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 printable PDF compiles all 42 of the 2024 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).

The essential information about antibiotic stewardship that every urgent care clinician needs. One 43-minute video module plus a printable Antibiotic Prescribing Guidelines for easy reference. No CME credit.

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

This issue discusses the epidemiology, pathophysiology, diagnosis, and current recommended management of pediatric diphtheria, pertussis, and tetanus 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 and 1 Pharmacology CME credit, subject to your state and institutional approval. CME expires on 08/01/2028

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

This 12-module video course and interactive companion workbook will help you master all aspects of laceration management, featuring step-by-step animated videos and cadaver demonstrations of suture techniques. Includes 8 AMA PRA Category 1 Credits™. CME expires on 06/10/2028.

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

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 05/01/2025.

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

This issue reviews various etiologies and patient presentations of common SSTIs, discusses findings on the history and physical examination that can differentiate SSTIs from mimics, and provides evidence-based recommendations for management of SSTIs 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 and 1 Pharmacology CME credit, subject to your state and institutional approval. CME expires on 04/01/2025

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.

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.

This issue provides an evidence-based approach to the diagnosis, workup, and management of common pediatric ear complaints including acute otitis media, acute otitis externa, acute mastoiditis, and foreign bodies in the ear canal. Includes 4 AMA PRA Category 1 Credits™. Included as part of the 4 credits, this CME activity is eligible for 3 Infectious Disease credits and 1 Pharmacology CME credits. CME expires on 12/01/2027.

The 2025 Lifelong Learning & Self-Assessment Study Guide is designed to prepare emergency medicine physicians to pass the ABEM LLSA exam as well as update you on current topics in emergency medicine. Includes 24 AMA PRA Category 1 Credits™ and 24 Category 2-B credit hours from the American Osteopathic Association. Included as part of the 24 credits, this CME activity is eligible for 2 Cultural Competency credits, 2 Infectious Disease credits, 2 Pain Management credits, 10 Pharmacology credits, 1 Trauma credit. CME expires on 09/01/2027.

Acute otalgia is a common complaint seen in the urgent care. Understanding the broad differential of the many forms of acute otitis media and acute otitis externa is necessary to avoid misdiagnosis and antibiotic overuse. Includes 4 AMA PRA Category 1 Credits™. Included as part of the 4 credits, this CME activity is eligible for 3 Pharmacology CME credits and 4 Infectious Disease CME credits. CME expires on 08/01/2027.

This 8-hour course provides training on the treatment and management of patients with opioid or other substance use disorders. It is eligible for 8 credit hours toward the United States Department of Justice Drug Enforcement Administration Medication Access and Training Expansion (MATE) requirements. Includes 8 AMA PRA Category 1 Credits™. Included as part of the 8 credits, this CME activity is eligible for 4 Substance Use Disorders CME credits, 3 Controlled Substances CME credits, and 2 Pharmacology CME credits. CME expires on 10/1/2026.

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.

Urgent care management of HIV includes screening and testing, prescribing of PEP, and treatment of patients with an established diagnosis. Includes 4 AMA PRA Category 1 Credit™. Included as part of the 4 credits, this CME activity is eligible for 4 Infectious Disease CME credits, 4 HIV CME credits, and 2 Pharmacology CME credits. CME expires on 06/01/2027.

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.

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.

This Trauma EXTRA CME supplement (free to Emergency Medicine Practice subscribers) reviews the latest evidence on managing snake envenomations 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 credits and 1 Pharmacology credits. CME expires on 02/15/2027.

This issue reviews the most up-to-date evidence to provide recommendations for evaluation and management of febrile young infants aged ≤60 days. 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 1 Infectious Disease CME credit. CME expires on 02/01/2027.

It is often challenging to distinguish bacterial from viral causes of pneumonia in children, but this distinction is vital for effective treatment. This issue provides guidance for the diagnosis and management of pediatric community-acquired pneumonia in the urgent care setting. Includes 4 AMA PRA Category 1 Credit™. Included as part of the 4 credits, this CME activity is eligible 4 Infectious Disease and 1 Pharmacology CME credits. CME expires on 01/01/2027.

