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

This Trauma EXTRA CME supplement (free to Emergency Medicine Practice subscribers) reviews the latest guidelines on managing patients with difficult airways in the ED, the components of a successful difficult airway program, and how to implement a difficult airway response program in a community hospital setting. Includes 4 AMA PRA Category 1 Credits™. Included as part of the 4 credits, this CME activity is eligible for 4 Trauma CME credits. CME expires on 08/15/2028.

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

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

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

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

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

This issue describes evidence-based diagnostic criteria for the appropriate identification and treatment of pediatric acute bacterial sinusitis and its complications. Includes 4 AMA PRA Category 1 Credits™. CME expires on 08/01/2027.

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

While many cases are self-limiting, angioedema can be a symptom of a life-threatening emergency and requires thorough evaluation. Includes 4 AMA PRA Category 1 Credit™. Included as part of the 4 credits, this CME activity is eligible for 1 Pharmacology CME credit. CME expires on 05/01/2027.

This 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.

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.

Patients with symptoms of long COVID may present with a wide variety of complaints that could also be potentially life-threatening non-COVID signs. What does current evidence tell us is the best way to tell the difference? Includes 4 AMA PRA Category 1 Credits™. CME expires on 01/01/2027.

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 Pediatric Trauma EXTRA CME supplement (free to Pediatric Emergency Medicine Practice subscribers) reviews diagnostic and treatment modalities for commonly encountered injuries in pediatric blunt thoracic trauma. Includes 4 AMA PRA Category 1 Credits™. Included as part of the 4 credits, this CME activity is eligible for 4 Trauma CME credits, subject to your state and institutional approval. CME expires on 11/15/2026.

The management of asthma in urgent care is most often focused on stabilization of an acute exacerbation, after which the patient can be bridged to long-term management. Includes 4 AMA PRA Category 1 Credit™. Included as part of the 4 credits, this CME activity is eligible for 1 Pharmacology CME credits. CME expires on 11/01/2026.

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

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.

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

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

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.

Managing patients with gunshot injuries depends on the location of the wounds. This issue outlines best practices for gunshot wounds to the head, neck, chest/abdomen, and extremities. 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 04/01/2026.

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

This issue reviews the current recommendations for the evaluation and treatment of pediatric patients who present to urgent care with acute bronchiolitis. Includes 4 AMA PRA Category 1 Credits™. Included as part of the 4 credits, this CME activity is eligible for 4 Infectious Disease CME credits. CME expires on 01/01/2026.

Patients with tracheostomies and laryngectomies can present with complications including bleeding, dislodgment, obstruction, and infection, requiring quick intervention in the ED. Includes 4 AMA PRA Category 1 Credits™. CME expires on 11/01/2025.

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.

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

This Pediatric Trauma EXTRA CME supplement (free to Pediatric Emergency Medicine Practice subscribers) addresses emergency department management of submersion injuries in pediatric patients. No CME for this activity

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

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. No CME for this activity

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

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. 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

This Trauma EXTRA supplement (free to Emergency Medicine Practice subscribers) reviews the evaluation and management of patients with neck trauma. No CME for this activity.

This issue reviews 3 pediatric syndromes - spina bifida, Down syndrome, and Marfan syndrome - each of which are associated with unique emergent conditions. The issue discusses the pitfalls in interpreting routine testing and reviews diagnostic and therapeutic approaches helpful in evaluating children with these syndromes. No CME for this activity

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

This issue discusses types of supraglottic airway devices that are commonly used in pediatric patients, reviews indications and techniques for placement, and provides evidence-based recommendations for their use. The use of supraglottic airway devices in the patient with a difficult airway is also discussed. CME expired on 10/01/2023. No CME for this activity

This issue provides a review of the primary forms of noninvasive ventilation used in pediatric patients (high-flow nasal cannula, continuous positive airway pressure, and bilevel positive airway pressure), indications for their use in the ED, and evidence-based recommendations for their use in the management of various disease processes. CME expired on 08/01/2023. No CME for this activity

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 issue reviews indications for mechanical ventilation and offers recommendations for initial ventilator settings and management of ventilated pediatric patients, with a focus on patient populations in whom the approach to mechanical ventilation may be different. CME expired on 07/01/2023. No CME for this activity

This Pediatric Trauma EXTRA CME supplement (free to Pediatric Emergency Medicine Practice subscribers) reviews the management of burn injuries in pediatric patients. CME expired on 06/01/2023. No CME for this activity

Acid-base disturbances signal many disorders and diseases, and interpretation of testing results can be difficult. Using descriptive methodologies, comparing various approaches, and following a diagnostic algorithm will improve diagnosis and treatment. CME expired on 06/01/2023. No CME for this activity

This issue provides a review of common etiologies of failure to thrive and offers recommendations for the management of patients with failure to thrive, with a focus on which diagnostic studies should be obtained and when they are warranted. CME expired on 03/15/2023. No CME for this activity

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

Distinguishing bacterial pneumonia from viral pneumonia is critical to providing effective treatment but remains a significant challenge. This issue provides guidance for the management of pediatric community-acquired pneumonia as well as associated complications including pleural effusion/empyema. CME expired on 04/01/2022. No CME for this activity

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

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 signs and symptoms of GAS pharyngitis, as well as associated complications, and provides recommendations for appropriate treatment that focuses on reducing the severity and duration of symptoms, reducing the incidence of nonsuppurative complications, and reducing transmission. (No CME for this activity).

This issue discusses the most common as well as the life-threatening etiologies of acute and chronic stridor and its management in the emergency department. (No CME for this activity).

This issue 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).

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).

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).

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.

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.

This study guide, available online, is designed to prepare emergency medicine physicians to pass the ABEM exam, as required to maintain board certification. It includes our "pass-or-it's-free" guarantee. (CME expired 11/30/2023).

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.

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.

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.

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.

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 reviews the technology and physiology involved in measuring exhaled carbon dioxide and the interpretation of waveforms, and it highlights uses for capnography in pediatric patients in the emergency department.

This review focuses specifically on evaluation and treatment of pediatric asthma in the emergency department and reviews the current evidence for various modes of treatment.

This issue of Pediatric Emergency Medicine Practice will review the epidemiology and pathophysiology of pediatric rhinosinusitis, review current guidelines differentiating viral and bacterial rhinosinusitis, and offer recommendations on appropriate therapies for treating this common condition.

This issue of Emergency Medicine Practice presents a synopsis of the latest evidence regarding the pathophysiology, diagnosis, and treatment of emergent complications of SCD.

This review discusses the most common pediatric respiratory emergencies and their management. A detailed discussion of the entire spectrum of respiratory illness in children is beyond the scope of this text. Rather, the review presents an updated, systematic approach to management with careful attention to the relevant existing evidence.

The goal of this Emergency Medicine Practice issue is to provide an overview of mechanical ventilation in the acute care setting. Basic ventilator technology will be discussed and placed in the context of various disease pathophysiologies with a focus on asthma, emphysema, and acute pulmonary edema.

Because the potential consequences can be so devastating, this issue of Pediatric Emergency Medicine Practice will provide a comprehensive overview of pediatric pulmonary hypertension, with particular attention to diagnosis and acute management. An understanding of the pathophysiology of pulmonary hypertension is fundamental to the ability to recognize and treat these patients and will be reviewed in great detail.

This article will discuss airway obstructing infectious diseases, such as epiglottitis, tracheitis, croup, diphtheria and several of the deep neck abscesses: sore throats that truly kill.

This issue of Emergency Medicine Practice will decrease your trepidation in dealing with this common complaint.