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. Includes 4 AMA PRA Category 1 Credits™. Included as part of the 4 credits, this CME activity is eligible for 4 Pain Management CME credits and 4 Pharmacology CME credits. CME expires on 05/01/2025

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 05/01/2025.

Review the most current information on ED management of skin and soft-tissue infection, including dangerous 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 CME credits and 1 Pharmacology CME credit. CME expires on 05/01/2025.

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 04/15/2025.

This Trauma EXTRA CME supplement (free to Emergency Medicine Practice subscribers) addresses emergency department management of traumatic pneumothorax. 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 04/15/2025.

This issue reviews lead poisoning in pediatric patients, including key signs and symptoms, management in the emergency department, and formulation of a safe discharge plan. 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 04/01/2025

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 4/1/2025.

When a patient presents to the ED and meningitis or encephalitis are suspected, prompt, evidence-based testing and treatment are required. Includes 4 AMA PRA Category 1 Credits™. Included as part of the 4 credits, this CME activity is eligible for 4 Infectious Disease CME credit. CME expires on 04/01/2025

This issue reviews the performance characteristics of lactate, C-reactive protein, ferritin, and procalcitonin in potential bacterial meningitis, common bacterial infections, and appendicitis. Includes 4 AMA PRA Category 1 Credits™. CME expires on 03/01/2025.

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. Includes 4 AMA PRA Category 1 Credits™. Included as part of the 4 credits, this CME activity is eligible for 4 Pharmacology CME credit. CME expires on 03/01/2025

This Stroke EXTRA CME supplement (free to Emergency Medicine Practice subscribers) covers emergency department management of spontaneous subarachnoid hemorrhage. Includes 4 AMA PRA Category 1 Credits™. Included as part of the 4 credits, this CME activity is eligible for 4 Stroke credits. CME expires on 02/15/2025.

This issue reviews causes of cardiac and non-cardiac pediatric chest pain and provides recommendations for a more standardized evaluation in the ED to minimize the risk of missing a life-threatening pathology while reducing unnecessary testing. Includes 4 AMA PRA Category 1 Credits™. CME expires on 02/01/2025.

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. Includes 4 AMA PRA Category 1 Credits™. CME expires on 02/01/2025

This issue provides recommendations for risk stratification of neonates with hyperbilirubinemia and for determination of the need for phototherapy or exchange transfusion using the hour-specific nomogram, phototherapy nomogram, and exchange nomogram, along with hyperbilirubinemia risk factors and neurotoxicity risk factors. Includes 4 AMA PRA Category 1 Credits™. CME expires on 01/01/2025.

Although acute joint pain in the ED can have a benign source, septic arthritis, gout, and postinfectious reactive causes must be ruled out. This issue reviews current recommendations on diagnosis and treatment of arthritis. Includes 4 AMA PRA Category 1 Credits™. CME expires on 01/01/2025

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. 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 credit. CME expires on 12/15/2024.

This issue discusses low-voltage, high-voltage, and lightning strike injuries and provides evidence-based recommendation 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 4 Trauma CME credits. CME expires on 12/01/2024.

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. Includes 4 AMA PRA Category 1 Credits™. CME expires on 12/01/2024

Travel-associated infectious diseases (TAIDs) in children are often misdiagnosed. This issue reviews the epidemiology, clinical presentation, diagnosis, and management of various TAIDs, with the goal of early recognition and disease-specific treatment. Includes 4 AMA PRA Category 1 Credits™. Included as part of the 4 credits, this CME activity is eligible for 4 Infectious Disease CME and 1.5 Pharmacology CME credits. CME expires on 11/01/2024.

When rib fractures are suspected following blunt thoracic trauma, initiating multimodal pain control and choosing imaging based on patient risk factors is critical. 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 11/01/2024

This summary and analysis of the international literature on vaccine effectiveness, breakthrough infection, waning immunity, and emergence of variants will help inform the decisions of physicians and institutions regarding vaccination boosters and nonpharmaceutical interventions. Two personal views of the controversies are also included.

This issue discusses the management of pediatric transplant patients, with a special focus on general and organ-specific complications after transplantation. Management of hematopoietic stem cell transplant patients is also discussed, since the approach to these patients differs slightly from that of solid organ transplant recipients. Includes 4 AMA PRA Category 1 Credits™. Included as part of the 4 credits, this CME activity is eligible for 0.5 Pharmacology CME credits. CME expires on 10/01/2024

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. 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 10/01/2024

This course reviews evidence-based recommendations to improve care and outcomes for pregnant and postpartum patients with hemorrhage or severe hypertension. Emergency Medicine Practice and Pediatric Emergency Medicine Practice subscribers receive this content & CME Credit absolutely free! Log in to your subscription or subscribe now to gain instant access.

