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.

This Trauma EXTRA CME supplement (free to Pediatric Emergency Medicine Practice subscribers) reviews evidence-based recommendations for the ED management of mammalian bites in pediatric patients. Includes 4 AMA PRA Category 1 Credits™. Included as part of the 4 credits, this CME activity is eligible for 4 Trauma and .25 Pharmacology CME credits, subject to your state and institutional approval. CME expires on 09/01/2026.

This issue offers evidence-based recommendations for the identification and management of nonaccidental trauma in children. 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 09/01/2026.

This issue reviews the presentation, systematic evaluation, and management of common pediatric orthopedic injuries of the ankle and foot. 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 03/01/2026

This Pediatric Trauma EXTRA CME supplement (free to Pediatric Emergency Medicine Practice subscribers) reviews imaging recommendations and interpretations in pediatric thoracic and abdominal 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 09/15/2025

This issue provides guidance for a systematic eye examination and offers recommendations for immediate management of pediatric ocular trauma in the emergency department. Indications for emergent versus urgent ophthalmology referral are also discussed. Includes 4 AMA PRA Category 1 Credits™. Included as part of the 4 credits, this CME activity is eligible for 4 Trauma CME and 0.25 Pharmacology CME credits. CME expires on 09/01/2025

This issue reviews the current evidence for initial assessment and acute management of firearm injuries to the extremities of 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 and 0.5 Pharmacology CME credits. CME expires on 08/01/2025

This Pediatric Trauma EXTRA CME supplement (free to Pediatric Emergency Medicine Practice subscribers) addresses emergency department management of submersion 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 06/15/2025

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.

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.

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

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

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

This Pediatric Trauma EXTRA CME supplement (free to Pediatric Emergency Medicine Practice subscribers) reviews the management of infants with traumatic injuries. This issue does not include CME.

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

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. CME expired on 1/15/2023. No CME for this activity

This Pediatric Trauma EXTRA CME supplement (free to Pediatric EM Practice subscribers) reviews common indications for diagnostic POCUS in pediatric trauma. CME expired on 07/15/2022. No CME for this activity

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. CME expired on 05/01/2022. 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

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

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

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 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 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

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.

A critical appraisal of the existing guidelines for the management of motor vehicle trauma and for the use of appropriate child-safety restraints is presented.

There is a broad consensus in favor of less invasive procedures and more conservative management of traumatic renal injuries if the patient is stable; the exception would be cases of severe injury, such as injury to the vascular pedicle or complete laceration of the ureteropelvic junction.

Nearly all pediatricians avail themselves to pediatric advanced life support (PALS) training and certification. Most of us blindly accept the PALS guidelines as being true and unquestioningly commit them to memory. But is there evidence that PALS works? Who comes up with these guidelines and how do they do it? How do these guidelines work and what happens after the initial resuscitation steps have been completed? This article addresses these questions.

This issue of Pediatric Emergency Medicine Practice reviews the available research on mammalian bite wounds in children to help the emergency clinician choose a strategy for managing the care of their pediatric patients.

In this issue of Pediatric Emergency Medicine PRACTICE, we will present an approach to pediatric shock based, as far as possible, on the available evidence.