Nurse-Emergency Pediatric Certification CE

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All of our activities are approved by ANCC (LVN, RN, and CNS) and all activity is reported to CE Broker and all states as required. StatPearls continuing education activities are linked to practice questions which are based on the Board of Certification for Emergency Nursing® content outlines. 620 authors and 10 editors have contributed to the development of the Nurse-Emergency Pediatric Certification content, which is continuously refined and updated to improve your learning experience.

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Nurse-Emergency Pediatric Certification Activities

Title Description Hours Questions
2-Octyl Cyanoacrylate 2-Octyl cyanoacrylate is one of the most commonly used commercially available wound adhesives. Current indications include any easily approximated sur ... Read the Article 1 5 Activity Info
3,4-Methylenedioxy-Methamphetamine Toxicity This activity reviews the FDA-class 1 drug 3,4 - methylenedioxymethamphetamine, also known as MDMA, ecstasy, or molly. The drug is known to promote a ... Read the Article 1.25 8 Activity Info
Abdominal Gunshot Wounds An abdominal gunshot wound is a multisystemic, traumatic injury that commonly causes high morbidity and mortality. Practitioners should recognize that ... Read the Article 1 4 Activity Info
Abdominal Thrust Maneuver The abdominal thrust maneuver, also known as the Heimlich maneuver, is used to treat upper airway obstructions caused by foreign bodies. This maneuver ... Read the Article 1 4 Activity Info
Abnormal Respirations There are multiple types of normal and abnormal respiration. They include apnea, eupnea, orthopnea, dyspnea hyperpnea, hyperventilation, hypoventilati ... Read the Article 1.25 10 Activity Info
Abortion Complications Roughly one million abortions are performed each year in the United States alone. The total abortion-related complication rate is estimated to be abou ... Read the Article 1 4 Activity Info
Abrasion Abrasion is the superficial denudation of the epithelium due to scraping, impact, or pressure. While the management of abrasions is relatively simple, ... Read the Article 1 6 Activity Info
Acetabular Fractures Acetabular fractures primarily occur in young people who are involved in high-velocity trauma. Since the advent of mandatory seatbelt use, there has ... Read the Article 1 7 Activity Info
Acetaminophen Toxicity Acetaminophen toxicity is the second most common cause of liver transplantation worldwide and the most common cause of liver transplantation in the US ... Read the Article 1.25 11 Activity Info
Acromioclavicular Joint Injury Acromioclavicular joint injuries account for more than forty percent of all shoulder injuries. Mild injuries are not associated with any significant ... Read the Article 1.25 9 Activity Info
Acute Abdomen An acute abdomen is a condition that demands urgent attention and treatment. The acute abdomen may be caused by an infection, inflammation, vascular o ... Read the Article 1 4 Activity Info
Acute and Chronic Thermal Burn Evaluation and Management Thermal burns are a significant cause of worldwide morbidity and mortality. They can lead to debilitating, lifelong injuries and have serious psycholo ... Read the Article 1.5 13 Activity Info
Acute Ankle Sprain Acute ankle sprains are commonly seen in both primary care practices and emergency departments and can result in significant short-term morbidity, rec ... Read the Article 1.25 12 Activity Info
Acute Compartment Syndrome Acute compartment syndrome is a condition in which there is increased pressure within a closed osteofascial compartment, resulting in impaired local c ... Read the Article 1.75 21 Activity Info
Acute Kidney Injury Acute kidney injury, previously known as acute renal failure, denotes a sudden and often reversible reduction in the kidney function, as measured by ... Read the Article 1.5 17 Activity Info
Acute Lymphocytic Leukemia Acute lymphocytic leukemia (ALL) is a malignancy of B or T lymphoblasts characterized by uncontrolled proliferation of abnormal, immature lymphocytes ... Read the Article 1.25 10 Activity Info
Acute On Chronic Liver Failure Acute on chronic liver failure is a clinical syndrome of sudden hepatic decompensation observed in patients with pre-existing chronic liver disease. A ... Read the Article 1 7 Activity Info
Acute Otitis Media Acute otitis media (AOM) is defined as an infection of the middle ear and is the second most common pediatric diagnosis in the emergency department fo ... Read the Article 1.5 13 Activity Info
Acute Pancreatitis Acute pancreatitis is the leading cause of gastrointestinal-related hospitalization in the United States, and its frequency continues to rise in the U ... Read the Article 2.25 34 Activity Info
Acute Pneumothorax Evaluation and Treatment A pneumothorax is an accumulation of gas in the pleural space (the space between the visceral and parietal pleura of the chest cavity), which can imp ... Read the Article 1 7 Activity Info
Acute Pyelonephritis Acute pyelonephritis is a bacterial infection causing inflammation of the kidneys. Pyelonephritis occurs as a complication of an ascending urinary tra ... Read the Article 1.25 12 Activity Info
Acute Respiratory Distress Syndrome Acute respiratory distress syndrome (ARDS) is a life-threatening condition characterized by poor oxygenation and non-compliant or "stiff" lungs. The d ... Read the Article 2.25 33 Activity Info
Acute Scrotum Pain Acute scrotum pain is an umbrella term that includes a wide variety of unique disease processes. Patients may describe the rapid onset of symptoms wit ... Read the Article 1.25 9 Activity Info
Acute Subarachnoid Hemorrhage Subarachnoid hemorrhages are true emergencies that demand prompt treatment. Subarachnoid hemorrhages result from a medical aneurysmal rupture or traum ... Read the Article 1.5 15 Activity Info
Adenosine Adenosine has uses as both a diagnostic or therapeutic agent. As a diagnostic agent, adenosine can be utilized in myocardial perfusion stress imaging ... Read the Article 1.25 10 Activity Info
Adrenal Crisis Adrenal crisis is an acute life-threatening condition precipitated by an internal or external process in the setting of known or unknown adrenal insuf ... Read the Article 1.25 10 Activity Info
Agitation Agitation is a nonspecific constellation of relatively unrelated behaviors that can be seen in various clinical situations, usually presenting with a ... Read the Article 1 6 Activity Info
Airway Assessment A thorough, but brief, airway assessment is essential for the proper management of patients requiring advanced airway management. Indications for the ... Read the Article 1 6 Activity Info
Airway Foreign Bodies Foreign body aspiration is the fourth leading cause of death in preschool and younger age children and accounts for a significant number of emergency ... Read the Article 1.25 7 Activity Info
Airway Management Interprofessional team members must be familiar with the important anatomical, physiological, and pathological features related to the airway and have ... Read the Article 1.75 19 Activity Info
Airway Monitoring Airway monitoring involves assessing both a patient’s ventilatory function and their ability to perform adequate gas exchange. Determining a patient’s ... Read the Article 1 5 Activity Info
Airway Obstruction Airway obstruction secondary to a foreign body is often easily treated, as the foreign body can be removed, and the patency of the airway restored. Ho ... Read the Article 1 4 Activity Info
Airway Suctioning Airway suctioning is a procedure routinely performed in inpatient and outpatient settings. It is important to maintain the patency of the natural or a ... Read the Article 1 6 Activity Info
Alkali Toxicity Alkali toxicity, though rare, can lead to serious medical problems. Adult caustic ingestions are usually intentional, involving more substantial amou ... Read the Article 1 4 Activity Info
Alkalosis Alkalosis is an abnormal pathophysiological condition characterized by the buildup of excess base or alkali in the body. It results in an abnormally h ... Read the Article 1 5 Activity Info
Allergic And Environmental Induced Asthma Asthma is a major cause of morbidity and mortality in the United States. Numerous studies have shown that early institution of inhaled corticosteroids ... Read the Article 1.25 7 Activity Info
Allergy Allergy is described as an exaggerated response from the body’s immune system to otherwise inert substances present in the environment. The usual symp ... Read the Article 1.25 11 Activity Info
Alpha Receptor Agonist Toxicity Alpha-adrenergic agonist toxicity is due to a broad group of pharmaceutical agents known as alpha agonists, which can be further broken down into cent ... Read the Article 1 4 Activity Info
Amikacin Amikacin is an antimicrobial with activity against more resistant gram-negative bacilli such as Acinetobacter baumanii and Pseudomonas aeruginosa. It ... Read the Article 1 5 Activity Info
Amoxicillin Clavulanate Amoxicillin-clavulanate is a mainstay antibiotic in emergency departments and primary care offices throughout the country. It is a combination of two ... Read the Article 1.25 8 Activity Info
Amphetamine Related Psychiatric Disorders Amphetamines belong to a class of compounds called phenethylamines which induce catecholaminergic effects in the CNS and peripheral circulation. Recre ... Read the Article 1 6 Activity Info
Amphetamine Toxicity Amphetamine abuse is widespread, and overdose is associated with significant and negative impacts on the cardiovascular and neurological systems. Pati ... Read the Article 1 8 Activity Info
Ampicillin/Sulbactam Ampicillin/sulbactam combination shows synergy to cover strains of bacteria resistant to ampicillin, thus providing broader coverage. This combo adds ... Read the Article 1 5 Activity Info
Anaerobic Infections Anaerobic bacteria are part of the normal flora of human skin and mucosal membranes. The site of anaerobic infection is commonly the site of normal co ... Read the Article 1 5 Activity Info
Anaphylaxis Anaphylaxis is an acute, life-threatening hypersensitivity disorder, defined as a generalized, rapidly evolving, multi-systemic allergic reaction. Ana ... Read the Article 1.75 24 Activity Info
Animal Bites Animal bites account for approximately one percent of all emergency visits in the U.S. yearly and can range from superficial injuries to disfiguring a ... Read the Article 1.25 9 Activity Info
Ankle Fractures Acute ankle fractures can affect many different structures. Classification systems can help delineate the mechanism of injury and the structures damag ... Read the Article 1.5 14 Activity Info
Anterior Epistaxis Nasal Pack Among the nasal emergencies, epistaxis is one of the most common chief complaints in patients presenting to the emergency department. Typically, anter ... Read the Article 1 4 Activity Info
Anterior Glenohumeral Joint Dislocation Anterior glenohumeral joint dislocations are the most commonly encountered joint dislocations. They can be the result of low or high-energy trauma. Th ... Read the Article 1.25 8 Activity Info
Anthrax Anthrax is an infectious disease caused by an encapsulated, spore-forming, gram-variable bacteria called Bacillus anthracis. This commonly presents wi ... Read the Article 1 6 Activity Info
Anticholinergic Toxicity Anticholinergic toxicity is commonly seen in the emergency department but is rarely fatal. According to the 2015 annual American Association of Poison ... Read the Article 1 7 Activity Info
