management of pediatric patients with macrocephaly in the emergency medicine setting, providing an evidence-based framework to recognition, initial assessment, and disposition of the child with a large head. Includes 4 AMA PRA Category 1 Credits™. CME expires on 08/01/2026.
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Diagnosing and Treating Pericarditis and Myocarditis in the Emergency Department
Date Release: Jul 2023
Pericarditis and myocarditis can present with chest pain, dyspnea, and fatigue, making them difficult to distinguish from ACS and heart failure. With many different causes, both infectious and noninfectious, a thorough history and examination can narrow the differential. Includes 4 AMA PRA Category 1 Credits™. CME expires on 07/01/2026.
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Hypertensive Emergencies: Guidelines and Best-Practice Recommendations (Pharmacology CME)
Date Release: Jun 2023
Knowing whether and how to treat hypertensive patients in the ED is challenging, and interpretation of guidelines is vital to improve patient outcomes. 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 06/01/2026.
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Emergency Department Management of Dangerous Back Pain in Children
Date Release: Apr 2023
This issue reviews rare but dangerous etiologies of pediatric back pain, highlights potential red-flag signs and symptoms, and provides recommendations for evaluating and managing children with undifferentiated back pain in the emergency department. Includes 4 AMA PRA Category 1 Credits™. CME expires on 04/01/2026
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Emergency Department Management of Infective Endocarditis-Associated Stroke (Stroke CME)
Date Release: Mar 2023
For ED patients presenting with symptoms of stroke, be alert to risk factors and history suggestive of endocarditis-associated neurologic complications, as thrombolytics are contraindicated. 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 03/01/2026.
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Diagnosis and Management of Blast Injuries in the Emergency Department (Trauma CME)
Date Release: Feb 2023
Managing patients injured in a blast event requires rapid assessment of the mechanism of blast and the likely injury patterns in order to diagnose and treat life-threatening injury. 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 02/01/2026.
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Acute Bronchiolitis: Assessment and Management in Urgent Care (Infectious Disease CME)
Date Release: Jan 2023
This issue reviews the current recommendations for the evaluation and treatment of pediatric patients who present to urgent care with acute bronchiolitis. 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 01/01/2026.
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Emergency Department Management of Surgical Airway Complications
Date Release: Nov 2022
Patients with tracheostomies and laryngectomies can present with complications including bleeding, dislodgment, obstruction, and infection, requiring quick intervention in the ED. Includes 4 AMA PRA Category 1 Credits™. CME expires on 11/01/2025.
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Evaluation and Management of Patients With Pharyngitis in Urgent Care (Pharmacology CME)
Date Release: Oct 2022
This issue reviews the evaluation and management of pharyngitis in urgent care, including the indications for testing and treatment for group A beta-hemolytic Streptococcus. 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 10/01/2025.
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Advances in Cardiac Resuscitation in the Emergency Department
Date Release: Sep 2022
When a patient presents to the ED in cardiogenic shock or cardiac arrest – including those who have implanted mechanical circulatory support devices – prompt diagnosis and treatment is essential to reduce mortality and improve patient outcomes. Includes 4 AMA PRA Category 1 Credits™. CME expires on 09/01/2025.
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Pediatric Ocular Trauma: Recognition and Management (Trauma CME and Pharmacology CME)
Date Release: Sep 2022
This issue provides guidance for a systematic eye examination and offers recommendations for immediate management of pediatric ocular trauma in the emergency department. Indications for emergent versus urgent ophthalmology referral are also discussed. Includes 4 AMA PRA Category 1 Credits™. Included as part of the 4 credits, this CME activity is eligible for 4 Trauma CME and 0.25 Pharmacology CME credits. CME expires on 09/01/2025
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Managing Acute Cardiac Valvular Emergencies in the Emergency Department
Date Release: Aug 2022
For patients presenting with syncope, dyspnea, edema, tachycardia, or chest pain, determining a potentially valvular origin is a key part of management. This issue reviews the signs, symptoms, and findings in aortic and mitral stenosis and regurgitation. Includes 4 AMA PRA Category 1 Credits™. CME expires on 08/01/2025.