This issue 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. Includes 4 AMA PRA Category 1 Credits™. Included as part of the 4 credits, this CME activity is eligible for 0.5 Trauma CME and 1 Pharmacology CME credits. CME expires on 09/01/2024.

High-altitude illness is a spectrum of respiratory and neurologic effects resulting from hypobaric hypoxia. Swift intervention can manage these life-threatening disorders, and pretravel planning and counseling can prevent them. Includes 4 AMA PRA Category 1 Credits™. CME expires on 08/01/2024

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. Includes 35 AMA PRA Category 1 Credits™. Included as part of the 35 credits, this CME activity is eligible for 4.5 stroke credits and 6 pharmacology credits. CME expires on 08/20/2024.

This Pediatric Trauma EXTRA CME supplement (free to Pediatric Emergency Medicine Practice subscribers) reviews imaging recommendations and interpretations in pediatric head and neck injuries. 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 08/15/2024.

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. Includes 4 AMA PRA Category 1 Credits™. Included as part of the 4 credits, this CME activity is eligible for 1.5 Trauma CME credits. CME expires on 08/01/2024

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. Includes 4 AMA PRA Category 1 Credits™. CME expires on 08/01/2024

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. Includes 4 AMA PRA Category 1 Credits™. CME expires on 07/01/2024

ED management of HIV patients now includes management of age-related concerns, side effects of antiretroviral therapies, and PEP and PrEP regimens. Includes 4 AMA PRA Category 1 Credits™. Included as part of the 4 credits, this CME activity is eligible for 4 Infectious Disease CME, 4 Pharmacology CME and 4 HIV CME credits. CME expires on 07/01/2024

This Stroke EXTRA CME supplement (free to Emergency Medicine Practice subscribers) reviews the evaluation and management of patients with stroke who present to the ED after 3 hours. Includes 4 AMA PRA Category 1 Credits™. Included as part of the 4 credits, this CME activity is eligible for 4 Stroke CME and 1 Pharmacology CME credits. CME expires on 06/15/2024.

This issue reviews the most recent literature on mTBI and concussion and provides recommendations for the evaluation, diagnosis, and treatment of mTBI and concussion in the acute setting. Clinical decision rules and their utility in clinical practice will also be discussed. 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 06/01/2024

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. Includes 4 AMA PRA Category 1 Credits™. CME expires on 06/01/2024

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. Includes 4 AMA PRA Category 1 Credits™. Included as part of the 4 credits, this CME activity is eligible for 4 Ethics CME credits. CME expires on 05/01/2024

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. Includes 4 AMA PRA Category 1 Credits™. CME expires on 05/01/2024

Emergency Medicine Practice and Pediatric Emergency Medicine Practice 2020 in Review: Key Points & Clinical Pearls is your handy compilation of all 12 issues of 2020 Emergency Medicine Practice and Pediatric Emergency Medicine Practice Points & Pearls. (No CME for this activity).

Sepsis and septic shock guidelines, requirements, criteria, and treatments have changed substantially in the last few years. This issue reviews the latest evidence and discusses the changes and current controversies in sepsis diagnosis and management. Includes 4 AMA PRA Category 1 Credits™. Included as part of the 4 credits, this CME activity is eligible for 2 Pharmacology CME credits. CME expires on 10/1/2023

This Trauma EXTRA CME supplement (free to Emergency Medicine Practice subscribers) reviews the evaluation and management of patients with neck 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. CME expires on 04/15/2024.

This course combines audio and digital components to review critical care management of traumatic hemorrhagic shock as well as sepsis and septic shock. Emergency Medicine Practice and Pediatric Emergency Medicine Practice subscribers receive this content & CME Credit absolutely free! Log in to your subscription or subscribe now to gain instant access.

This white paper outlines essential elements of planning and preparedness for emergency department pandemic surge response, based on lessons learned from the 2020 COVID-19 pandemic experience in New York City

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

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

Pediatric Emergency Medicine Practice 2020 in Review: Key Points & Clinical Pearls is your handy compilation of all 12 issues of 2020 Emergency Medicine Practice Points & Pearls. (No CME for this activity).