APGAR Score In 1952, Dr. Virginia Apgar, an anesthesiologist at Columbia University, developed the Apgar score. Serendipitously, APGAR is also a useful mnemonic t ... Read the Article 1.25 13 Activity Info
Appendicitis Appendicitis is the inflammation of the vermiform appendix. It typically presents acutely, within 24 hours of onset, but can also present as a more ch ... Read the Article 2 27 Activity Info
Appendix Testes Torsion Torsion of testicular appendages is considered one of, if not the most common cause of acute scrotal pain in prepubertal children and should be includ ... Read the Article 1 7 Activity Info
Aromatic Toxicity Hydrocarbons are organic compounds consisting of carbon and hydrogen atoms. Toluene and benzene can be found in products such as gasoline, nail polis ... Read the Article 1 5 Activity Info
Aspart Insulin Insulin aspart is a rapid-acting, human insulin analog that is FDA approved for the treatment of type-1 and type-2 diabetes mellitus to improve glycem ... Read the Article 1 6 Activity Info
Aspiration Pneumonia The infectious pulmonary process that occurs after abnormal entry of fluids into the lower respiratory tract is termed aspiration pneumonia. The aspir ... Read the Article 1.5 19 Activity Info
Asthma Asthma is a chronic disease of the air passages characterized by inflammation and narrowing of the airways. Symptoms of asthma include shortness of br ... Read the Article 2.25 32 Activity Info
Asthma Medications Asthma is a wide-reaching, chronic inflammatory illness that impacts millions of people daily. It is frequently responsible for unscheduled healthcare ... Read the Article 1 5 Activity Info
Asystole Asystole, colloquially referred to as flatline, represents the cessation of electrical and mechanical activity of the heart. Asystole typically occurs ... Read the Article 1.25 9 Activity Info
Atrial Septal Defect Atrial septal defect (ASD) is one of the most common types of congenital heart defects, occurring in about 25% of children. An atrial septal defect oc ... Read the Article 1.75 23 Activity Info
Atropine Atropine or atropine sulfate carries FDA indications for anti-sialagogue/anti-vagal effect, organophosphate/muscarinic poisoning, and bradycardia. Atr ... Read the Article 1.25 11 Activity Info
Autonomic Dysreflexia Autonomic dysreflexia is a condition that emerges after a spinal cord injury, usually when the injury has occurred above the T6 level. The higher the ... Read the Article 1.25 9 Activity Info
Avulsed Tooth Dentoalveolar trauma injuries are caused by an external impact on the teeth, palate, mandible, maxilla, and gingiva. These injuries can result in anyt ... Read the Article 1.5 16 Activity Info
Babinski Reflex The Babinski reflex was described by the neurologist Joseph Babinski in 1899. Since that time, it has been incorporated into the standard neurological ... Read the Article 1 6 Activity Info
Bacterial Conjunctivitis Conjunctivitis, also informally known as "pink eye," makes up the majority of ophthalmologic disorders seen at primary care clinics. Patients present ... Read the Article 1.25 8 Activity Info
Bacterial Gastroenteritis Gastroenteritis is a diarrheal disease characterized by an increase in bowel movement frequency with or without fever, vomiting, and abdominal pain. T ... Read the Article 1 4 Activity Info
Bacterial Meningitis Bacterial meningitis is an infection of the meninges that results in inflammation. It is a serious and life-threatening condition that requires prompt ... Read the Article 1.5 18 Activity Info
Bacterial Pharyngitis Pharyngitis, more commonly described as sore throat, represents inflammation or irritation of the posterior oropharynx. While the majority of cases ar ... Read the Article 1.25 7 Activity Info
Bacterial Vaginosis Bacterial vaginosis is a condition caused by an overgrowth of normal vaginal flora. Most commonly, this presents clinically with increased vaginal dis ... Read the Article 1.25 10 Activity Info
Bag Mask Ventilation Bag valve mask ventilation is a difficult skill to master. This activity explains how to improve this skill. This activity describes the technique of ... Read the Article 1 5 Activity Info
Barotrauma And Mechanical Ventilation Pulmonary barotrauma is a potentially life-threatening complication in patients on mechanical ventilation. It is important to recognize and quickly ac ... Read the Article 1.25 11 Activity Info
Basilar Skull Fractures Basilar skull fractures, usually caused by substantial blunt force trauma, involve at least one of the bones that compose the base of the skull. Basil ... Read the Article 1 7 Activity Info
Battle Sign Battle sign is bruising over the mastoid process that is typically the result of head trauma. Battle sign typically requires significant head trauma a ... Read the Article 1 5 Activity Info
Benzodiazepine Toxicity Since the 1960s, with the development of chlordiazepoxide and shortly thereafter diazepam, benzodiazepines quickly became popular medications secondar ... Read the Article 1.25 12 Activity Info
Beta 2 Agonists Beta-2 adrenergic receptor agonists are a class of medications used in the frontline management and treatment of bronchial asthma and COPD. This activ ... Read the Article 1 5 Activity Info
Beta Blockers Beta-blockers, as a class of drugs, are primarily used to treat cardiovascular diseases and other conditions. Beta-blockers are indicated and have FDA ... Read the Article 1.25 9 Activity Info
Biceps Tendon Rupture of the Lower Limb Rupture of the biceps femoris tendon can be treated conservatively or surgically, depending on the severity of the tendon retraction. Most of the pati ... Read the Article 1.25 8 Activity Info
Black Widow Spider Toxicity The black widow spider species, also known by its biological nomenclature as the Latrodectus species is one of more than 40,000 different species of s ... Read the Article 1 5 Activity Info
Blast Injuries Explosions are unique in their ability to inflict acute injuries on many people at the same time, resulting in high levels of mortality and morbidity. ... Read the Article 1.25 12 Activity Info
Bleach Toxicity Bleach refers to a large class of compounds used to whiten or color-lighten materials. They are frequently used for cleaning and disinfection; bleache ... Read the Article 1 4 Activity Info
Blister Agents Sulfur mustard (dichlorethylsulphide) and nitrogen mustard are blistering agents, or vesicants, that have been used in chemical warfare since before t ... Read the Article 1.25 9 Activity Info
Blood Transfusion Blood transfusions are a relatively common medical procedure and while typically safe, there are multiple complications that practitioners need to be ... Read the Article 2.25 32 Activity Info
Blunt Abdominal Trauma Abdominal trauma caused by blunt force is a common presentation in the emergency room seen in adults and children. The chief cause of blunt abdominal ... Read the Article 1.25 13 Activity Info
Blunt Force Trauma Trauma is the leading cause of morbidity and mortality in patients under 35-years of age and the sixth leading cause of death worldwide. The majority ... Read the Article 1.25 12 Activity Info
Blunt Head Trauma Traumatic Brain Injury is a significant cause of morbidity and mortality in the United States, with an annual occurrence of more than 1.5 million. Fal ... Read the Article 1 7 Activity Info
Body Fluid Exposures Health care workers have serious concerns about exposure to bodily fluids. Accidental exposures to bodily fluids present a wide variety of issues to h ... Read the Article 1 5 Activity Info
Bowel Perforation Bowel perforation results from insult or injury to the mucosa of the bowel wall caused due to a violation of the closed system. Bowel perforation can ... Read the Article 1 6 Activity Info
Brain Death Brain death is both a legal and clinical term. The term has been present in medical literature and texts for many years as part of the National Confer ... Read the Article 1 4 Activity Info
Brain Trauma Brain trauma or traumatic brain injury (TBI) results from a blow, bump, jolt, or penetrating injury to the head that disrupts the normal function of t ... Read the Article 1.5 13 Activity Info
Brief Resolved Unexplained Event In 2016, the American Academy of Pediatrics recommended replacing the term apparent life-threatening event (ALTE) with brief resolved unexplained even ... Read the Article 1 6 Activity Info
Bronchiolitis Bronchiolitis is a common lung infection in young individuals. The viral infection involves the lower respiratory tract and can present with signs of ... Read the Article 1.25 9 Activity Info
Burn Evaluation And Management Burns are injuries of the skin involving the two layers: the thin, outer epidermis and the thicker, deeper dermis. 86% of burns are caused by thermal ... Read the Article 1 7 Activity Info
Burn Fluid Management In the United States, approximately 500,000 people seek care for burn injuries each year. For civilians, these injuries are typically sustained in hou ... Read the Article 1 5 Activity Info
Burn Resuscitation And Management Severe burns cause not only significant injury at the local burn site but also a systemic response throughout the body. Inflammatory and vasoactive m ... Read the Article 1 5 Activity Info
Caffeine Toxicity Caffeine is a stimulant that has been utilized globally for centuries secondary to its ability to improve mental alertness. As many as 85% of American ... Read the Article 1 7 Activity Info
Cannabidiol (CBD) CBD is a medication used to manage and treat the seizure disorders Lennox-Gastaut syndrome and Dravet syndrome. This activity describes the indication ... Read the Article 1 5 Activity Info
Cannabinoid Toxicity Cannabinoids are a collective group of compounds that act on cannabinoid receptors. They include plant-derived phytocannabinoids, synthetic cannabinoi ... Read the Article 1 6 Activity Info
Carbamate Toxicity Carbamates are a class of insecticides structurally and mechanistically similar to organophosphate (OP) insecticides. Carbamates are N-methyl carbamat ... Read the Article 1 4 Activity Info
Carbamazepine Carbamazepine is used to manage and treat epilepsy, trigeminal neuralgia, and acute manic and mixed episodes in bipolar I disorder. Indications for ep ... Read the Article 1.25 13 Activity Info
Carbon Monoxide Toxicity Carbon monoxide toxicity occurs after breathing in excessive levels of carbon monoxide. This is a tasteless, odorless, and colorless gas and victims a ... Read the Article 1.5 17 Activity Info
Cardiac Arrest As defined by the American Heart Association and the American College of Cardiology, "(sudden) cardiac arrest is the sudden cessation of cardiac activ ... Read the Article 1.25 9 Activity Info
Cardiac Tamponade Cardiac tamponade is a medical emergency that takes place when abnormal amounts of fluid accumulate in the pericardial sac compressing the heart and l ... Read the Article 1.5 15 Activity Info
Cardiopulmonary Arrest In Children Unlike in adults, cardiopulmonary arrest in rare in children and less likely to be a primary cardiac event. Early onset of effective, high-quality CPR ... Read the Article 1 7 Activity Info
Cardiopulmonary Resuscitation Cardiopulmonary resuscitation (CPR) comprises a group of interventions performed to provide oxygenation and circulation to the body during cardiac arr ... Read the Article 1.25 10 Activity Info
Caustic Ingestions Caustic ingestion is the term given to describe the ingestion of an extremely toxic substance such as lye. Caustic ingestions are serious medical emer ... Read the Article 1.25 9 Activity Info