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Urgent Care Management of Possible Rabies Exposure
Date Release: Jun 2022
Although rabies vaccine is rarely administered at urgent care centers, urgent care clinicians can play a role in the prevention of rabies before and after mammalian bites or exposures by identifying patients who require pre- or post-exposure prophylaxis. No CME for this activity.
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Management of Closed Head Injuries in Urgent Care
Date Release: May 2022
Patients with closed head injury (CHI) who present to UC require careful evaluation for any high-risk factors requiring imaging or ED transfer. This course reviews clinical guidelines and decision rules as well as recommendations for discharge. 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 05/01/2028.
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Urgent Care Management of Acute Gastroenteritis in Pediatric Patients (Pharmacology CME and Infectious Disease CME)
Date Release: Apr 2022
The most common discharge diagnosis for children who present to urgent care with nausea, vomiting, and diarrhea is acute gastroenteritis. This course reviews urgent care evidence-based recommendations for the evaluation and management of pediatric acute gastroenteritis. . Includes 4 AMA PRA Category 1 Credits™. Included as part of the 4 credits, this CME activity is eligible for 1 Pharmacology CME credit and 2 Infectious disease CME credits. CME expires on 04/15/2028
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Urgent Care Approach to the Syncopal Patient
Date Release: Apr 2022
Management of the syncopal patient in the UC setting requires distinguishing life-threatening causes from benign ones. Learn the common causes of syncope and the best tools for evaluating syncopal patients. Includes 4 AMA PRA Category 1 Credits™. CME expires 4/1/2028.
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Emergency Department Management of Rib Fractures
Date Release: Nov 2021
When rib fractures are suspected following blunt thoracic trauma, initiating multimodal pain control and choosing imaging based on patient risk factors is critical. No CME for this activity
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Emergency Department Management of Cervical Spine Injuries
Date Release: Oct 2021
Cervical spine injuries can have devastating consequences, and initial ED management is critical in determining the type of injury or fracture and choosing immobilization, imaging, and referral. No CME for this activity
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Management of Pediatric Transplant Patients in the Emergency Department
Date Release: Oct 2021
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. No CME for this activity
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Diagnosis and Management of Pediatric Primary Bone Tumors in the Emergency Department
Date Release: Jul 2021
This issue reviews the clinical presentation and management of the primary pediatric primary bone tumors that are most commonly encountered in the emergency department. Typical radiographic features are also reviewed, with a focus on differentiating between malignant and benign tumors as well as determining the tumor type based on the location in the bone. No CME for this activity
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Emergency Department Management of Syncope
Date Release: Jun 2021
Identifying the cause of syncope can be difficult, but a structured ED approach can help separate life-threatening causes from benign ones, reducing hospitalizations and improving care. No CME for this activity
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Consent, Refusal of Care, and Shared Decision-Making for Pediatric Patients in Emergency Settings
Date Release: May 2021
General consent, informed consent, refusal of care, and shared decision-making can be more complex in emergency settings involving pediatric patients. This issue reviews the essential elements of informed consent, the distinction between the informed consent process and the document, how to approach treatment refusal, and approaches to involving patients and their surrogates in shared decision-making. No CME for this activity
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The Child With a Syndrome: Considerations for Management in the Emergency Department
Date Release: Apr 2021
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. No CME for this activity
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Management of Acute Urinary Retention in the Emergency Department
Date Release: Mar 2021
While men, women, and children who present with urinary retention require fast, effective, and comfortable relief, it is essential to investigate the cause - structural, toxicologic, neurologic, or infectious - to prevent life-threatening sequelae. No CME for this activity
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Community-Acquired Pneumonia in the Emergency Department
Date Release: Feb 2021
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. No CME for this activity
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An Evidence-Based Approach to Nontraumatic Ocular Complaints in Children
Date Release: Feb 2021
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. No CME for this activity
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Pediatric Influenza in the Emergency Department: Diagnosis and Management
Date Release: Jan 2021
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. No CME for this activity