Emergency Medicine Practice 2020 in Review: Key Points & Clinical Pearls is your handy compilation of all 12 issues of 2020 Emergency Medicine Practice Points & Pearls. (No CME for this activity).

This Pharmacology EXTRA CME supplement (free to Emergency Medicine Practice subscribers) reviews the management of alcohol withdrawal syndrome. Includes 4 AMA PRA Category 1 Credits™. Included as part of the 4 credits, this CME activity is eligible for 4 Pharmacology CME credits. CME expires on 02/15/2024.

This issue reviews the common presentations of Guillain-Barré syndrome and acute transverse myelitis and provides evidence-based recommendations for the workup, treatment, and disposition of patients with these syndromes. Includes 4 AMA PRA Category 1 Credits™. CME expires on 03/01/2024.

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. Includes 4 AMA PRA Category 1 Credits™. CME expires on 03/01/2024

Interdisciplinary teams at Mount Sinai Health Systems in New York developed protocols for management of COVID-19 patients. This February 2021 update of the protocols is based on the latest published literature and current practice.

This Pediatric Trauma EXTRA CME supplement (free to Pediatric Emergency Medicine Practice subscribers) reviews the management of infants with traumatic injuries. Includes 4 AMA PRA Category 1 Credits™. Included as part of the 4 credits, this CME activity is eligible for 4 Trauma CME credits. CME expires on 02/15/2024.

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

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

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

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. Includes 4 AMA PRA Category 1 Credits™. CME expires on 01/01/2024

This Stroke EXTRA CME supplement (free to Emergency Medicine Practice subscribers) provides an evidence-based overview of the recognition and management in the emergency department management of blunt cerebrovascular injuries, and focuses on the appropriate diagnostic studies and stroke prevention. 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 12/15/2023.

This course combines video, audio, and digital components to review ventilator management for adult patients, mechanical ventilation and supraglottic airway devices for pediatric patients, and intubation of COVID-19 patients. Emergency Medicine Practice and Pediatric Emergency Medicine Practice subscribers receive this content & CME Credit absolutely free! Log in to your subscription or subscribe now to gain instant access.

This issue reviews 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. Includes 4 AMA PRA Category 1 Credits™. CME expires on 12/01/2023

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. Includes 4 AMA PRA Category 1 Credits™. CME expires on 12/01/2023

This issue reviews the signs and symptoms, evaluation, and treatment of seven pediatric head and neck infections. Conditions reviewed include mastoiditis, sinusitis, Ludwig angina, peritonsillar abscess, retropharyngeal abscess, Lemierre syndrome, and acute suppurative thyroiditis. Includes 4 AMA PRA Category 1 Credits™. Included as part of the 4 credits, this CME activity is eligible for 4 Infectious Disease CME and 1 Pharmacology CME credits. CME expires on 11/01/2023.

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. 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 11/01/2023

This course combines audio and digital components to review three topics in pediatric trauma care: concussion/mTBI, blunt abdominal trauma, and diagnostic POCUS. Emergency Medicine Practice and Pediatric Emergency Medicine Practice subscribers receive this content & CME Credit absolutely free! Log in to your subscription or subscribe now to gain instant access. Current Topics in Pediatric Trauma Care includes 12 AMA PRA Category 12 Credits™. Included as part of the 12 credits, this CME activity is eligible for 12 Trauma CME credits. CME expires on 8/14/2022.

This course combines video and digital components to review the evaluation and management of stroke in the setting of life-threatening headaches and dizziness, as well as stroke in pediatric patients. Emergency Medicine Practice and Pediatric Emergency Medicine Practice subscribers receive this content & CME Credit absolutely free! Log in to your subscription or subscribe now to gain instant access.

This Trauma EXTRA CME supplement (free to Emergency Medicine Practice subscribers) reviews emergency department management of the pregnant trauma patient. 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 10/15/2023.

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. Includes 4 AMA PRA Category 1 Credits™. CME expires on 10/01/2023

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. Includes 4 AMA PRA Category 1 Credits™. CME expires on 10/01/2023

Review the evaluation and management of seizures in adult and pediatric patients, including neonates, for whom seizures can be difficult to diagnose. Presentations, diagnostic studies, and treatment options are discussed for different types of seizures, with particular emphasis on nonconvulsive status epilepticus. Emergency Medicine Practice and Pediatric Emergency Medicine Practice subscribers receive this content & CME Credit absolutely free! Log in to your subscription or subscribe now to gain instant access.