Central and Peripheral Cyanosis Peripheral cyanosis is the bluish discoloration of the distal extremities (Hands, fingertips, toes), and can sometimes involve circumoral and periorbi ... Read the Article 1 6 Activity Info
Central Line Placement A central line is a large-bore central venous catheter that is typically placed using a sterile technique unless a patient is unstable, in which case ... Read the Article 1 5 Activity Info
Cerebral Edema The most basic definition of cerebral edema is swelling of the brain. It is a relatively common phenomenon with numerous etiologies. Cerebral edema c ... Read the Article 1 7 Activity Info
Cervical Disc Injuries The spinal cord is a nervous tissue bundle from the medulla oblongata in the brainstem to the lumbar region, and the vertebral column protects it. The ... Read the Article 1 6 Activity Info
Cervical Injury Cervical spine injuries, although uncommon, can result in significant and long-term disability. The cervical spine encompasses seven vertebrae and ser ... Read the Article 1 7 Activity Info
Change In Mental Status Altered mental status is a common presentation. It is important to recognize the early signs of altered mental status, identify the underlying cause, ... Read the Article 1 3 Activity Info
Chemical Burns Healthcare professionals should be knowledgeable about chemical burns from exposure to acids (pH less than 7), alkalis (pH greater than 7), and irrita ... Read the Article 1 5 Activity Info
Chemical Decontamination Contending with a mass casualty incident involving a chemical exposure seems daunting; fortunately, these are rare events. Acute care clinicians may ... Read the Article 1 6 Activity Info
Chest Tube A chest tube, also known as a thoracostomy tube, is a flexible tube that can be inserted through the chest wall and into the pleural space. This activ ... Read the Article 1 6 Activity Info
Cheyne Stokes Respirations Cheyne-Stokes respiration is a type of breathing disorder characterized by cyclical episodes of apnea and hyperventilation. Although described in the ... Read the Article 1 5 Activity Info
Child Abuse and Neglect The World Health Organization (WHO) defines child maltreatment as “all forms of physical and emotional ill-treatment, sexual abuse, neglect, and explo ... Read the Article 2 30 Activity Info
Child Intussusception Intussusception is a condition in which part of the intestine folds into the section next to it. Intussusception usually involves the small bowel and ... Read the Article 1.25 12 Activity Info
Child Physical Abuse And Neglect Approximately one in four children experience child abuse or neglect in their lifetime. Of maltreated children, 18 percent are abused physically, 78 p ... Read the Article 1 5 Activity Info
Child Sexual Abuse And Neglect Sexual abuse of children is the involvement of children or adolescents in sexual activities that he or she does not fully comprehend and can include e ... Read the Article 1 5 Activity Info
Childhood Brain Tumors Pediatric brain tumors are the most common type of solid childhood cancer and only second to leukemia as a cause of pediatric malignancies. They are c ... Read the Article 1.25 9 Activity Info
Chlamydia Chlamydia trachomatis is responsible for the greatest number of sexually transmitted infections and the majority of infection-related of blindness wor ... Read the Article 1.5 13 Activity Info
Chloramphenicol Chloramphenicol is a medication used in the management and treatment of superficial eye infections such as bacterial conjunctivitis, and otitis extern ... Read the Article 1 6 Activity Info
Chlorine Gas Toxicity Gaseous chlorine is poisonous and classified as a pulmonary irritant. It has intermediate water solubility with the capability of causing acute damage ... Read the Article 1 5 Activity Info
Choking Choking or foreign body airway obstruction occurs when an object partially or completely obstructs the passage of air exchange between the upper airwa ... Read the Article 1 4 Activity Info
Cholinergic Crisis A cholinergic crisis develops as a result of overstimulation of nicotinic and muscarinic receptors at the neuromuscular junctions. This is usually sec ... Read the Article 1 6 Activity Info
Clostridium Difficile Clostridium difficile is a gram-positive bacterium that is the cause most implicated in antibiotic-associated diarrhea. The emergence of a newer hyper ... Read the Article 1.5 17 Activity Info
Cocaine Cocaine hydrochloride topical solution contains 4% cocaine. It is not FDA-approved but allowed for only the following indications: topical anesthesia ... Read the Article 1.25 13 Activity Info
Colic Infant colic is estimated to affect 20% of all infants. Despite its prevalence, a clear cause for infantile colic remains elusive. There have been man ... Read the Article 1 5 Activity Info
Colles' Fracture This activity outlines the evaluation, treatment, and management of Colles fractures. Colles fractures are forearm injuries that require medical manag ... Read the Article 1.25 9 Activity Info
Coma Altered mental status is a catch-all term that includes a spectrum of patient behaviors ranging from confusion to deep unresponsiveness. Coma is at on ... Read the Article 1 6 Activity Info
Commotio Cordis Commotio cordis is ventricular fibrillation precipitated by blunt trauma to the heart. Although it is infrequent, it is an important cause of sudden ... Read the Article 1 6 Activity Info
Conjugated Hyperbilirubinemia Conjugated hyperbilirubinemia is usually secondary to hepatocellular disease or cholestasis (intrahepatic and extra-hepatic ). Early workup and diagno ... Read the Article 1.25 7 Activity Info
Conjunctivitis Conjunctivitis refers to the inflammation or infection of the conjunctiva. It is the most common presentation of eye redness in both primary care and ... Read the Article 1 6 Activity Info
Cooling Techniques For Hyperthermia Hyperthermia is defined as a body temperature greater than 40 C. Several conditions can cause hyperthermia. In sepsis, the immunologic reaction to the ... Read the Article 1 7 Activity Info
Corneal Foreign Body Corneal foreign bodies account for the second most common form of ocular trauma, with corneal abrasions being number one. In general, major morbidity ... Read the Article 1.25 8 Activity Info
Cough Cough is one of the most common medical complaints accounting for as many as 30 million clinical visits per year. Up to 40% of these complaints result ... Read the Article 1.5 13 Activity Info
Cow Milk Allergy Cow's milk allergy is an allergic reaction to the protein found in cow’s milk. Diagnosis can be difficult as it is primarily based on history and phys ... Read the Article 1 6 Activity Info
Cribiform Plate Fractures A fracture of the cribriform plate is a potentially serious injury that can be easily overlooked. When present, it is indicative of severe head or fac ... Read the Article 1 4 Activity Info
Cromolyn Sodium Cromolyn sodium is a medication used to manage bronchial asthma, allergic rhinitis, and certain allergic eye conditions such as vernal conjunctivitis, ... Read the Article 1 6 Activity Info
Croup Croup is a common respiratory illness of the trachea, larynx, and bronchi that can lead to inspiratory stridor and barking cough. It is a self-limited ... Read the Article 1.5 17 Activity Info
Crutches Crutches are medical devices designed to aid in ambulation, by transferring body weight from the legs to the torso and arms. They are mainly used to a ... Read the Article 1 7 Activity Info
Crystalloid Fluids Crystalloid fluids are a subset of intravenous solutions that are frequently used in the clinical setting. Crystalloid fluids are the first choice for ... Read the Article 1.25 8 Activity Info
Cultural Religious Competence In Clinical Practice The diversity of religion within our world's population brings challenges for health care providers and systems to deliver culturally competent medica ... Read the Article 1.75 16 Activity Info
Cyanide Toxicity Cyanide is a rapidly acting substance that is traditionally known as a poison. Hydrogen cyanide was first isolated from Prussian blue dye in 1786 and ... Read the Article 1.25 13 Activity Info
Deadly Single Dose Agents Although the basics of evaluating and treating most unknown ingestants are well known, many overdoses require very specific treatment if the patient i ... Read the Article 1.25 8 Activity Info
Decompression Sickness Decompression sickness (DCS) occurs when dissolved gasses (usually nitrogen or helium, used in mixed gas diving) exit solution and form bubbles inside ... Read the Article 1 7 Activity Info
Deferoxamine Deferoxamine is a medication used in Iron and aluminum toxicity. It is in the chelator class of drugs. This activity reviews the indications, mechanis ... Read the Article 1 7 Activity Info
Defibrillation Cardiac defibrillation is the act of administering a transthoracic electrical current to a person experiencing one of the two lethal ventricular dysrh ... Read the Article 1 5 Activity Info
Dengue Fever Dengue is a mosquito-transmitted virus and the leading cause of arthropod-borne viral disease in the world. It is also known as breakbone fever due to ... Read the Article 1 7 Activity Info
Depression Depression is a mood disorder that causes a persistent feeling of sadness and loss of interest. The American Psychiatric Association’s Diagnostic Stat ... Read the Article 2 30 Activity Info
Dermal Melanocytosis This activity outlines the evaluation and management of congenital dermal melanocytosis (Mongolian spot). It explains the role of the interprofessiona ... Read the Article 1 6 Activity Info
Development Milestones Developmental milestones are markers of a child’s development from infancy on into childhood. They are used to help determine if a child is undergoing ... Read the Article 1.25 9 Activity Info
Diabetes Mellitus Type 1 Type 1 diabetes mellitus (T1DM) is an autoimmune disease that leads to the destruction of insulin-producing pancreatic beta cells. Insulin is an essen ... Read the Article 1.25 9 Activity Info
Diaphragmatic Hernia A diaphragmatic hernia (DH) is a protrusion of abdominal contents into the thoracic cavity as a result of a defect within the diaphragm. It is most co ... Read the Article 1 7 Activity Info
Diaphyseal Femur Fracture Diaphyseal femur fractures are commonly encountered in association with other high-energy injuries. These injuries can lead to life-threatening sequel ... Read the Article 1.25 9 Activity Info
Diazepam Diazepam is a benzodiazepine medication that is FDA approved for the management of anxiety disorders, short-term relief of anxiety symptoms, spasticit ... Read the Article 1.25 10 Activity Info
Digit Amputation Digital amputation is often associated with traumatic injuries but is also seen within the elective surgery setting, such as in the case of cancer res ... Read the Article 1 5 Activity Info
Digit Replantation The focus of replantation of any part of the upper extremity is maximizing functional outcome rather than simple survival of the amputated part. Funct ... Read the Article 1 6 Activity Info
Digoxin Toxicity Digoxin is a cardiac glycoside derived from the foxglove plant (digitalis species). It has inotropic effects and is utilized in the management of syst ... Read the Article 1.25 10 Activity Info
Diphenhydramine Diphenhydramine, which is available as an over-the-counter medication, is a first-generation antihistamine that is used in a variety of conditions to ... Read the Article 1 6 Activity Info