This issue reviews best practices for the diagnosis and management of urinary tract infection in pediatric patients presenting to the emergency department. 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 01/01/2027.

This Stroke EXTRA CME supplement (free to Emergency Medicine Practice subscribers) reviews the risk factors and management recommendations for stroke in pregnant and postpartum patients. Includes 4 AMA PRA Category 1 Credits™. Included as part of the 4 credits, this CME activity is eligible for 4 Stroke credits and 1 Pharmacology credits. CME expires on 12/15/2026.

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.

The causes of acute joint pain are varied, but this urgent care presentation must always prompt consideration for infectious causes, including septic arthritis. Includes 4 AMA PRA Category 1 Credit™. Included as part of the 4 credits, this CME activity is eligible 1 Pharmacology and 1 Pain Management. CME credits CME expires on 12/01/2026.

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.

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.

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.

This issue provides an evidence-based guide to identifying and managing the most common pediatric diabetic complications and emergencies. 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 11/01/2026.

This issue reviews the latest evidence on ED headache medications, nerve blocks, and therapies to prevent rebound headache and medication overuse headache. 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 1 Pain Management credit, subject to your state and institutional approval. CME expires on 10/01/2026.

Mild to moderately severe PID can be managed in the urgent care setting with prompt diagnosis and evidence-based treatment recommendations. 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 1 Pharmacology CME credits. CME expires on 10/01/2026.

This issue reviews commonly used substances in the adolescent population and provides a general framework for approaching, assessing, and managing these patients. Includes 4 AMA PRA Category 1 Credits™. Included as part of the 4 credits, this CME activity is eligible for 3 Controlled Substances CME credits and 2 Pharmacology CME credits. CME expires on 10/01/2026.

The 2024 Lifelong Learning & Self-Assessment Study Guide is designed to prepare emergency medicine physicians to pass the ABEM LLSA exam as well as update you on current topics in emergency medicine. Includes 26 AMA PRA Category 1 Credits™ and 26 Category 2-B credit hours from the American Osteopathic Association. Included as part of the 26 credits, this CME activity is eligible for 4 Addiction Disorders credits, 1 Geriatrics credit, 5 Infectious Disease credits, 9 Pharmacology credits, 1 Pain Management credit, 2 Palliative Care credits, 1 Patient Safety credit, 1 Terminally Ill Care credit. CME expires on 09/01/2026.

This Trauma EXTRA CME supplement (free to Pediatric Emergency Medicine Practice subscribers) reviews evidence-based recommendations for the ED management of mammalian bites 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 and .25 Pharmacology CME credits, subject to your state and institutional approval. CME expires on 09/01/2026.

The causes of red eye presentations in urgent care can range from benign to vision threatening. Includes 4 AMA PRA Category 1 Credits™. Included as part of the 4 credits, this CME activity is eligible for 1 Infectious Disease and .25 Pharmacology CME credits. CME expires on 08/01/2026.

This Stroke EXTRA CME supplement (free to Emergency Medicine Practice subscribers) reviews evidence-based recommendations for the ED evaluation and management of patients with acute intracerebral hemorrhage. Includes 4 AMA PRA Category 1 Credits™. Included as part of the 4 credits, this CME activity is eligible for 4 Stroke and .5 Pharmacology CME credits, subject to your state and institutional approval. CME expires on 07/20/2026.

This issue reviews the current evidence on evaluation and management of skin and soft-tissue infections, including identification cellulitis, abscess, and necrotizing infections. Includes 4 AMA PRA Category 1 Credits™. Included as part of the 4 credits, this CME activity is eligible for 4 Infectious Disease and 1 Pharmacology CME credits. CME expires on 07/01/2026.

This issue reviews evidence-based approaches to emergency department management of moderate to severe acute asthma in pediatric patients. Includes 4 AMA PRA Category 1 Credits™. Included as part of the 4 credits, this CME activity is eligible for 2 Pharmacology CME credit. CME expires on 07/01/2026.