This 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. Includes 4 AMA PRA Category 1 Credits™. Included as part of the 4 credits, this CME activity is eligible for 4 Pharmacology CME. CME expires on 09/15/2023.

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. Includes 4 AMA PRA Category 1 Credits™. Included as part of the 4 credits, this CME activity is eligible for 4 Ethics CME credits. CME expires on 09/01/2023

Infective endocarditis can be difficult to diagnose, given its often subtle presentation and multisystem involvement. This issue presents an evidence-based approach to testing, imaging, and empiric antibiotic therapies. Includes 4 AMA PRA Category 1 Credits™. Included as part of the 4 credits, this CME activity is eligible for 2 Infectious Disease CME credits. CME expires on 09/01/2023

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.

This Trauma EXTRA CME supplement (free to Emergency Medicine Practice subscribers) provides an evidence-based overview of considerations for radiation exposure in trauma imaging as well as strategies for resuscitation in trauma. Includes 4 AMA PRA Category 1 Credits™. Included as part of the 4 credits, this CME activity is eligible for 4 Trauma CME. CME expires on 08/15/2023.

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. Includes 4 AMA PRA Category 1 Credits™. CME expires on 08/01/2023

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. Includes 4 AMA PRA Category 1 Credits™. CME expires on 08/01/2023

The 2021 Lifelong Learning & Self-Assessment Study Guide will prepare you for the ABEM LLSA examination. Includes 35 AMA PRA Category 1 Credits™. Included as part of the 35 credits, this CME activity is eligible for 3 domestic violence credits, 3 addiction disorders/controlled substances credits, 3 risk management credits, 3 stroke credits, and 3 pharmacology credits. CME expires on 07/20/2023.

This Stroke EXTRA CME supplement (free to Emergency Medicine Practice subscribers) provides an evidence-based overview of imaging modalities for acute stroke in the emergency department as well as identification and management strategies for central retinal artery occlusion. Includes 4 AMA PRA Category 1 Credits™. Included as part of the 4 credits, this CME activity is eligible for 4 Stroke CME. CME expires on 07/15/2023.

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. Includes 4 AMA PRA Category 1 Credits™. CME expires on 07/01/2023

When a patient must be placed on a ventilator in the ED, clinicians choose the mode and initial settings based on institutional protocols and presentation, but the patient’s clinical scenario and respiratory response will dictate strategies for further management. Includes 4 AMA PRA Category 1 Credits™. CME expires on 07/01/2023

This Pediatric Trauma EXTRA CME supplement (free to Pediatric Emergency Medicine Practice subscribers) reviews the management of burn injuries 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 6/30/2023.

Summary and review of the results of a survey of 65 pediatric emergency department leaders in the U.S. and Canada.

Quickly differentiate benign from deadly causes of dizziness with the timing-and-triggers approach to evaluation. This on-demand course includes a 1-hour lecture, an evidence-based article, and 1 stroke CME credit. CME expires on 06/17/2023

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)

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. It also includes up to 5 stroke CME credits. CME expires on 06/04/2023.

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. 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 06/01/2023

Acid-base disturbances signal many disorders and diseases, and interpretation of testing results can be difficult. Using descriptive methodologies, comparing various approaches, and following a diagnostic algorithm will improve diagnosis and treatment. Includes 4 AMA PRA Category 1 Credits™. CME expires on 06/01/2023

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

Three modules on high-risk cardiovascular presentations encountered by emergency clinicians: non–ST-segment elevation myocardial infarction, patients taking direct oral anticoagulant agents, and blunt cardiac injury. Also included are two video recordings from the 2019 ResusEM conference. Emergency Medicine Practice and Pediatric Emergency Medicine Practice subscribers receive this content & CME Credit absolutely free! Log in to your subscription or subscribe now to gain instant access.

This issue 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. Includes 4 AMA PRA Category 1 Credits™. CME expires on 04/01/2023.

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. Includes 4 AMA PRA Category 1 Credits™. CME expires on 04/01/2023

This issue provides a review of common etiologies of failure to thrive and offers recommendations for the management of patients with failure to thrive, with a focus on which diagnostic studies should be obtained and when they are warranted. Includes 4 AMA PRA Category 1 Credits™. CME expires on 03/01/2023.