Diphenhydramine Toxicity Diphenhydramine is most often used for the treatment of nausea, vomiting, allergic rhinitis, mild to severe allergic reactions (e.g., anaphylaxis), an ... Read the Article 1.25 9 Activity Info
Diphenoxylate and Atropine Diphenoxylate/atropine combination is a medication used in the management and treatment of diarrhea. It is in the antimotility class of drugs. This ac ... Read the Article 1.25 11 Activity Info
Diphtheria Diphtheria is a toxin-mediated infection caused by Corynebacterium species, primarily Corynebacterium diphtheria. It causes skin and mucosal infection ... Read the Article 1.25 13 Activity Info
Direct Laryngoscopy Direct laryngoscopy allows visualization of the larynx. It is used during general anesthesia, for surgical procedures of the larynx, and during resusc ... Read the Article 1 7 Activity Info
Disability Evaluation Impairment and disability are a concern for people around the globe. Injury, illness, or disease that inhibits an individual from participating in the ... Read the Article 1.25 9 Activity Info
Disk Battery Ingestion Disk batteries (or button batteries) are found in many consumer electronics. The last few decades have seen an increase in demand for compact electron ... Read the Article 1 6 Activity Info
Disseminated Intravascular Coagulation Disseminated intravascular coagulation can be defined is a widespread hypercoagulable state that can lead to both microvascular and macrovascular clot ... Read the Article 1.75 22 Activity Info
Distributive Shock As is true of the four broad classifications of shock, distributive shock, also known as vasodilatory shock, causes inadequate tissue perfusion. In di ... Read the Article 1 5 Activity Info
Domestic Violence Family and domestic violence is a common problem in the United States, affecting an estimated 10 million people every year; as many as one in four wom ... Read the Article 1.75 18 Activity Info
Drowning Drowning is defined as a process of experiencing respiratory impairment from submersion/immersion in a liquid medium. To delineate the incident's outc ... Read the Article 1 7 Activity Info
Dystonic Reactions An acute dystonic reaction is characterized by involuntary contractions of muscles of the extremities, face, neck, abdomen, pelvis, or larynx in eithe ... Read the Article 1.25 12 Activity Info
ECG T Wave Normally, the T wave on an electrocardiogram (ECG) is representative of ventricular repolarization. Changes in T wave morphology can be indicative of ... Read the Article 1 6 Activity Info
Elbow Fractures Overview The most common type of fracture in the pediatric population is elbow fractures. Most commonly, individuals fall on their outstretched hand. Prompt a ... Read the Article 1 6 Activity Info
Elbow Trauma Elbow trauma is a common occurrence in children and athletes and can cause a broad array of injury patterns ranging from mild soft tissue injuries and ... Read the Article 1 6 Activity Info
Electrical Burns Electrical injuries are when high-energy current travels through the body due to contact with an electrical source. Injuries occur due to either the f ... Read the Article 1 6 Activity Info
Electrocardiogram Electrocardiogram (abbreviated as EKG or ECG) represents a recording of the electrical activity of the heart. Willem Einthoven first invented it in 1 ... Read the Article 1.25 14 Activity Info
Emergency Room Thoracotomy An emergency room thoracotomy is performed in selected cases of direct thoracic injury concurrently with ACLS/ATLS resuscitation. Survival rates are l ... Read the Article 1.25 10 Activity Info
EMS Chest Injury Chest injuries account for nearly one-fourth of all trauma-related mortality, second only to head and neck injuries. They often require rapid interven ... Read the Article 1.25 8 Activity Info
EMS Prehospital Deliveries There are approximately 3.9 million deliveries in the United States every year. Fortunately, most of these deliveries are appropriately anticipated an ... Read the Article 1 7 Activity Info
EMS Pre-Hospital Evaluation and Treatment of Asthma in Children Asthma is the most common chronic childhood disease and a frequent reason for pediatric emergency medical treatment. This activity reviews emergency m ... Read the Article 1 5 Activity Info
EMS Resuscitation During Contamination While Wearing PPE In a world of evolving disease, accidental industrial or commercial contamination, as well as foreign and domestic terrorism, emergency providers must ... Read the Article 1 6 Activity Info
Endotracheal Tube In its simplest form, the endotracheal tube is a tube constructed of polyvinyl chloride that is placed between the vocal cords through the trachea. It ... Read the Article 1.5 16 Activity Info
Endotracheal Tube Intubation Techniques Endotracheal intubation is an essential resuscitative procedure in the emergency setting. Direct and video laryngoscopy are the two most common approa ... Read the Article 1.25 9 Activity Info
Enuresis Enuresis is a common childhood disorder seen in outpatient settings. Enuresis can be promptly treated if cases are identified early. In this activity, ... Read the Article 1 6 Activity Info
Epidural Abscess An epidural abscess is an infection within the epidural space anywhere in the brain or spinal cord. Epidural abscesses occur as a result of infections ... Read the Article 1.25 9 Activity Info
Epidural Hematoma An epidural hematoma (EDH) is an extra-axial collection of blood within the potential space between the outer layer of the dura mater and the inner ta ... Read the Article 1.5 14 Activity Info
Epiglottitis Epiglottitis is an inflammatory condition of the epiglottis and/or nearby structures including the arytenoids, aryepiglottic folds, and vallecula. Epi ... Read the Article 1.25 13 Activity Info
Epinephrine Epinephrine is one of the most commonly used agents in various settings as it functions as medication and hormone. It is currently FDA-approved for va ... Read the Article 1.5 16 Activity Info
Epistaxis Epistaxis (nosebleed) is one of the most common ear, nose, and throat (ENT) emergencies that present to the emergency room or primary care. There are ... Read the Article 1.25 9 Activity Info
Erythema Infectiosum Erythema infectiosum, also known as fifth disease, is a common viral exanthem caused by parvovirus B19. It is commonly seen in children between five a ... Read the Article 1.5 16 Activity Info
Escherichia Coli Escherichia coli (E. coli) is a gram-negative bacillus that is a causative organism of many diarrheal illnesses, including traveler’s diarrhea and dys ... Read the Article 1.25 9 Activity Info
Escitalopram Escitalopram is a medication used in the management and treatment of major depressive disorder and generalized anxiety disorder. It is in the selectiv ... Read the Article 1 6 Activity Info
Esophagial Foreign Body Most patients who present for evaluation of a foreign body in the esophagus do so after accidental ingestion of a known object, and the patient has mi ... Read the Article 1.25 13 Activity Info
Ethylene Glycol Toxicity Ethylene glycol (C2H6O2) is a toxic alcohol that is found in various household and industrial agents. Ethylene glycol exposure can be extremely danger ... Read the Article 1.25 7 Activity Info
Exercise Induced Asthma Exercise-induced bronchoconstriction (EIB) describes a transient and reversible contraction of bronchial smooth muscle after physical exertion that ma ... Read the Article 1.25 7 Activity Info
Febrile Seizure Febrile seizures are seizures that are caused by a sudden spike in body temperature with fevers greater than 38C or 100.4F, with no other underlying s ... Read the Article 1.25 9 Activity Info
Femoral Vein Central Venous Access Venous access can be obtained through the cannulation of peripheral veins, such as the antecubital vein or saphenous vein, or central veins, such as t ... Read the Article 1 5 Activity Info
Fibula Fractures Isolated fibula fractures are quite rare, much less common than fibula fractures with associated ligamentous involvement and/or tibia fractures. Fortu ... Read the Article 1 7 Activity Info
Finger Dislocation Finger joint dislocation is a common hand injury. Finger dislocation can occur at the proximal interphalangeal (PIP), distal interphalangeal (DIP), or ... Read the Article 1 6 Activity Info
First Degree Burn First-degree burns are superficial burns involving the epidermal layer of skin. The skin is the largest organ of the human body, with its weight compr ... Read the Article 1 3 Activity Info
Flail Chest Flail chest is a traumatic condition of the thorax. It may occur when 3 or more ribs are broken in at least 2 places. It is considered a clinical diag ... Read the Article 1 7 Activity Info
Flea Bites Flea bites are common in North America, especially in outdoor or unkempt conditions. Improving the interprofessional team's skills to educate patients ... Read the Article 1 6 Activity Info
Fluid Management Hospitalized patients often have conditions that impair their ability to regulate their hydration status. Improper fluid management leads to significa ... Read the Article 1.25 9 Activity Info
Flumazenil Flumazenil is a benzodiazepine antagonist. The primary FDA-approved clinical uses for flumazenil include reversal agents for benzodiazepine overdose a ... Read the Article 1 7 Activity Info
Food Allergies Food allergy is defined as an immune reaction to proteins in the food and can be immunoglobulin (Ig)E-mediated or non-IgE-mediated. IgE-mediated food ... Read the Article 1.25 8 Activity Info
Foreign Body Airway Obstruction According to the National Safety Council’s statistics, foreign-body airway obstruction (FBAO) is the fourth leading cause of unintentional death, resu ... Read the Article 1 5 Activity Info
Foreign Body Aspiration Foreign body aspiration remains a significant cause of death in children for anatomic as well as developmental reasons. Choking is typically defined a ... Read the Article 1 5 Activity Info
Frostbite Frostbite, also known as freezing cold injury is tissue damage that occurs due to cold exposure, occurring at temperatures below zero degrees celsius. ... Read the Article 1.5 17 Activity Info
Gamma-Hydroxybutyrate Toxicity Gamma hydroxybutyrate (GHB) is pharmaceutically manufactured as sodium oxybate for the treatment of narcolepsy. This formulation is considered a Sched ... Read the Article 1 8 Activity Info
Gas Gangrene Gas gangrene is a highly lethal infection of soft tissue, caused by Clostridium species, with Clostridium perfringens being the most common. This is s ... Read the Article 1.5 14 Activity Info
Generalized Tonic-Clonic Seizure This activity reviews generalized tonic-clonic seizures. A generalized tonic-clonic seizure, formerly known as grand mal seizure, is defined as a seiz ... Read the Article 1.25 10 Activity Info
Giardia Lamblia Enteritis Giardia lamblia enteritis is small-intestine gastroenteritis caused by the pathogenic protozoan Giardia lamblia, (Giardia duodenalis or Giardia intest ... Read the Article 1 7 Activity Info
Glasgow Coma Scale The Glasgow Coma Scale (GCS) is used to objectively describe the extent of impaired consciousness in all types of acute medical and trauma patients. T ... Read the Article 1 6 Activity Info
Glucagon Glucagon is a medication used to manage and treat hypoglycemia as an antidote to beta-blocker and calcium channel blocker overdose, anaphylaxis refrac ... Read the Article 1 6 Activity Info