While presentations are sometimes nonspecific, timely diagnosis and treatment of tick-borne illnesses are critical. This issue reviews the diagnosis and management of the tick-borne illnesses most likely to be seen in urgent care. Includes 4 AMA PRA Category 1 Credits™. Included as part of the 4 credits, this CME activity is eligible for 4 Infectious Disease and 1 Pharmacology CME credits. CME expires on 06/01/2026.

This issue reviews resuscitation of children in cardiac arrest and highlights practice changes in the 2020 Pediatric Advanced Life Support guidelines. Includes 4 AMA PRA Category 1 Credits™. Included as part of the 4 credits, this CME activity is eligible for 1 Pharmacology CME credit. CME expires on 06/01/2026

This issue reviews the general approach, differential diagnosis, and initial workup and management of life-threatening causes of pediatric headaches. Includes 4 AMA PRA Category 1 Credits™. Included as part of the 4 credits, this CME activity is eligible for 1 Stroke CME credit and 1 Pharmacology CME credit. CME expires on 05/01/2026

This issue reviews evidence-based recommendations and current guidelines for management of community-acquired pneumonia in urgent care settings. Includes 4 AMA PRA Category 1 Credits™. Included as part of the 4 credits, this CME activity is eligible for 1 Pharmacology and 4 Infectious Disease CME credits. CME expires on 04/01/2026.

This issue reviews the updated guidelines for the diagnosis and treatment of sexually transmitted infections. Includes 4 AMA PRA Category 1 Credits™. Included as part of the 4 credits, this CME activity is eligible for 3 Pharmacology and 4 Infectious Disease CME credits. CME expires on 03/01/2026.

This issue reviews sodium, potassium, calcium, magnesium, and phosphorus abnormalities, and provides a systematic approach to the evaluation and management of the ill child with an electrolyte emergency. Includes 4 AMA PRA Category 1 Credits™. Included as part of the 4 credits, this CME activity is eligible for 1 Pharmacology credits. CME expires on 02/01/2026

This issue reviews evidence-based approaches to assessment and management of pain in pediatric patients, with a focus on optimizing nonopioid pain management as a first approach and using opioid medications safely, when appropriate. Includes 4 AMA PRA Category 1 Credits™. Included as part of the 4 credits, this CME activity is eligible for 4 Pain Management credits, 4 Controlled Substances credits, 4 Pharmacology credits, and 1 Addiction Disorders credit. CME expires on 01/01/2026

With evolving research on the causes of pelvic inflammatory disease, emergency clinicians must recognize and treat PID according to the latest evidence and guidelines. 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 2 Pharmacology CME credits. CME expires on 12/01/2025.

Angioedema can cause life-threatening airway compromise, and determining the cause is essential to timely management. 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 10/01/2025.

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.

This issue provides an evidence-based approach to management of fever in children aged 3 to 36 months, focusing primarily on fever without a source. Includes 4 AMA PRA Category 1 Credits™. Included as part of the 4 credits, this CME activity is eligible for 1 Pharmacology CME credit. CME expires on 10/01/2025

Urinary tract infection is a common presentation in urgent care, but complications, atypical presentations, UTI mimics, and antibiotic resistance can present management challenges. No CME for this activity

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. No CME for this activity

This issue reviews the current evidence for the evaluation, cleansing, and repair of wounds and lacerations in the urgent care setting. No CME for this activity

This issue reviews the current evidence for initial assessment and acute management of firearm injuries to the extremities of pediatric patients. No CME for this activity

The 2023 Lifelong Learning & Self-Assessment Study is designed to prepare emergency medicine physicians to pass the ABEM LLSA exam as well as update you on current topics in emergency medicine. No CME for this activity.

Quickly differentiating anaphylaxis from lower-risk allergic reactions in the ED is essential for patient safety and comfort. No CME for this activity

Procedural sedation and analgesia are essential in emergency medicine. This issue reviews how to choose the optimal agents and procedures, individualized for each patient. No CME for this activity.