Acute gastroenteritis is common in the ED, but what is the evidence on whether testing, antibiotics, and antiemetics are useful and necessary? Includes 4 AMA PRA Category 1 Credits™. Included as part of the 4 credits, this CME activity is eligible for 2 Pharmacology CME credits. CME expires on 03/01/2023

Influenza can present with a wide range of nonspecific clinical signs and symptoms, making ED management challenging. This issue reviews the latest evidence on recognizing influenza in the ED, performing rapid testing and initiating antiviral treatment, and how to manage complications in high-risk patient groups. Includes 4 AMA PRA Category 1 Credits™. Included as part of the 4 credits, this CME activity is eligible for 2 Pharmacology CME credits. CME expires on 03/01/2023

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. Includes 4 AMA PRA Category 1 Credits™. CME expires on 02/01/2023.

Follow a systematic approach for managing patients with DKA and HHS in the ED: volume repletion, correction of hyperglycemia, and electrolyte replacement. Includes 4 AMA PRA Category 1 Credits™. Included as part of the 4 credits, this CME activity is eligible for 4 Pharmacology CME credits. CME expires on 02/01/2023

This Pediatric Trauma EXTRA CME supplement (free to Pediatric Emergency Medicine Practice subscribers) provides evidence-based recommendations for the evaluation and management of pediatric patients who present with blunt abdominal 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. CME expires on 1/15/2023.

This issue reviews common and life-threatening skin rashes with fever in children, offers guidance for differentiating the types of infections based on signs and symptoms, discusses indications for diagnostic studies, and provides recommendations for treatment of pediatric skin rash with fever in the emergency department. Includes 4 AMA PRA Category 1 Credits™. Included as part of the 4 credits, this CME activity is eligible for 4 Infectious Disease CME and 0.5 Pharmacology CME credits. CME expires on 01/01/2023.

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. Includes 4 AMA PRA Category 1 Credits™. CME expires on 01/01/2023

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. Includes 4 AMA PRA Category 1 Credits™. Included as part of the 4 credits, this CME activity is eligible for 4 Stroke CME and 0.25 Pharmacology CME credits. CME expires on 12/01/2022.

This issue provides an evidence-based approach for the evaluation and management of pediatric patients with septic arthritis and/or osteomyelitis and offers guidance for appropriate antibiotic treatment. Includes 4 AMA PRA Category 1 Credits™. Included as part of the 4 credits, this CME activity is eligible for 4 Infectious Disease CME and 0.5 Pharmacology CME credits. CME expires on 12/01/2022.

Acute dizziness is a common presentation in the ED. Quickly differentiate the benign from the deadly with the timing-and-triggers approach to evaluation. Includes 4 AMA PRA Category 1 Credits™. Included as part of the 4 credits, this CME activity is eligible for 2 Stroke CME credits. CME expires on 12/01/2022

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. Includes 4 AMA PRA Category 1 Credits™. Included as part of the 4 credits, this CME activity is eligible for 4 Stroke CME and 0.25 Pharmacology CME credits. CME expires on 11/01/2022.

Many options exist to effectively manage pain without opioids. This issue provides the latest evidence what to use and when. Includes 4 AMA PRA Category 1 Credits™. Included as part of the 4 credits, this CME activity is eligible for 4 Pharmacology CME and 4 Pain Management CME credits. CME expires on 11/01/2022

This issue reviews risk factors for apnea and severe bronchiolitis; discusses treatments and therapies such as oxygen supplementation, fluid administration, bronchodilators, corticosteroids, high-flow nasal cannula, and continuous positive airway pressure; and provides evidence-based recommendations for the management of pediatric patients with bronchiolitis. Includes 4 AMA PRA Category 1 Credits™. Included as part of the 4 credits, this CME activity is eligible for 0.5 Pharmacology CME credits. CME expires on 10/01/2022.

Altered mental status is a common presentation in the ED, and time is of the essence in diagnosing NCSE and halting seizure activity. 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 10/01/2022

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. 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 09/15/2022.

This issue provides guidance for the management of children with appendicitis, including recommendations for diagnostic studies, pain management, prophylactic antibiotics, and surgical consultation. Includes 4 AMA PRA Category 1 Credits™. CME expires on 09/01/2022.

When a medical emergency occurs onboard a commercial aircraft and you raise your hand to help, what are the resources and risks in volunteering? Includes 4 AMA PRA Category 1 Credits™. Included as part of the 4 credits, this CME activity is eligible for 1 Ethics CME credit. CME expires on 09/01/2022

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). Includes 4 AMA PRA Category 1 Credits™. Included as part of the 4 credits, this CME activity is eligible for 2 Pharmacology CME and 4 Pain Management CME credits. CME expires on 08/01/2022.