Glycogen Storage Disease Glycogen storage diseases (GSDs) are inherited inborn errors of metabolism of carbohydrates. In general, these results from a lack of specific enzymes ... Read the Article 1.25 8 Activity Info
Guillain Barre Syndrome Guillain-Barre syndrome (GBS) is a rare but serious post-infectious immune-mediated neuropathy. It results from the autoimmune destruction of nerves i ... Read the Article 1.75 21 Activity Info
Haemophilus Influenza Type B Vaccine The Haemophilus influenzae type b (Hib) vaccine is a vaccine used to prevent invasive H. influenzae infections (usually caused by H. influenzae type b ... Read the Article 1.25 8 Activity Info
Hand Foot And Mouth Disease Hand, foot, and mouth disease (HFMD) is a common viral illness usually affecting infants and children but can affect adults. The infection usually inv ... Read the Article 1 7 Activity Info
Hand Hygiene Handwashing practices in the patient care setting began in the early 19th century. The practice evolved over the years with evidential proof of its va ... Read the Article 1 4 Activity Info
Head Trauma Traumatic brain injury (TBI) due to head trauma is a common presentation in emergency departments and usually accounts for more than one million visit ... Read the Article 1.5 15 Activity Info
Heat Illness The disorders of hyperthermia, also known as heat-related injury or illness, exist on a continuum, which is marked by dysregulation of the body’s ther ... Read the Article 1.25 10 Activity Info
Heat Stroke Heatstroke is a severe heat-related illness that involves an elevation in body temperature which typically, but not always, is greater than 40 C. The ... Read the Article 1 6 Activity Info
Hemolytic Transfusion Reaction Hemolytic transfusion reactions are one possible complication from transfusions. Hemolysis is the rupture of red blood cells, and can occur intravascu ... Read the Article 1 4 Activity Info
Hemolytic Uremic Syndrome Hemolytic uremic syndrome (HUS) is thrombotic microangiopathy characterized by the presence of a triad of symptoms: thrombocytopenia, acute renal impa ... Read the Article 1.25 9 Activity Info
Hemophilia Hemophilia A and B are the most common severe hereditary hemorrhagic disorders. Hemophilia A and B result from factor VIII and factor IX protein defic ... Read the Article 1.5 10 Activity Info
Hemophilia B Hemophilia B is an inherited disease, mainly caused by the deficiency of factor IX. It mostly affects males, but carrier females may show some signs o ... Read the Article 1 5 Activity Info
Hemorrhage Hemorrhage can manifest in many different ways depending on the mechanism and anatomic location. It is a common and serious medical emergency that req ... Read the Article 1.25 12 Activity Info
Hemorrhage Control Blood is mandatory to maintain adequate circulation within the cardiovascular system and perfuse the tissues of the body. Hemorrhage is the loss of bl ... Read the Article 1 3 Activity Info
Hemorrhagic Disease Of Newborn Hemorrhagic disease of the newborn is a life-threatening condition that is due to insufficient vitamin K levels in newborns as a result of various cau ... Read the Article 1.25 8 Activity Info
Hemorrhagic Shock Shock refers to the inadequate perfusion of tissues due to the imbalance between oxygen demand of tissues and the body’s ability to supply it. Classic ... Read the Article 1.75 20 Activity Info
Hemothorax Hemothorax is a collection of blood in the space between the visceral and parietal pleura (pleural space). The clinical findings in such patients incl ... Read the Article 1.25 12 Activity Info
Heroin Heroin, also known as diacetylmorphine, is derived from the opium poppy plant. Professionals initially touted morphine as a substitute with less misus ... Read the Article 1 6 Activity Info
Heroin Toxicity Heroin, also known as diacetylmorphine, is a very efficient prodrug and more potent than morphine. Many deaths are caused by heroin overdoses througho ... Read the Article 1 3 Activity Info
Herpes Simplex Neonatorum Herpes simplex virus (HSV) infections in the neonatal period continue to be troublesome for practitioners. In the 1970s, the drug vidarabine was intro ... Read the Article 1 4 Activity Info
High Altitude Cerebral Edema High altitude cerebral edema (HACE) is a severe and potentially fatal condition associated with high altitude illness that is often thought of as a la ... Read the Article 1 4 Activity Info
HIV Disease Current Practice The human immunodeficiency virus (HIV) is an enveloped retrovirus that contains 2 copies of a single-stranded RNA genome. It causes the acquired immun ... Read the Article 1.5 16 Activity Info
Hospital Acquired Infections Hospital-acquired infections (healthcare-associated infections) are nosocomially acquired infections that are not present or incubating at the time of ... Read the Article 1 6 Activity Info
Human Bites Human bites account for a relatively low percentage (3%) of the total bites encountered in the ED, but they have the potential for severe morbidity du ... Read the Article 1 7 Activity Info
Human Trafficking Human trafficking is a pressing public health concern which transcends all races, social classes, demographics, and gender. No population is exempt fr ... Read the Article 2 22 Activity Info
Hyaluronidase Hyaluronidase is an enzyme useful in facilitating the management of injectable medications. This activity reviews the indications, action, adverse eff ... Read the Article 1 5 Activity Info
Hydrocarbon Inhalation Hydrocarbons are organic compounds that consist of hydrogen and carbon. They are ubiquitous in society and are present in many common household and oc ... Read the Article 1 4 Activity Info
Hydroxyurea Toxicity Hydroxyurea is an antineoplastic agent used alone or in combination with other chemotherapeutic drugs or radiation in the treatment of resistant leuke ... Read the Article 1 4 Activity Info
Hymenoptera Stings The Hymenoptera order includes over 150,000 different species of flying and non-flying insects. Some species within this order have modified oviposito ... Read the Article 1.25 10 Activity Info
Hypercapnea Hypercapnia is the increase in partial pressure of carbon dioxide (PaCO2) above 45 mmHg. Carbon dioxide is a metabolic product of the many cellular pr ... Read the Article 1 3 Activity Info
Hyperglycemia The term "hyperglycemia" is derived from the Greek hyper (high) + glykys (sweet/sugar) + haima (blood). Hyperglycemia is blood glucose greater than 12 ... Read the Article 1 5 Activity Info
Hypernatremia The human body maintains sodium and water homeostasis by concentrating the urine secondary to the action of antidiuretic hormone (ADH) and increased f ... Read the Article 1 5 Activity Info
Hypertonic Fluids Clinicians use hypertonic fluids to increase intravascular fluid volume. Hypertonic saline can be utilized in the treatment of hyponatremia. Hypertoni ... Read the Article 1 5 Activity Info
Hypoglycemia Hypoglycemia is often defined by a plasma glucose concentration below 70 mg/dL; however, signs and symptoms may not occur until plasma glucose concent ... Read the Article 1.5 18 Activity Info
Hypokalemia One of the most common electrolyte disturbances seen in clinical practice is hypokalemia. Hypokalemia is more prevalent than hyperkalemia, and most ca ... Read the Article 1.25 12 Activity Info
Hyponatremia Hyponatremia is defined as a serum sodium concentration of less than 135 mEq/L but can vary to a small extent in different laboratories. Hyponatremia ... Read the Article 1.25 12 Activity Info
Hypotension Hypotension is a decrease in systemic blood pressure below accepted low values. While there is not an accepted standard hypotensive value, pressures l ... Read the Article 1 3 Activity Info
Hypothermia Accidental hypothermia occurs when the body dissipates more heat than it absorbs or creates, leaving the body unable to generate sufficient heat to ma ... Read the Article 1.5 15 Activity Info
Hypovolemic Shock Patients with hypovolemic shock have severe hypovolemia with decreased peripheral perfusion. If left untreated, these patients can develop ischemic in ... Read the Article 1 7 Activity Info
Impetigo Impetigo is a common infection of the superficial layers of the epidermis that is highly contagious and most commonly caused by gram-positive bacteria ... Read the Article 1 6 Activity Info
Increased Intracranial Pressure The pressure in the cranial vault is measured in millimeters of mercury (mm Hg) and is normally less than 20 mm Hg. The cranium is a rigid structure t ... Read the Article 1.25 10 Activity Info
Infant Apnea Apnea in infants is the term used to describe episodes of cessation of breathing and may be due to many physiologic or pathophysiologic processes. Bri ... Read the Article 1 7 Activity Info
Infantile Acne Acne vulgaris, a common dermatologic condition, is defined by the presence of comedones. Essentially benign in nature, acne vulgaris can, however, res ... Read the Article 1 5 Activity Info
Infantile Botulism Infantile botulism is caused by Clostridium botulinum, which is an anaerobic spore-forming, gram-positive bacillus. It can be found in the soil, water ... Read the Article 1.25 11 Activity Info
Influenza Influenza is a communicable viral disease that affects the upper respiratory tract, including upper and lower respiratory passages. A wide spectrum of ... Read the Article 1.25 9 Activity Info
Inguinal Hernia Inguinal hernia repair is an extremely common operation performed by surgeons. More than 800,000 repairs performed annually. These groin hernias can b ... Read the Article 1.25 8 Activity Info
Inhalation Injury Inhalation injury is a broad term that includes pulmonary exposure to a wide range of chemicals in various forms including smoke, gases, vapors, or fu ... Read the Article 1 7 Activity Info
Intestinal Trauma Intestinal injury is common in both blunt and penetrating abdominal trauma. Due to the potentially life-threatening nature of these injuries, provider ... Read the Article 1.25 9 Activity Info
Intracranial Hemorrhage Intracranial hemorrhage encompasses four broad types of hemorrhage: epidural hemorrhage, subdural hemorrhage, subarachnoid hemorrhage, and intraparenc ... Read the Article 1.5 15 Activity Info
Intracranial Hypertension Intracranial hypertension is a spectrum of neurological disorders where cerebrospinal fluid (CSF) pressure within the skull is elevated. Normal CSF pr ... Read the Article 1.25 12 Activity Info
Intramuscular Injection This activity outlines and highlights the role of the interprofessional team in improving care for patients who undergo intramuscular injection. This ... Read the Article 1 7 Activity Info
Intraosseous Vascular Access Obtaining vascular access is often difficult and delays patient care in the prehospital and hospital setting. Intraosseous (IO) access is a fast and r ... Read the Article 1.25 11 Activity Info
Kawasaki Disease Kawasaki disease (KD) is an acute, self-limited medium vessel vasculitis that has a predilection for the coronary arteries. This activity reviews the ... Read the Article 1.75 19 Activity Info
Kidney Trauma Renal trauma can result in injury to the parenchyma or the renal vasculature which can cause bleeding or injury to the collecting system with possible ... Read the Article 1.25 8 Activity Info
Knee Meniscal Tears The lateral and medial menisci are crescent-shaped fibrocartilaginous structures that collectively cover approximately 70% of the articular surface of ... Read the Article 1.25 13 Activity Info
Laceration Lacerations are a common patient chief complaint, and the understanding of key history and physical exam information can speed patient care. This acti ... Read the Article 1 6 Activity Info