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Rhabdomyolysis: Evidence-Based Management in the Emergency Department
Date Release: 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. No CME for this activity
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Neonatal Resuscitation in the Emergency Department
Date Release: Dec 2020
This issue reviews updates of the best practices in neonatal resuscitation, describes over over-arching goals, and offers evidence-based recommendations for management of newborns who need resuscitation. No CME for this activity
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Management of Pediatric Head and Neck Infections in the Emergency Department
Date Release: Nov 2020
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. No CME for this activity
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Management of Deep Vein Thrombosis in the Emergency Department
Date Release: 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. CME expired on 10/01/2023. No CME for this activity
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Supraglottic Airway Devices for Pediatric Airway Management in the Emergency Department
Date Release: Oct 2020
This issue discusses types of supraglottic airway devices that are commonly used in pediatric patients, reviews indications and techniques for placement, and provides evidence-based recommendations for their use. The use of supraglottic airway devices in the patient with a difficult airway is also discussed. CME expired on 10/01/2023. No CME for this activity
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Emergency Care for Transgender and Gender-Diverse Children and Adolescents
Date Release: Sep 2020
Lack of knowledge of appropriate care and interactions with transgender and gender-diverse (TGD) youth can negatively affect the quality of emergency care a patient receives. This issue provides recommendations for caring for TGD children and adolescents in the ED and reviews the benefits and complications of social, medical, and surgical affirmation. CME expired on 09/01/2023. No CME for this activity
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Supraventricular Tachydysrhythmias in the Emergency Department
Date Release: 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. CME expired on 08/01/2023. No CME for this activity
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High-Flow Nasal Cannula and Noninvasive Ventilation in Pediatric Emergency Medicine
Date Release: Aug 2020
This issue provides a review of the primary forms of noninvasive ventilation used in pediatric patients (high-flow nasal cannula, continuous positive airway pressure, and bilevel positive airway pressure), indications for their use in the ED, and evidence-based recommendations for their use in the management of various disease processes. CME expired on 08/01/2023. No CME for this activity
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Ventilator Management of Adult Patients in the Emergency Department
Date Release: 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. CME expired on 07/01/2023. No CME for this activity
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Mechanical Ventilation of Pediatric Patients in the Emergency Department
Date Release: Jul 2020
This issue reviews indications for mechanical ventilation and offers recommendations for initial ventilator settings and management of ventilated pediatric patients, with a focus on patient populations in whom the approach to mechanical ventilation may be different. CME expired on 07/01/2023. No CME for this activity
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Acid-Base Disturbances: An Emergency Department Approach
Date Release: 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. CME expired on 06/01/2023. No CME for this activity
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An Evidence-Based Approach to Abnormal Vision in the Emergency Department
Date Release: 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. CME expired on 04/15/2023. No CME for this activity
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Identification and Management of Marine Envenomations in Pediatric Patients
Date Release: Apr 2020
This issue describes typical clinical presenting features associated with common and life-threatening marine envenomations and provides recommendations for management of marine envenomations based on the envenomating creature and the geographic location. CME expired on 04/15/2023. No CME for this activity
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Emergency Department Management of Patients With Failure to Thrive
Date Release: Mar 2020
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. CME expired on 03/15/2023. No CME for this activity
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Influenza in the Emergency Department: 2020 Update
Date Release: 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. CME expired on 02/01/2023. No CME for this activity
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Emergency Department Management of Eating Disorder Complications in Pediatric Patients
Date Release: Feb 2020
This issue provides a review of physical examination findings associated with eating disorders (anorexia nervosa, bulimia nervosa) and offers recommendations for treatment of acute complications of eating disorders, with a specific focus on the pathophysiology and management differences between a patient with an eating disorder and an otherwise healthy patient. CME expired on 02/01/2023. No CME for this activity