Direct oral anticoagulant agents do not require INR monitoring like warfarin, but managing bleeding complications or reversal requires different strategies. 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 08/01/2022.

This Pediatric Trauma EXTRA CME supplement (free to Pediatric EM Practice subscribers) reviews common indications for diagnostic POCUS in pediatric 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. CME expires on 07/15/2022.

Febrile young infants, even those who are well-appearing, are at high risk for serious bacterial infections. This issue provides evidence-based guidance for determining which febrile young infants require a full sepsis workup and offers recommendations for the management of these patients in the emergency department. Includes 4 AMA PRA Category 1 Credits™. Included as part of the 4 credits, this CME activity is eligible for 4 Infectious Disease CME credits. CME expires on 07/01/2022.

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. Includes 4 AMA PRA Category 1 Credits™. CME expires on 07/01/2022.

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. Includes 4 AMA PRA Category 1 Credits™. Included as part of the 4 credits, this CME activity is eligible for 4 Stroke CME and 2 Pharmacology CME credits. CME expires on 06/15/2022.

The 2020 Lifelong Learning & Self-Assessment Study Guide will prepare you for the ABEM LLSA examination. It includes our "pass-or-it's-free" guarantee as well as 35 AMA PRA Category 1 Credits. Included as part of the 35 credits, this CME activity is eligible for 6 infectious disease, 3 child abuse, 4 trauma, 3 controlled substances, 3 pharmacology, and 3 stroke credits. CME Expires on 7/31/22. Upon termination of CME credit, this activity will be reviewed and updated, and the CME credit will be extended for 3 years.

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. 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 06/01/2022.

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. Includes 4 AMA PRA Category 1 Credits™. CME expires on 06/01/2022.

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. 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 05/01/2022.

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. Includes 4 AMA PRA Category 1 Credits™. Included as part of the 4 credits, this CME activity is eligible for 4 Behavioral Health CME credits. CME expires on 05/01/2022.

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

Sexually transmitted diseases are a significant and growing public health threat that can cause lasting danger to the health of men, women, and unborn babies. Swift diagnosis and effective treatment strategies can lessen the public health consequences. Includes 4 AMA PRA Category 1 Credits™. Included as part of the 4 credits, this CME activity is eligible for 1 Pharmacology CME and 4 Infectious Disease CME credits. CME expires on 04/01/2022.

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. 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 03/01/2022.

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. 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 03/01/2022.

This issue provides recommendations for the evaluation and management of common as well as life-threatening obstetric and gynecologic emergencies. Psychosocial and confidentiality issues pertaining to adolescent sexual health services are also discussed. Includes 4 AMA PRA Category 1 Credits™. Included as part of the 4 credits, this CME activity is eligible for 0.5 Infectious Disease, 0.5 Pharmacology, and 0.25 Sexual Assault CME credits. CME expires on 02/01/2022.

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

Appropriate management of cold injuries depends on their severity. This issue offers guidance for determining the severity of cold injuries and provides recommendations for the management of pediatric patients with hypothermia, frostbite, and frostnip. Includes 4 AMA PRA Category 1 Credits™. CME expires on 01/01/2022.

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. 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 01/01/2022.

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

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 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

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

Venomous North American snakes include pit vipers (copperheads, water moccasins/cottonmouths, and rattlesnakes) and coral snakes. The diagnostic studies, antivenom treatment, and follow-up required depend on the type of snake and the bite severity. The latest evidence on managing snake bites in the ED is reviewed. Includes 4 AMA PRA Category 1 Credits™. Included as part of the 4 credits, this CME activity is eligible for 4 Trauma CME and 1 Pharmacology CME credits. CME expired 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, as well as 35 AMA PRA Category 1 Credits™ (Specialty CME credits also included: 3 Critical Care credits, 3 Ethics credits, 6 Neurology credits, 6 Obstetrics/Gynecology credits, 4 Pharmacology credits, and 3 Trauma credits) (CME expires 12/1/22).

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

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

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

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

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.

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 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).

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 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 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 reviews evidence-based recommendations for wound care and management, including wound cleansing and irrigation, anxiolysis/sedation techniques, closure methods, and post-repair wound care. (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 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).

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 presents evidence-based recommendations and best practices in heat-illness resuscitation, including managing children who are obese, have special needs or take medications, and advocacy for prevention strategies. (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).