Lactose Intolerance Lactose intolerance is a clinical syndrome that manifests with characteristic signs and symptoms upon the consumption of food substances containing la ... Read the Article 1.25 9 Activity Info
Laryngotracheobronchitis Laryngotracheobronchitis, as the name implies, refers to inflammation of the larynx, trachea, and bronchi. Cases of laryngotracheobronchitis can be mo ... Read the Article 1 6 Activity Info
Lead Toxicity Lead became a common occupational toxin with the birth of the Industrial Revolution, by the end of the 19-century childhood lead poisoning secondary t ... Read the Article 1.5 18 Activity Info
Leech Bite Leeches are hermaphroditic parasites of phylum Annelida and class Hirudinea. There are over 600 species of leeches. A minority of these are sanguinivo ... Read the Article 1.25 8 Activity Info
Lidocaine Lidocaine is a local anesthetic agent that is commonly used for local and topic anesthesia, but which also has antiarrhythmic and analgesic uses and c ... Read the Article 1.25 12 Activity Info
Lithium Toxicity The drug of choice for recurrent bipolar illness management remains to be lithium. Lithium, a monovalent cation similar to sodium with an unknown mech ... Read the Article 1.25 10 Activity Info
Long Arm Splinting Long arm splints are used in a variety of settings for immobilization of both bony and soft tissue injuries to the upper extremities. This type of spl ... Read the Article 1 4 Activity Info
Long QT Syndrome The QT interval on an electrocardiogram (ECG) represents the duration of the ventricular action potential, and this physiologically correlates with th ... Read the Article 1.25 12 Activity Info
Lower Gastrointestinal Bleeding Gastrointestinal (GI) bleeding is a term used to describe any bleeding that occurs within the gastrointestinal tract from mouth to the anus. Any bleed ... Read the Article 1 4 Activity Info
Lumbar Puncture The lumbar puncture is a diagnostic procedure in the diagnosis of meningitis, subarachnoid hemorrhage, and certain neurological disorders. It is also ... Read the Article 1 6 Activity Info
Lyme Disease Lyme disease is an infectious disease caused by Borrelia burgdorferi, which is spread by ticks. Lyme disease is divided into three stages: early local ... Read the Article 1.75 20 Activity Info
Mallet Finger Injuries Mallet finger is the term usually applied to extensor avulsion fractures. However, this entity may also be caused by distal extensor tendon ruptures. ... Read the Article 1.25 9 Activity Info
Mallory Weiss Syndrome Mallory-Weiss syndrome is one of the common causes of acute upper gastrointestinal bleeding and is characterized by the presence of longitudinal super ... Read the Article 1 7 Activity Info
Mannitol Mannitol can be used for the reduction of intracranial pressure and brain mass, to reduce intraocular pressure if this is not achievable by other mean ... Read the Article 1.25 11 Activity Info
Marasmus Marasmus is a manifestation of severe dietary malnutrition which occurs as a result of a calorie deficiency. Marasmus is associated with a better prog ... Read the Article 1.25 7 Activity Info
Marfan Syndrome One of the most common inherited disorders affecting connective tissue, Marfan syndrome (MFS) is an autosomal dominant condition with a reported incid ... Read the Article 1.5 12 Activity Info
Massive Transfusion Massive transfusion is traditionally defined as transfusion of 10 units of packed red blood cells (PRBCs) within a 24 hour period. The goal of massive ... Read the Article 1 6 Activity Info
Mechanical Ventilation Although mechanical ventilation can be a complex and seemingly elusive topic, expectations are that healthcare professionals who deal with critically ... Read the Article 1.25 9 Activity Info
Meconium Aspiration Meconium aspiration syndrome (MAS) is the neonatal respiratory distress that occurs in a newborn in the context of meconium-stained amniotic fluid (MA ... Read the Article 1 4 Activity Info
Medial Epicondylar Elbow Fractures Medial epicondylar fractures are fractures that occur at the medial distal humerus. These are common injuries in the pediatric population. Prompt diag ... Read the Article 1 5 Activity Info
Meningitis In spite of breakthroughs in diagnosis, treatment, and vaccination, in 2015 there were 8.7 million reported cases of meningitis worldwide with 379,000 ... Read the Article 1.25 13 Activity Info
Meningococcal Meningitis Meningitis is an infection/inflammation of the membranes that envelop the brain and spinal cord known as the meninges. Meningococcal meningitis is the ... Read the Article 1.25 11 Activity Info
Mercury Toxicity Mercury has been used for centuries in multiple capacities including medicinal and widespread industrial use. Because of this, it is a common chemical ... Read the Article 1 7 Activity Info
Mesenteric Adenitis Mesenteric adenitis is a syndrome characterized by right lower quadrant pain secondary to an inflammatory condition of mesenteric lymph nodes. This c ... Read the Article 1 4 Activity Info
Methamphetamine Toxicity Methamphetamine is a highly addictive psychostimulant drug that is a derivative of amphetamine. Methamphetamine can produce euphoria and stimulant eff ... Read the Article 1 4 Activity Info
Methanol Toxicity Methanol (CH3OH) is a toxic alcohol that is found in various household and industrial agents. Methanol exposure can be extremely dangerous, with signi ... Read the Article 1.75 23 Activity Info
Metronidazole Metronidazole is one of the mainstay drugs for the treatment of anaerobic bacterial infections, protozoal infections, and microaerophilic bacterial in ... Read the Article 1.5 14 Activity Info
Migraine Medications This activity will review treatments for acute migraine and migraine prophylaxis. It will highlight various classes of medications and their mechanism ... Read the Article 1.25 10 Activity Info
Mitral Regurgitation Mitral regurgitation (MR) is caused by the retrograde flow of blood from the left ventricle (LV) into the left atrium (LA) through the mitral valve (M ... Read the Article 1.5 17 Activity Info
Molluscum Contagiosum Molluscum contagiosum, also called water warts, is a benign condition of the skin. The skin lesions of molluscum contagiosum are called mollusca. The ... Read the Article 1.75 20 Activity Info
Mononucleosis Mononucleosis classically presents with fever, lymphadenopathy, and tonsillar pharyngitis. The term infectious mononucleosis was first used in the 192 ... Read the Article 1.5 14 Activity Info
Mucolytic Medications Mucolytics are drugs used to manage mucus hypersecretion and its sequelae like recurrent infections in patients of COPD, cystic fibrosis, and bronchie ... Read the Article 1 3 Activity Info
Myoglobinuria Myoglobinuria is the presence of an excess amount of myoglobin in the urine. It is mostly caused by muscle breakdown, releasing a high amount of myogl ... Read the Article 1 5 Activity Info
Naloxone Over the past two decades, the rate of overdose from opiates has increased significantly. Opiate misuse is associated with enormous morbidity and mort ... Read the Article 1.25 7 Activity Info
Nasal Fracture Reduction Nasal bony fractures are the most common type of facial bone fractures, representing 40 to 50 percent of cases. Nasal fractures are commonly associate ... Read the Article 1 5 Activity Info
Nasal Septal Hematoma The nose is the most commonly injured facial structure. Most nasal injuries do not require immediate intervention, but trauma is resulting in septal h ... Read the Article 1 4 Activity Info
Nasogastric Tube Nasogastric tubes are part of the standard of care in treating intestinal obstruction and can also be used to provide nutritional support. They are mo ... Read the Article 1.25 11 Activity Info
Neck Trauma The management of neck trauma can be challenging and sometimes overwhelming, as this anatomical region contains many vital structures. These structure ... Read the Article 1.5 15 Activity Info
Necrotizing Enterocolitis Necrotizing enterocolitis (NEC) is a life-threatening illness almost exclusively affecting neonates with a mortality rate as high as 50 percent. The p ... Read the Article 1 7 Activity Info
Necrotizing Fasciitis Necrotizing fasciitis is a subset of aggressive skin and soft tissue infections (SSTIs) that cause necrosis of the muscle fascia and subcutaneous tiss ... Read the Article 1.5 18 Activity Info
Neonatal Hypertension Neonatal hypertension often has non-specific presentation and it is commonly under-diagnosed. However, in the last few years, with the advancing techn ... Read the Article 1 6 Activity Info
Neonatal Hypoglycemia Hypoglycemia is the most common metabolic disturbance occurring in the neonatal period. Screening at-risk infants and the management of low blood gluc ... Read the Article 1 2 Activity Info
Neonatal Jaundice Neonatal jaundice is yellowish discoloration of the skin, conjunctiva, and sclera due to elevated serum or plasma bilirubin in the newborn period. Neo ... Read the Article 1.25 7 Activity Info
Neonatal Respiratory Distress Syndrome Neonatal respiratory distress syndrome is a frequent cause of increased morbidity and mortality in neonates. Understanding the pathophysiology, clinic ... Read the Article 1.5 14 Activity Info
Neonatal Seizure Neonatal seizures are a commonly encountered neurologic condition in neonates. They are defined as the occurrence of sudden, paroxysmal, abnormal alte ... Read the Article 1.5 14 Activity Info
Neonatal Sepsis Neonatal sepsis refers to an infection involving bloodstream in newborn infants less than 28 days old. It continues to remain a leading cause of morbi ... Read the Article 1.25 8 Activity Info
Nephrotic Syndrome Nephrotic syndrome (NS) is a clinical syndrome defined by massive proteinuria (greater than 40 mg/m2 per hour) responsible for hypoalbuminemia (less t ... Read the Article 1.5 14 Activity Info
Neurogenic Shock Neurogenic shock is a devastating consequence of spinal cord injury (SCI) that can manifest as hypotension, bradyarrhythmia, and temperature dysregula ... Read the Article 1 7 Activity Info
Neuroleptic Malignant Syndrome Neuroleptic malignant syndrome (NMS) is a life-threatening syndrome associated with the use of dopamine-receptor antagonist medications or with rapid ... Read the Article 1.25 12 Activity Info
Neutropenia Neutrophils play an essential role in immune defenses because they ingest, kill, and digest invading microorganisms, including fungi and bacteria. Fai ... Read the Article 1.25 9 Activity Info
Night Terrors Night terrors are a common sleep disorder in young children and describe a condition in which a child wakes up from sleep in a terrified state. For th ... Read the Article 1.25 11 Activity Info
Nitrogen Dioxide Toxicity Nitrogen dioxide and other oxides of nitrogen are found in a variety of occupational settings. This activity reviews the evaluation, treatment, and ma ... Read the Article 1 7 Activity Info
Nonsteroidal Anti-Inflammatory Drugs Toxicity As a class, nonsteroidal anti-inflammatory drugs, commonly abbreviated as NSAIDs, are chemically varied, yet share similar therapeutic and adverse eff ... Read the Article 1 4 Activity Info
Normal Saline Fluid therapy is a critical component of the clinical management of patients. It consists of colloid therapy as well as crystalloid therapy. The most ... Read the Article 1 4 Activity Info
Obesity Obesity is the excessive or abnormal accumulation of fat or adipose tissue in the body that may impair health. Obesity has become an epidemic which ha ... Read the Article 1.5 19 Activity Info
