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

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.

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

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

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

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

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

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

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.

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. 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 11/01/2021.

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 expires on 9/1/2021

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. Includes 4 AMA PRA Category 1 Credits™. Included as part of the 4 credits, this CME activity is eligible for 1 Behavioral Health CME and 3 Pharmacology CME credits. CME expires on 8/1/2021

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. 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 7/1/2021

The continually changing chemical formulations of synthetic drugs makes recognition and diagnosis of intoxication from these substances challenging. This issue outlines common presentations of intoxication from synthetic cannabinoids, cathinones, and phenethylamines and summarizes best practices for evaluating and managing patients who present with intoxication after consumption of these synthetic drugs of abuse. 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 5/1/2021

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 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).

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

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 study guide, delivered in print and online 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 CME Credits™ (Specialty CME credits also included: 3 hours trauma credit, and 6 hours ethics credit) (CME expires 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.

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

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.

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.

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.

Get this digital 2015 Lifelong Learning and Self-Assessment Study Guide for only $99! This study guide will prepare you for the ABEM LLSA examination, and includes 35 AMA PRA Category 1 CreditsTM, with 3 trauma credits. CME Expires on 12/01/2023.

This review examines the physiology, diagnosis, and treatment of exertional, classic, and drug-induced hyperthermia.

This review presents the basic epidemiology of bites and stings of spiders, bees and wasps, fire ants, scorpions, and snakes, but it primarily focuses on the underlying pathophysiology and clinical presentation of the envenomated patient. While the pathophysiology and much of the presentation and treatment are the same for both children and adults, there are occasionally subtle differences, which will be highlighted. The management and disposition of pediatric patients for each type of bite or sting will also be discussed.

This month's issue of Pediatric Emergency Medicine Practice will address the management of electrical injuries in the pediatric patient.

This issue of Pediatric Emergency Medicine Practice provides the results of these evidencebased studies and the most up-to-date guidelines to assist the emergency clinician in caring for pediatric patients presenting with jaundice.

This issue of Pediatric Emergency Medicine Practice discusses Dehydration In The Pediatric Patient

This issue of Emergency Medicine Practice discusses the general management of cocaine-associated emergencies. Additionally, it will make evidence-based recommendations for the treatment and disposition of these patients.

Toxic exposures present a unique set of issues to clinicians caring for children. Children commonly ingest household products and sometimes are exposed to medications that are taken by others living in the household. The clinician must be quick to recognize potentially dangerous exposures in order to intervene and prevent or mitigate adverse outcomes. Fortunately, the majority of pediatric ingestions involve unintentional exposure to small doses of nontoxic or minimally toxic substances. However, it is those few truly toxic exposures that demonstrate the invaluable role played by a skilled emergency physician. This review will primarily focus on pediatric poison exposures in children ages six years and under.

This issue of Emergency Medicine Practice provides a comprehensive overview of the spectrum of altitude illness with a focus on prevention strategies and life saving interventions in the eventuality for severe disease.

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This issue of Emergency Medicine Practice discusses what is currently known about herbal toxicology.

This issue of Emergency Medicine Practice provides answers to these and other pressing questions.