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Emergency Department Management of Rash and Fever in the Pediatric Patient
Date Release: Jan 2020
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. CME expired on 01/01/2023. No CME for this activity
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Pediatric Stroke: Diagnosis and Management in the Emergency Department
Date Release: Nov 2019
This issue reviews 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. CME expired on 11/01/2022. No CME for this activity
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Acute Bronchiolitis: Assessment and Management in the Emergency Department
Date Release: Oct 2019
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. CME expired on 10/01/2022. No CME for this activity
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Acute Appendicitis in Pediatric Patients: An Evidence-Based Review
Date Release: Sep 2019
This issue provides guidance for the management of children with appendicitis, including recommendations for diagnostic studies, pain management, prophylactic antibiotics, and surgical consultation. CME expired on 09/01/2022. No CME for this activity
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Pediatric Pain Management in the Emergency Department
Date Release: Aug 2019
This issue reviews pain assessment scales for preverbal patients (eg, the FLACC scale) and for self-reporting by patients and discusses pediatric pain management using nonpharmacologic techniques; topical, local, and regional anesthesia; and systemic agents (eg, acetaminophen, NSAIDs, and opioids). CME expired on 08/01/2022. No CME for this activity
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Evaluation and Management of Pediatric Patients With Penetrating Trauma to the Torso
Date Release: May 2019
This issue offers an evidence-based approach to the management of pediatric patients who present with penetrating trauma to the torso (including gunshot wounds and stab wounds). Guidance and recommendations for the physical examination, primary survey, and secondary survey are provided. CME expired on 05/01/2022. No CME for this activity
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Pediatric Community-Acquired Pneumonia: Diagnosis and Management in the Emergency Department
Date Release: Apr 2019
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. CME expired on 04/01/2022. No CME for this activity
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Blunt Cardiac Injury: Emergency Department Diagnosis and Management
Date Release: 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. CME expired on 03/01/2022. No CME for this activity
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First Trimester Pregnancy Emergencies: Recognition and Management
Date Release: 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. CME expired 01/01/2022. No CME for this activity
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Bioterrorism Attacks Involving Pediatric Patients: Preparedness and Early Recognition Are Critical
Date Release: Dec 2018
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
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Pediatric Bacterial Meningitis: An Update on Early Identification and Management
Date Release: Nov 2018
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
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Electrical Injuries in the Emergency Department: An Evidence-Based Review
Date Release: 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. CME expired on 11/01/2021. (No CME for this activity).
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Diagnosing and Managing Common Genital Emergencies in Pediatric Girls
Date Release: Oct 2018
This issue reviews the most common traumatic genital injuries (straddle injuries, hematomas, and impalement injuries) and nontraumatic genital emergencies (imperforate hymen and urethral prolapse), and provides evidence-based recommendations for their management in the ED. CME expired on 10/01/2021 - No CME for this activity
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Tick-Borne Illnesses: Identification and Management in the Emergency Department
Date Release: Sep 2018
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
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Emergency Department Management of Dental Trauma: Recommendations for Improved Outcomes in Pediatric Patients
Date Release: Aug 2018
Key aspects of managing pediatric dental trauma involve determining whether the affected dentition is primary or permanent and knowing which injuries need emergent intervention. This issue reviews common pediatric dental injuries and provides a systematic emergency medicine-based approach for appropriate evaluation and management of injuries including a fractured tooth, a luxated tooth, and an avulsed tooth.CME expired on 8/1/2021 - No CME for this activity
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Cannabinoids: Emerging Evidence in Use and Abuse
Date Release: 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. CME expired on 8/1/2021 - No CME for this activity
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Recognition and Management of Pediatric Thyroid Emergencies in the Emergency Department
Date Release: Jul 2018
The signs and symptoms of thyroid disease in children are vague and nonspecific, which can make accurate and timely diagnosis challenging. This issue reviews common presentations for emergencies of thyroid function and anatomy, including hypothyroidism, hyperthyroidism, thyroid nodules, and thyroid trauma, and provides evidence-based recommendations for evaluation and treatment of patients with various thyroid emergencies. CME expired on 7/1/2021 - No CME for this activity