Open Fracture Management An open fracture is an injury where the fractured bone and/or fracture hematoma are exposed to the external environment via a traumatic violation of t ... Read the Article 1 6 Activity Info
Opioid Overdose One very common reason why patients seek medical care is for pain. Today, there are many ways to relieve pain, and one of them is with the use of opia ... Read the Article 1.25 5 Activity Info
Opioid Toxicity Opioids and opiates together comprise a class of medications widely used primarily to control severe pain. If first-line agents are not effective in c ... Read the Article 1.5 15 Activity Info
Oral Candidiasis This activity illustrates the evaluation and treatment of oral candidiasis. It highlights the role of the interprofessional team in evaluating and tre ... Read the Article 1.5 15 Activity Info
Organophosphate Toxicity Most patients exposed to organophosphates come into contact with insecticides. The first organophosphate insecticide was created in the mid-1800s but ... Read the Article 1.25 12 Activity Info
Organophosphates Organophosphates (OP) are chemical substances produced by the process of esterification between phosphoric acid and alcohol. Organophosphates can unde ... Read the Article 1 4 Activity Info
Oropharyngeal Airway Acute respiratory failure is caused by a wide range of etiologies. Progression to cardiopulmonary arrest and ultimately death is likely in the absenc ... Read the Article 1 4 Activity Info
Oseltamivir Oseltamivir is appropriate for treating acute, uncomplicated influenza A or B illness in adults and pediatric patients, including neonates greater tha ... Read the Article 1.25 8 Activity Info
Osteomyelitis Osteomyelitis is a serious infection of the bone that can be either acute or chronic. It is an inflammatory process involving the bone and its structu ... Read the Article 2 25 Activity Info
Otitis Media With Effusion Otitis media with effusion (OME) is a condition in which there is fluid in the middle ear, but no signs of acute infection. As fluid builds up in the ... Read the Article 1 5 Activity Info
Pain Assessment There are multiple tools used to help assess a patient's pain. These tools can be used to assess multiple types of pain, ranging from nociceptive pain ... Read the Article 1.5 15 Activity Info
Pain Management Medications Analgesics are medications used in the management and treatment of pain. They include several classes of medications (acetaminophen, nonsteroidal anti ... Read the Article 1.25 8 Activity Info
Pancreatic Trauma Pancreatic trauma is a rare but potentially catastrophic injury that can be very difficult to diagnose. Conventional imaging modalities miss subtle fi ... Read the Article 1 6 Activity Info
Panic Disorder Panic disorder is fairly common in the general population. Among all anxiety disorders, it has the highest number of medical visits and serves as a ve ... Read the Article 1.25 13 Activity Info
Paramyxovirus The Paramyxoviridae is a family of single-stranded RNA viruses known to cause different types of infections in vertebrates. Examples of these infecti ... Read the Article 1 5 Activity Info
Parental Consent Physicians and medical researchers have a moral and legal obligation to obtain informed consent. Informed consent must include the patient being compe ... Read the Article 1 5 Activity Info
Parkland Formula Early and aggressive fluid resuscitation plays a fundamental role in the management of severe burn patients. The Parkland formula is the most widely u ... Read the Article 1 4 Activity Info
Patellar Tendon Rupture A patellar tendon rupture involves a complete tear of the tendon that runs from the patella's inferior pole to the tibial tubercle. It is typically se ... Read the Article 1.25 9 Activity Info
Patient Restraint and Seclusion Patient restraint and seclusion is a controversial yet necessary aspect of medicine. Restraint encompasses both physical and chemical procedures. This ... Read the Article 1 6 Activity Info
Peanut Allergy Most primary care clinicians will encounter patients with a food allergy. Food items that account for 90% of hypersensitivity reactions include cow's ... Read the Article 1 5 Activity Info
Pectoralis Major Tear Injuries of the pectoralis major muscle are rare. Although the injury typically occurs while lifting weights, specifically while performing a bench pr ... Read the Article 1 5 Activity Info
Pediatric Abusive Head Trauma Pediatric abusive head trauma (AHT), or shaken baby syndrome, most often involves shaking, blunt impact, or a combination of both in infants and young ... Read the Article 2 24 Activity Info
Pediatric Appendicitis Appendicitis is an acute inflammatory process involving the appendix. It is the number one surgical emergency and one of the most common causes of abd ... Read the Article 1 7 Activity Info
Pediatric Asthma Asthma is a chronic inflammatory disease of the airways, characterized by recurrent episodes of airflow obstruction resulting from edema, bronchospasm ... Read the Article 1.5 18 Activity Info
Pediatric Bronchiolitis Bronchiolitis is inflammation of the bronchioles usually caused by an acute viral illness. It is the most common lower respiratory tract infection in ... Read the Article 1 8 Activity Info
Pediatric Dehydration The World Health Organization defines dehydration as a condition that results from excessive loss of body water. The most common causes of dehydration ... Read the Article 1.5 16 Activity Info
Pediatric Diabetic Ketoacidosis Diabetic ketoacidosis (DKA) is a serious complication of relative insulin deficiency affecting primarily type-1 diabetes mellitus (DM). DKA can occur ... Read the Article 1.25 9 Activity Info
Pediatric Facial Trauma Pediatric facial trauma includes blunt and penetrating trauma to the structures of the face in patients ages less than 18 years. This article primaril ... Read the Article 1.25 8 Activity Info
Pediatric Fluid Management Dehydration occurs commonly in children and many times requires resuscitation. Fluid resuscitation is essential in the management of critically ill ch ... Read the Article 1.25 12 Activity Info
Pediatric Foreign Body Ingestion Children commonly swallow foreign bodies. Coins are the most commonly swallowed foreign body that comes to medical attention in the USA; in other coun ... Read the Article 1.25 10 Activity Info
Pediatric Gastroenteritis Gastroenteritis in the pediatric population is a very common condition that accounts for around 10 percent of pediatric deaths and is the second cause ... Read the Article 1 3 Activity Info
Pediatric Head Trauma Blunt traumatic brain injury (TBI) is a disruption in the normal function of the brain caused by a mechanical impact to the head. TBI ranges from mild ... Read the Article 1 5 Activity Info
Pediatric Pneumonia Globally, pneumonia is a leading cause of morbidity and mortality in children younger than the age of 5 years. Although the majority of deaths attribu ... Read the Article 1.25 8 Activity Info
Pediatric Skull Fractures A child's skull is thinner and more pliable than an adult skull, thus providing less protection to the brain. Head trauma is a common cause of morbidi ... Read the Article 1 7 Activity Info
Pediatric Spine Trauma A spinal cord injury is a potentially crippling injury which often results in severe and permanent disability. Quite often when encountering multi-sys ... Read the Article 1.25 8 Activity Info
Pediatric Tracheostomy Tracheostomy has been increasingly performed in children with complex medical conditions for the management of upper airway obstruction, prolonged ven ... Read the Article 1 7 Activity Info
Pelvic Inflammatory Disease Pelvic inflammatory disease (PID) is defined as an inflammation of the upper genital tract due to an infection in women. The disease affects the uteru ... Read the Article 1.5 19 Activity Info
Penetrating Abdominal Trauma Penetrating abdominal trauma is most commonly caused by stabbing or gunshot wound. The most commonly injured regions are the small bowel, large bowel, ... Read the Article 1.25 11 Activity Info
Penetrating Chest Trauma Chest trauma has quickly risen to be the second most common traumatic injury in non-intentional trauma. Trauma to the chest is also associated with th ... Read the Article 1 4 Activity Info
Penetrating Head Trauma Penetrating brain injury (PBI) is a significant cause of mortality in young individuals. PBI encompasses all traumatic brain injuries other than blunt ... Read the Article 1 5 Activity Info
Penicillin Penicillin is a medication used in the management and treatment of a wide range of infections. It is in the beta-lactam antibiotic class of drugs. Thi ... Read the Article 1 5 Activity Info
Penile Zipper and Ring Injuries Ring and zipper injuries that cause damage to the penis are uncommon. However, when they do occur, affected individuals often try to manage the condit ... Read the Article 1 6 Activity Info
Percutaneous Central Catheter The ability to obtain venous access in the inpatient and outpatient setting is one of the most fundamental, yet, crucial components for a large number ... Read the Article 1 5 Activity Info
Perianal Abscess Perianal abscesses are the most common type of anorectal abscesses. These abscesses can cause significant discomfort for patients. They are located at ... Read the Article 1 5 Activity Info
Perianal Streptococcal Dermatitis Perianal streptococcal dermatitis is a cellulitis of the perineum. The most common causative organism is group A beta-hemolytic streptococci. Therefor ... Read the Article 1 7 Activity Info
Peritonsillar Abscess Peritonsillar abscesses are localized collections of pus in peritonsillar space between the tonsillar capsule and superior constrictor muscle. Since t ... Read the Article 1.25 12 Activity Info
Pharyngitis Pharyngitis is the inflammation of the mucous membranes of the oropharynx. In most cases, it is caused by an infection, either bacterial or viral. Oth ... Read the Article 1 7 Activity Info
Phencyclidine Toxicity Phencyclidine (PCP) is a dissociative anesthetic that is a commonly used recreational drug. PCP is a crystalline powder that can be ingested orally, i ... Read the Article 1.25 13 Activity Info
Phenobarbital Phenobarbital is included in a class of drugs called barbiturates. This drug can be used for anti-seizure management, treatment for status epilepticus ... Read the Article 1.25 13 Activity Info
Phenytoin Phenytoin is a medication used in the management and treatment of epilepsy, generalized tonic-clonic seizures, complex partial seizures, and status ep ... Read the Article 1.75 21 Activity Info
Physostigmine Physostigmine is a medication most commonly used in the management and treatment of antimuscarinic toxicity and glaucoma. This article will highlight ... Read the Article 1 6 Activity Info
Plague Plague is caused by Yersinia pestis, perhaps one of the most important bacterial pathogens in human history. It occurs in epidemics and pandemics with ... Read the Article 1 5 Activity Info
Pleural Effusion Pleural effusion is the accumulation of fluid in between the parietal and visceral pleura, called the pleural cavity. It can occur by itself or can be ... Read the Article 1.25 8 Activity Info
Pneumothorax A pneumothorax is a collection of air outside the lung but within the pleural cavity. It occurs when air accumulates between the parietal and visceral ... Read the Article 1.5 17 Activity Info