This issue provides guidance regarding factors that contribute to abuse in children, key findings on history and physical examination that should trigger an evaluation for physical abuse, and laboratory and radiologic tests to perform when child abuse is suspected. (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).

In this issue, the indications and complications of peripheral intravenous access, intraosseous access, and central venous access are reviewed. (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).

Differential diagnosis and treatment of pediatric syncope in the emergency department, including spotting red flags for cardiac syncope. (No CME for this activity).

A detailed reference on how to identify and treat injuries to the face by physical examination and imaging, including assessing complications of maxillofacial trauma. (No CME for this activity).

Guidelines on diagnosing and treating primary spontaneous pneumothorax and secondary pneumothorax in children, including high-risk situations such as tension physiology and the range of interventions available to the emergency physician. (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.

Diagnosis and recommended emergency room treatment and management of diphtheria, pertussis, and tetanus, including isolation protocol and obtaining diphtheria antitoxin from the CDC. Includes 4 AMA PRA Category 1 Credits™. Included as part of the 4 credits, this CME activity is eligible for 4 Infectious Disease CME and 1 Pharmacology CME credits. CME expires on 3/1/2020

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.

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

Recognize the distinctive features of rashes associated with measles, rubella, and varicella; identify children at risk for severe complications; and evaluate treatment options. Includes 4 AMA PRA Category 1 Credits™. Included as part of the 4 credits, this CME activity is eligible for 4 Infectious Disease CME credits. CME expires on 12/01/2019.

Diagnosing PID through medical history and examination, including evaluation for alternate diagnoses, and initiating appropriate antibiotic therapy. Early diagnosis and treatment of PID by the emergency room physician prevents complications such as chronic pain, ectopic pregnancy, infertility. Includes 4 AMA PRA Category 1 Credits™. Included as part of the 4 credits, this CME activity is eligible for 2 Pharmacology CME credits. CME expires on 12/1/2019

Emergency room management of common acute complications of sickle cell disease in children: Vaso-occlusive crisis, acute chest syndrome, stroke, priapism, and transient red cell anemia; and guidelines for rapid pain treatment of VOC. 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 11/1/2020

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

This issue discusses methods to maintain adequate oxygenation, maximize management of intracranial hypertension, and optimize blood pressure in the emergency department to improve neurologic outcomes following pediatric severe traumatic brain injury. Includes 4 AMA PRA Category 1 Credits™. Included as part of the 4 credits, this CME activity is eligible for 4 Trauma CME and 1 Pharmacology CME credits. CME expires on 10/1/2019

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

This trauma CME resource, delivered in print and online digital formats, presents current guidelines and best practices for treatment of trauma patients. It includes 9 trauma-specific AMA PRA Category 1 CME Credits™, and 9 ANCC Contact Hours; (CME expires 10/1/19).

This review discusses the limitations of routine pulse oximetry and carboxyhemoglobin measurement in determining carbon monoxide exposure, and notes effects of co-ingestions and comorbidities.

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

A detailed framework for the emergency physician to distinguish transient global amnesia (the acute onset of profound anterograde amnesia lasting up to 24 hours) from its most common mimics. Includes 4 AMA PRA Category 1 Credits™. CME expires on 08/01/2019.

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 issue will review the adult literature and the available pediatric literature comparing ultrasound guidance to more traditional approaches. Methods for using ultrasound guidance to perform various procedures, and the pitfalls associated with each procedure, will also be described.

Focuses on the diagnosis and treatment of patients with blunt injuries to the chest, ribs and lung. Decision rules for chest x-ray, CT and bedside lung ultrasonography; treatment controversies including the limitations of needle thoracostomy using standard needle, chest tube placement, and chest tube size. Also airway and ventilation management. 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 06/01/2019.

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

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

Diagnosis and treatment of caustic ingestions and exposures, including staging, pathophysiology, and surgical consult. 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 05/01/2019.

This issue provides a review of these studies as well as consensus guidelines addressing the initial resuscitation, diagnosis, and treatment of common pediatric ingestions. Also discussed are current recommendations for decontamination, administration of antidotes for specific toxins, and management of ingested foreign bodies. 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 4/1/2019

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

This issue reviews current approaches to prehospital immobilization, identification of low-risk patients who may be clinically cleared from immobilization, a rational approach to the use of radiologic imaging, and the existing evidence for medical management of spinal cord injuries.

The use and limitations of the FAST examination in patients with blunt pelvic trauma, including the when to perform the exam during the trauma survey and how FAST can be used for abdominal trauma with pelvic injuries. 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 03/01/2019.