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Emergency Department Management of Dyspnea in the Dying Patient
Date Release: 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. CME expired 07/01/2021 - No CME for this activity
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Management of Multiply Injured Pediatric Trauma Patients in the Emergency Department
Date Release: Jun 2018
When a child with multiple traumatic injuries presents to the ED, a systematic approach to evaluation and management will ensure that no major injuries are missed. This issue provides recommendations for early recognition of serious injuries, utilization of proper diagnostic studies, and rapid stabilization of injuries, which are key to reducing morbidity and mortality. CME expired on 06/01/2021 - No CME for this activity
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Managing Shoulder Injuries in the Emergency Department: Fracture, Dislocation, and Overuse
Date Release: 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. CME expires on 06/01/2021 - No CME for this activity
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Synthetic Drug Intoxication in Children: Recognition and Management in the Emergency Department
Date Release: May 2018
The continually changing chemical formulations of synthetic drugs makes recognition and diagnosis of intoxication from these substances challenging. This issue outlines common presentations of intoxication from synthetic cannabinoids, cathinones, and phenethylamines and summarizes best practices for evaluating and managing patients who present with intoxication after consumption of these synthetic drugs of abuse. CME expired on 5/1/2021 - No CME for this activity
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Recognizing and Managing Emerging Infectious Diseases in the Emergency Department
Date Release: 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. CME expired on 05/01/2021 - No CME for this activity
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Pediatric Emergency Transport: Communication and Coordination Are Key to Improving Outcomes
Date Release: Apr 2018
Whether you are at the referring facility, the accepting facility, or part of the transport team, communication and coordination during emergency transport are essential to ensuring the best possible outcomes for patients. This issue discusses the process of interfacility transfer, the role of the emergency clinicians involved with the transfer, and commonly used diagnostic studies and treatments needed during interfacility transfers of pediatric patients. Includes 4 AMA PRA Category 1 Credits™. CME expires 04/01/2021.
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Corticosteroid Use in Management of Pediatric Emergency Conditions
Date Release: Mar 2018
Although corticosteroids have been used for over half a century, their use for management of many pediatric conditions is controversial. This issue reviews the evidence-based role of corticosteroid use for management of acute asthma exacerbations, croup, acute pharyngitis, anaphylaxis, acute spinal injury, and bacterial meningitis. (No CME for this activity).
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Emergency Department Management of Smoke Inhalation Injury in Adults
Date Release: 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. (No CME for this activity).
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Acute Gastroenteritis: Evidence-Based Management of Pediatric Patients
Date Release: Feb 2018
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).
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Emergency Department Management of Patients With Thermal Burns
Date Release: 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. (No CME for this activity).
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Management of Inflammatory Bowel Disease Flares in the Emergency Department
Date Release: 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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Pediatric Orthopedic Injuries: Evidence-Based Management in the Emergency Department
Date Release: Sep 2017
This issue reviews the etiology and pathophysiology of child-specific fractures, as well as common injuries of the upper and lower extremities. Evidence-based recommendations for management of pediatric fractures, including appropriate diagnostic studies and treatment, are also discussed. (No CME for this activity).
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Emergency Management of Renal and Genitourinary Trauma: Best Practices Update
Date Release: 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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Dental Emergencies: Management Strategies That Improve Outcomes
Date Release: 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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Noninvasive Ventilation For Patients In Acute Respiratory Distress: An Update
Date Release: 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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Emergency Department Management of Priapism (Pharmacology CME)
Date Release: 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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Optimizing Survival Outcomes for Adult Patients with Nontraumatic Cardiac Arrest (Pharmacology CME)
Date Release: 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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