Review the most current information on ED management of skin and soft-tissue infection, including dangerous necrotizing infections. No CME for this activity.

This issue discusses materials, methods, and monitoring for pediatric patients undergoing nerve blocks in the emergency department. Recognition and management of local anesthetic systemic toxicity syndrome and special considerations for pediatric patients are also reviewed. No CME for this activity.

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

This Trauma EXTRA CME supplement (free to Emergency Medicine Practice subscribers) reviews the current evidence for the evaluation, cleansing, and repair of wounds and lacerations in the ED. No CME for this activity

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. No CME for this activity

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. No CME for this activity

The 2022 Lifelong Learning & Self-Assessment Study Guide will prepare you for the ABEM LLSA examination as well as update you on current topics in emergency medicine. No CME for this activity.

This issue provides recommendations for the clinical evaluation and management of pediatric patients who have been envenomated by spiders, bees, wasps, fire ants, scorpions, snakes, or lizards. Indications for antivenom use and dosing recommendations are also provided. No CME for this activity

ED management of HIV patients now includes management of age-related concerns, side effects of antiretroviral therapies, and PEP and PrEP regimens. No CME for this activity

This Pharmacology EXTRA supplement (free to Emergency Medicine Practice subscribers) reviews the management of alcohol withdrawal syndrome. No CME for this activity

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

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

This Pharmacology EXTRA CME supplement (free to Emergency Medicine Practice subscribers) provides an evidence-based overview of emergency department management of calcium-channel blocker overdose, beta blocker overdose, and digoxin toxicity, and focuses on the caveats of treatment for each. CME expired on 09/01/2023. No CME for this activity

Review the recognition and management of intoxication emergencies in adults, adolescents, and children associated with cannabinoids, synthetic cannabinoids, and other synthetic “designer drugs,” including cathinones, phenethylamines, and methoxetamine. Presentations are discussed for both adult and pediatric patients Emergency Medicine Practice and Pediatric Emergency Medicine Practice subscribers receive this content & CME Credit absolutely free! Log in or subscribe now to gain instant access.

Life-threatening secondary headache can be due to vascular disorders or trauma, and they can present with sudden, severe onset. This course presents the red flag signs for the most dangerous causes of life-threatening headaches, with recommendations on swift imaging and treatment. No CME for this activity.

This issue reviews common presentations and causes of neonatal seizures, provides recommendations for management in the ED, and evaluates the evidence regarding antiepileptic medications for neonates. CME expired on 06/01/2023. No CME for this activity

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

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™. CME expired on 02/15/2023. No CME for this activity

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

This EXTRA Stroke CME supplement (free to Emergency Medicine Practice subscribers) provides evidence-based recommendations for common causes of ischemic stroke and hemorrhagic stroke in children, offers guidance for differentiating stroke from its mimics, discusses indications for diagnostic studies, and provides recommendations for treatment of pediatric stroke in the emergency department. CME expired on 12/01/2022. No CME for this activity

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. CME expired on 12/01/2022. No CME for this activity

Many options exist to effectively manage pain without opioids. This issue provides the latest evidence what to use and when. CME expired on 11/01/2022. No CME for this activity

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

Altered mental status is a common presentation in the ED, and time is of the essence in diagnosing NCSE and halting seizure activity. CME expired on 10/01/2022. No CME for this activity

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

Direct oral anticoagulant agents do not require INR monitoring like warfarin, but managing bleeding complications or reversal requires different strategies1. CME expired on 08/01/2022. No CME for this activity

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

The 2020 Lifelong Learning & Self-Assessment Study Guide will prepare you for the ABEM LLSA examination. No CME for this activity.

