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 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

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

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

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

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

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.

Sodium disorders can have a wide range of etiologies, including medical conditions, drugs, and environmental stresses. Prompt interpretation and analysis of laboratory results will direct management. Includes 4 AMA PRA Category 1 Credits™. CME expires on 04/01/2028.

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.

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

Elbow and forearm pain are typically caused by overuse injuries or chronic conditions and can be managed in the urgent care setting. 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 03/01/2025.

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

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.

Patients with alkali caustic exposure require prompt evaluation for classification of their injuries to determine the need for imaging, intubation, or surgical intervention. Includes 4 AMA PRA Category 1 Credits™. CME expires on 01/01/2028

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.

Mesenteric ischemia, a potentially deadly cause of abdominal pain, can present as 1 of 4 different subtypes, requiring swift ED resuscitation and referral. Includes 4 AMA PRA Category 1 Credits™. CME expires on 12/01/2027

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.

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

This 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.

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.

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.

This issue focuses on best practices for quick recognition and reporting of suspected abuse or neglect of elderly ED patients. Includes 4 AMA PRA Category 1 Credits™. Included as part of the 4 credits, this CME activity is eligible for 2 Domestic Violence CME credits and 4 Geriatrics CME credits, subject to your state and institutional approval. CME expires on 09/01/2027

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.

Patients with sickle cell disease require prompt ED management for pain crises and potentially life-threatening complications. Includes 4 AMA PRA Category 1 Credits™. CME expires on 08/01/2027.

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 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.

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.

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.

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

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

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.

Patients who have had a COVID-19 infection may present to urgent care with a wide variety of symptoms that are associated with long COVID. This issue reviews recommendations for managing these patients based on the current state of knowledge about long COVID. Includes 4 AMA PRA Category 1 Credit™. CME expires on 03/01/2027.

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.

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.

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.

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.

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.

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.

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.

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.

Foreign body ingestion is a common ED presentation, and it is essential to know what type of imaging is most helpful, when emergent intervention is required, and when watchful waiting is appropriate. Includes 4 AMA PRA Category 1 Credits™. CME expires on 05/01/2026.

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.

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

This issue provides guidance for managing septic shock in children, with a focus on early recognition and appropriate resuscitation. Includes 4 AMA PRA Category 1 Credits™. CME expires on 11/01/2025

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 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

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. 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

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

This issue reviews the ways in which children and adolescents are trafficked, important indicators for trafficking, and best practice recommendations for addressing suspected or confirmed trafficking based on current evidence. 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.

When a patient presents to the ED and meningitis or encephalitis are suspected, prompt, evidence-based testing and treatment are required. No CME for this activity.

Postpartum patients may present with varied signs and symptoms for weeks after a normal delivery. This issue uses a symptom-focused approach in identifying life-threatening causes. No CME for this activity.

This issue reviews the latest evidence on standard therapies for managing ED patients with acute asthma exacerbations, as well as newer diagnostic, treatment, and ventilation strategies. No CME for this activity

Although acute joint pain in the ED can have a benign source, septic arthritis, gout, and postinfectious reactive causes must be ruled out. This issue reviews current recommendations on diagnosis and treatment of arthritis. No CME for this activity

Acute aortic syndromes—aortic dissection, intramural hematoma, and penetrating atherosclerotic ulcer—are life-threatening conditions that demand swift recognition and treatment in the ED. This issue presents the latest evidence on managing AAS. No CME for this activity

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

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

Abnormal uterine bleeding can be a sign of serious and life-threatening conditions as well as being distressing and inconvenient. There are now effective diagnostic and management strategies that emergency clinicians can offer. No CME for this activity

This issue discusses injury patterns associated with common less-lethal weapons used by law enforcement, including conducted electrical weapons, pepper spray, tear gas, K-9 bites, and kinetic impact projectiles. Recommendations are provided for evaluation and management of these injuries in the emergency department. 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

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

In order to prevent stroke in ED patients with atrial fibrillation, pharmacologic and/or electrical control of rate and/or rhythm are essential, along with risk stratification to determine the need for anticoagulation. No CME for this activity