This review summarizes the literature on complications of ventriculoperitoneal shunts, examines the literature regarding the workup and management of patients with ventriculoperitoneal shunts, and makes recommendations for the management of these patients in the emergency department.

2016 review of long-term HIV infection complications seen in the emergency room, especially noninfectious conditions, complications common in the HAART-adherent HIV patient, and side effects from antiretroviral drugs, as well as recognition of life-threatening and rare opportunistic infections. Includes 4 AMA PRA Category 1 Credits™. Included as part of the 4 credits, this CME activity is eligible for 3 Pharmacology CME credits. CME expires on 2/1/2019

This issue focuses on common indications for diagnostic ultrasound, as found in the pediatric literature or extrapolated from adult literature where pediatric evidence is scarce.

2016 review of the pathophysiology, differential diagnosis, and emergency room rewarming and treatment of patients with mild, moderate, and severe hypothermia with or without hemodynamic instability. Includes 4 AMA PRA Category 1 Credits™. CME expires on 01/01/2019.

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

Spontaneous intracerebral hemorrhage is a neurological emergency,made more complicated when patients are anticoagulated. Reversal of anticoagulation must be initiated simultaneously with diagnosis, treatment, and disposition. Includes 4 AMA PRA Category 1 Credits™. Included as part of the 4 credits, this CME activity is eligible for 4 Stroke CME credits and 2 Pharmacology CME credits. CME expires on 12/01/2018.

Reviews the use of chest tubes and pigtail catheters in pediatric patients with pleural space diseases like pneumothorax, trauma, and parapneumonic effusions and empyema; techniques for placement; and complications. Includes 4 AMA PRA Category 1 Credits™. CME expires on 11/01/2018.

Evidence-based recommendations for diagnosis and treatment of ocular trauma: ocular burn, corneal abrasion, retrobulbar hemorrhage, open glob injury, traumatic hyphema, retinal detachment, vitreous hemorrhage, lens dislocation. Includes 4 AMA PRA Category 1 Credits™. Included as part of the 4 credits, this CME activity is eligible for 4 Trauma CME credits and 0.5 Pharmacology CME credits. CME expires on 11/01/2018.

Diagnosis and treatment of inhaled foreign bodies, including appropriate imaging tests, discussion of flexible and rigid bronchoscopy, and guidelines for consultation with otolaryngology, pulmonary, or surgical specialists. Includes 4 AMA PRA Category 1 Credits™. CME expires on 10/01/2018.

Evaluating for delirium using the Confusion Assessment Method (CAM), targeting underlying etiology, and treatment guidelines including nonpharmacological and means and when to use antipsychotics or benzodiazepines. Includes 4 AMA PRA Category 1 Credits™. Included as part of the 4 credits, this CME activity is eligible for 0.5 Pharmacology CME credits. CME expires on 10/01/2018.

Guidelines for treating pediatric patients with bleeding disorders in the emergency room, including factor replacement therapy for hemophilia A and B, demopressin for von Willebrand disease, and how clotting factor inhibitors changes treatment. Includes 4 AMA PRA Category 1 Credits™. Included as part of the 4 credits, this CME activity is eligible for 1 Pharmacology CME credits. CME expires on 09/01/2018.

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

Describes 3 types of video laryngoscopic devices for pediatric patients, the benefits and drawbacks of specific video laryngoscopes, and the challenges of video laryngoscopy compared to traditional laryngoscopy. Includes 4 AMA PRA Category 1 Credits™. CME expires on 08/01/2018.

Review of clinical criteria to diagnose anaphylaxis, and treatment guidelines involving the intramuscular administration and dosing of epinephrine, both in and out of the hospital setting. 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 08/01/2018.

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

Reviews the differential diagnosis and identification of different types of cardiac dysrhythmias and discusses preferred treatment options for various wide-complex tachycardias. 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 07/01/2018.

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.

Resuscitating and treating adult drowning patients in the emergency department, including pathophysiology of drowning and concerns such as hypothermia, mechanical ventilation, and 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. CME expires on 05/01/2018.

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

This issue of Emergency Medicine Practice will focus on the management of patients with upper gastrointestinal bleeding.

This issue of Pediatric Emergency Medicine Practice will focus on the emergency department management of seizures in pediatric patients.

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

This review examines the most current evidence regarding emergency department treatment of asymptomatic hypertension.

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

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