This EXTRA Stroke CME supplement (free to Emergency Medicine Practice subscribers) reviews the latest evidence and recommendations for two essential treatments for patients with acute ischemic stroke: IV thrombolysis with rt-PA and endovascular thrombectomy with stentriever. CME expired on 06/15/2022. No CME for this activity

This issue reviews the criteria for diagnosing a pediatric patient with anaphylaxis and offers evidence-based recommendations for first- and second-line treatment, including the use of epinephrine, antihistamines, and corticosteroids. Biphasic reactions and fatal anaphylaxis are also discussed. CME expires on 06/01/2022. No CME for this activity

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. CME expired on 04/01/2022.

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

Although pediatric hypertension is increasing in incidence, it often goes unrecognized in asymptomatic patients. This issue provides recommendations to ensure that asymptomatic patients with hypertension receive appropriate testing and referrals and that patients with a true hypertensive emergency are managed appropriately. CME expired on 03/01/2022. No CME for this activity

Life-threatening secondary headache can be due to vascular disorders or trauma, and can present with sudden, severe onset. This issue presents the red flag signs for the most dangerous causes, with recommendations on swift imaging and treatment. CME expired 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

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

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

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

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

This study guide, delivered in print, online, and audio digital formats, is designed to prepare emergency medicine physicians to pass the ABEM exams, as required to maintain board certification. It includes our "pass-or-it's-free" guarantee. CME Expired on 06/15/2021

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

This issue reviews the critical steps that should be taken to manage a patient who presents with jaundice, including the history and physical examination, necessary laboratory testing, imaging, and treatment. Management of neonates, pregnant patients, and transplant patients are also reviewed. (No CME for this activity).

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).

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).

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).

This issue reviews medical pathologies and underlying causes that can result in psychiatric presentations and summarizes evidence-based practices to evaluate, manage, and refer patients with behavioral health emergencies. (No CME for this activity).

This issue reviews 3 of the more common presentations of oncology patients to the emergency department: metastatic spinal cord compression, tumor lysis syndrome, and febrile neutropenia. (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 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).

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 recommendations on effective management of patients presenting with adrenal insufficiency, with particular attention to the management of critically ill and septic patients, pregnant patients, and children. (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).

Outcome-oriented information and guidance to help emergency physicians diagnose and stage kidney injury, monitor intravascular volume status, avoid nephrotoxic medication exposure, and know when to involve a pediatric nephrologist once acute kidney injury is diagnosed. (No CME for this activity).

Emergency room management of ADHF including critical decision-making points in resuscitation for both hypertensive and hypotensive patients and a review of newer medications. (No CME for this activity).

A review of the pathophysiology, diagnostic decision-making tools, and pharmaceutical treatment options to create a patient-tailored approach to sedative-hypnotic withdrawal.

Altered level of consciousness in a child can have many causes, some life-threatening. 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 1/1/2020

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

This review examines the most current evidence with regard to the pathophysiology, diagnosis, and management of potassium disorders: hypokalemia and hyperkalemia. 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 11/1/2019

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

Reviews common sources of alcohol ingestion, basic mechanisms of toxicity, physical examination and laboratory findings that may guide rapid assessment and management, and indications for treatment. 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 9/1/2019

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. (CME expired 11/30/2023).

This review focuses on the recognition and initial management of patients with undiagnosed congenital heart disease presenting to the ED and touches on considerations for postoperative infants and children with complex congenital heart disease. 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 5/1/2019

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

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

Best approaches to managing common problems with enteral feeding tubes, tracheostomies, and ventricular shunts, and in sedating a pediatric patient with autism or developmental delays. Includes 4 AMA PRA Category 1 Credits™. Included as part of the 4 credits, this CME activity is eligible for 0.75 Pharmacology CME credits. CME expires on 06/01/2018.

This review identifies the causes of pediatric obesity and addresses the comorbidities of pediatric obesity in the emergency department, including impairments in patients' physical and emotional quality of life.

This evidence-based review summarizes the pathophysiology, historical factors, diagnostic strategies, and demographics that influence the experience of pain and provides recommendations for a variety of treatment options.

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 focuses on determining which patients will benefit from regional anesthesia and how to perform the most common facial anesthesia procedures.