Before or after mammalian bites or exposures, rabies is completely preventable, but ED management must be timely and administered correctly. No CME for this activity

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

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

When a patient presents to the ED with symptoms of STEMI, emergency clinicians must be prepared to initiate coordinated, time-sensitive, and effective diagnostic and treatment strategies, with the ultimate goal of initiation of reperfusion. No CME for this activity

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

Managing ED patients with hemorrhagic shock requires swift coordination of ED resources and protocols. This issue reviews the latest evidence on hemostatic devices and medications, testing, and massive transfusion. No CME for this activity

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

Infective endocarditis can be difficult to diagnose, given its often subtle presentation and multisystem involvement. This issue presents an evidence-based approach to testing, imaging, and empiric antibiotic therapies. CME expired on 09/01/2023. No CME for this activity

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

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

This Pediatric EXTRA supplement describes the epidemiology, reviews presenting features, and offers management recommendations for COVID-19 in pediatric patients. It includes a discussion of multisystem inflammatory syndrome in children (MIS-C) associated with COVID-19, as well as other aspects of the COVID-19 pandemic that are affecting children and families. (No CME)

The novel coronavirus, COVID-19, has raised serious concerns worldwide, particularly for emergency clinicians. This overview reviews and links the most authoritative early research and provides all the contacts and resources that can keep you continuously updated on this outbreak. This article and related resources are free for everyone.

Acute gastroenteritis is common in the ED, but what is the evidence on whether testing, antibiotics, and antiemetics are useful and necessary? CME expired on 03/01/2023. 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

When patients present to the ED with suspected myocardial infarction, it is critical to differentiate NSTEMI from other cardiac causes and initiate swift, evidence-based management. Review the latest evidence on diagnosis and treatment of NSTEMI. CME expired on 01/01/2023. 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

This EXTRA Trauma CME supplement (free to Emergency Medicine Practice subscribers) provides evidence-based recommendations for concussion management in the ED and reviews consensus-based guidelines for the evaluation and management of sport-related concussion and mTBI. CME expired on 09/15/2022. No CME for this activity

When a medical emergency occurs onboard a commercial aircraft and you raise your hand to help, what are the resources and risks in volunteering? CME expired on 09/01/2022. No CME for this activity

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

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

As bariatric surgery for weight loss becomes increasingly common, more patients are presenting to the ED with complications. This issue reviews the most common types of surgery, their early and late complications, and diagnostic and management options. CME expired on 07/01/2022. No CME for this activity

Improve ED assessment of patients with abdominal pain by using strategies that emphasize safe disposition over diagnosis. Recognize high-risk patients and dangerous mimics and choose testing, imaging, and consultation that will improve outcomes. CME expired on 06/01/2022. No CME for this activity

The ED is a critical intervention point for patients in mental health crisis. Emerging evidence shows it is possible and feasible to screen all ED patients for depression and suicidal ideation. Novel tools and strategies can help reduce the risk of suicide. CME expired on 05/01/2022.

Sexually transmitted diseases are a significant and growing public health threat that can cause lasting danger to the health of men, women, and unborn babies. Swift diagnosis and effective treatment strategies can lessen the public health consequences. CME expired on 04/01/2022.

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

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

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

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).

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

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

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

For ED patients with signs and symptoms of infectious disease - including fever, rash, joint pain, and headache - obtaining a travel history is essential in order to quickly identify emerging (or re-emerging) infections. This issue reviews diagnostic and management best practices for three infections: Middle East respiratory syndrome, chikungunya virus infection, and Zika virus infection. CME expired on 05/01/2021 - No CME for this activity

This issue reviews the 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).

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).

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 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 review presents an algorithmic approach to management that ensures that pain relief, imaging, reduction, vascular monitoring, and emergent orthopedic consultation are carried out in a timely fashion. (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 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).

From the prehospital care setting to disposition and follow-up, this systematic review addresses the fundamentals of the emergency department evaluation of patients determined to be at low risk for acute coronary syndromes or adverse outcomes. (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).

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.

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