Polymyxin Polymyxins are a class of medications used in the management and treatment of systemic infections caused by susceptible strains of multidrug-resistant ... Read the Article 1 7 Activity Info
Polytraumatized Patient Polytrauma is when a patient has sustained multiple injuries, some of which may cause significant disability and may be life-threatening. Worldwide th ... Read the Article 1 6 Activity Info
Positive End-Expiratory Pressure Positive end-expiratory pressure (PEEP) is a value that can be set up in patients receiving invasive or non-invasive mechanical ventilation. This acti ... Read the Article 1 7 Activity Info
Postictal Seizure State The postictal state is a period that begins when a seizure subsides and ends when the patient returns to baseline. It typically lasts between 5 and 30 ... Read the Article 1 5 Activity Info
Poststreptococcal Glomerulonephritis Poststreptococcal glomerulonephritis (PSGN) results from a bacterial infection that causes rapid deterioration of the kidney function due to an inflam ... Read the Article 1.25 12 Activity Info
Pralidoxime Pralidoxime is a medication used in the management and treatment of organophosphate poisoning. It is in the oxime class of drugs. This activity outlin ... Read the Article 1 5 Activity Info
Precordial Thump Precordial thump is a potentially life-saving procedure for patients with witnessed, monitored, unstable ventricular tachycardia when a defibrillator ... Read the Article 1 4 Activity Info
Prednisone Prednisone is a synthetic, anti-inflammatory glucocorticoid that derives from cortisone. It is biologically inert and converted to prednisolone in the ... Read the Article 1 7 Activity Info
Pregnancy Trauma Trauma in pregnancy can ranges from mild, for example trauma associated with a single fall from standing height or hitting the abdomen on an object su ... Read the Article 1 4 Activity Info
Procedural Sedation Procedural sedation permits the safe performance of procedures that a patient cannot tolerate in the fully conscious state. Through this activity, th ... Read the Article 1 5 Activity Info
Prochlorperazine Prochlorperazine is a first-generation antipsychotic. FDA indications include schizophrenia, schizoaffective, and other conditions presenting with sym ... Read the Article 1 7 Activity Info
Promethazine Promethazine is a medication used to manage and treat allergic conditions, nausea and vomiting, motion sickness, and sedation. It also has off-label u ... Read the Article 1 8 Activity Info
Pulmonary Contusion Pulmonary contusions are lung injuries commonly sustained during cases of blunt chest trauma. These traumatic lung injuries result in impaired gas exc ... Read the Article 1.25 8 Activity Info
Pyloric Stenosis Pyloric stenosis, also known as infantile hypertrophic pyloric stenosis (IHPS), is an uncommon condition in infants characterized by abnormal thickeni ... Read the Article 1.25 12 Activity Info
Rabies Rabies causes viral encephalitis which kills up to 70000 people/year worldwide. Infected animal saliva transmits viral encephalitis to humans. Rabies ... Read the Article 1 7 Activity Info
Respiratory Acidosis Respiratory acidosis typically occurs due to failure of ventilation and accumulation of carbon dioxide. The primary disturbance is an elevated arteria ... Read the Article 1.25 9 Activity Info
Respiratory Failure Respiratory failure happens when the respiratory system fails to maintain gas exchange and is classified into type 1 and type 2 according to blood gas ... Read the Article 1.25 12 Activity Info
Respiratory Syncytial Virus Infection The human respiratory syncytial virus (RSV) is one of the most common viruses to infect children worldwide and increasingly is recognized as an import ... Read the Article 1.25 13 Activity Info
Retropharyngeal Abscess Retropharyngeal abscesses are uncommon but potentially life-threatening diagnoses. They can occur at any age, although are most commonly found in chil ... Read the Article 1.25 8 Activity Info
Reye Syndrome Reye syndrome is a rare and potentially fatal pediatric illness defined as acute noninflammatory encephalopathy with fatty liver failure. Australian p ... Read the Article 1 7 Activity Info
Rhabdomyolysis Rhabdomyolysis is a state of muscle injury that can lead to several forms of systemic insult, with the most important being acute kidney injury, elect ... Read the Article 1.5 12 Activity Info
Rheumatic Heart Disease Rheumatic heart disease is a systemic immune condition that occurs as a complication of rheumatic fever. This occurs after a beta-hemolytic streptococ ... Read the Article 1.5 17 Activity Info
Rib Fracture When enough force is placed on the rib, the rib will fracture. Most isolated rib fractures can be managed expectantly. However, certain patterns of ri ... Read the Article 1.25 10 Activity Info
Rickets Rickets is a condition characterized by a defect in mineralization of the epiphyseal plates. Rickets could be inherited or acquired. The acquired rick ... Read the Article 1.25 11 Activity Info
Rickettsia Rickettsiae Rocky Mountain spotted fever (RMSF) is an acute febrile tick-borne illness caused by Rickettsia rickettsii. In North America, it is both the most seve ... Read the Article 1.25 9 Activity Info
Rodenticide Toxicity Rodenticides or “rat poisons” are mixed compounds used to eradicate rodents. They are one of the most toxic agents commonly found in households. Histo ... Read the Article 1 5 Activity Info
Rotavirus Rotavirus is the leading cause of acute gastroenteritis in the world. Studies estimate that approximately 200,000 people die annually from infection. ... Read the Article 1.25 10 Activity Info
Rubella Rubella is a mild viral disease that typically occurs in children and non-immune young adults. In pregnant women, rubella infection can produce a cons ... Read the Article 1.25 10 Activity Info
Rubeola (Measles) This activity reviews the epidemiology and pathophysiology of measles to further understand its epidemiological situation. This will hopefully lead to ... Read the Article 1.5 13 Activity Info
Salicylates Toxicity Salicylate toxicity is a medical emergency. Intentional ingestion or accidental overdose can cause severe metabolic derangements, making treatment dif ... Read the Article 1.25 13 Activity Info
Salmeterol Salmeterol is a medication used in the management and treatment of asthma and COPD. It is in the beta-2 adrenergic agonist class medications. This act ... Read the Article 1 6 Activity Info
Saphenous Vein Cutdown The establishment of venous access is essential to the treatment and resuscitation of both the medically and traumatically ill patient. Adequate venou ... Read the Article 1 5 Activity Info
Scabies Scabies is a contagious skin condition caused by the mite Sarcoptes scabiei which burrows into the skin and causes severe itching. Scabies is transmit ... Read the Article 1.25 12 Activity Info
Scalp Catheterization Peripheral venous access is a key need for resuscitating patients of all ages. An ideal site for venous catheterization is one that is easy to access ... Read the Article 1 5 Activity Info
Scalp Laceration A laceration is a pattern of injury in which blunt forces result in a tear in the skin and underlying tissues. Lacerations in the scalp are different ... Read the Article 1 7 Activity Info
Scaphoid Wrist Fracture Scaphoid fractures are the most common carpal fractures and tend to occur in younger, active individuals. They account for 2% to 7% of all fractures a ... Read the Article 1.5 15 Activity Info
Scarlet Fever Scarlet fever is a blanching, papular rash, commonly described as a sandpaper rash. It is usually associated with Streptococcus pyogenes pharyngitis i ... Read the Article 1.25 8 Activity Info
Seat Belt Injuries Although seatbelts have prevented numerous deaths by reducing head injuries, they can cause damage via the transmission of force upon impact associate ... Read the Article 1 5 Activity Info
Second Impact Syndrome Second impact syndrome (SIS), also known as repetitive head injury syndrome, describes a condition in which individual experiences a second head injur ... Read the Article 1 5 Activity Info
Seizure A seizure represents the uncontrolled, abnormal electrical activity of the brain that may cause changes in the level of consciousness, behavior, memor ... Read the Article 2 26 Activity Info
Seizure Medications The mainstay treatment strategy for seizures is medication management. However, much like the prescription of any other pharmaceutical agent, a clinic ... Read the Article 1.5 15 Activity Info
Sensory and Perceptual Alterations Sensory-perceptual alteration can be defined as when there is a change in the pattern of sensory stimuli, followed by an abnormal response to such sti ... Read the Article 1 4 Activity Info
Septic Arthritis Septic arthritis is inflammation of the joints secondary to an infectious etiology such as bacterial, fungal, mycobacterial, viral, or other pathogens ... Read the Article 1.25 12 Activity Info
Serotonin Syndrome Serotonin syndrome is a potentially life-threatening condition precipitated by the use of serotonergic drugs. It may be a consequence of therapeutic m ... Read the Article 1.5 19 Activity Info
Sexual Assault Clothing Collection and Documentation Medical management should be the first and top priority in caring for sexual assault victims. After the patient is clinically stable, proper assault p ... Read the Article 1.25 8 Activity Info
Sexual Assault Evidence Collection Sexual assault evidence collection is the process of collecting specimens and documenting injuries of sexual assault victims to be used in the court o ... Read the Article 1.25 12 Activity Info
Shigella Shigellosis is a form of bacterial diarrhea caused by the Shigella species. It is common in developing countries and is transmitted via the ingestion ... Read the Article 1 6 Activity Info
Shock Shock is a life-threatening manifestation of circulatory failure. Circulatory shock leads to cellular and tissue hypoxia resulting in cellular death ... Read the Article 1.25 8 Activity Info
Shock Resuscitation At its most basic definition, the term “shock” means that there is a lack of adequate tissue oxygenation throughout the body. Typically, this lack of ... Read the Article 1 4 Activity Info
Sickle Cell Anemia Sickle cell anemia is an inherited disorder of the globin chains that causes hemolysis and chronic organ damage. This activity reviews the pathophysio ... Read the Article 2 21 Activity Info
Silver Sulfadiazine Silver sulfadiazine is a medication used in the prevention, management, and treatment of burn wound infections. It is a heavy metal topical agent with ... Read the Article 1 5 Activity Info
Smoking Tobacco smoking is a practice of burning tobacco with the smoke inhaled to be tasted and absorbed into the bloodstream. Around 23 percent of the world ... Read the Article 1 6 Activity Info
Snake Toxicity Venomous snakes inflict considerable morbidity and mortality worldwide, although specific data on the total number of venomous snakebites globally are ... Read the Article 1 5 Activity Info
Sodium Bicarbonate Sodium bicarbonate is a medication used in the management and treatment of multiple disease pathologies. It is a general chemical compound by classifi ... Read the Article 1 5 Activity Info
Spina Bifida Spina Bifida is a generalized term for the neurologic condition resulting from the failure of neural tube closure of varying degrees during fetal deve ... Read the Article 1.25 12 Activity Info
Spinal Cord Injuries Spinal cord injury (SCI) is a serious medical condition, which often results in severe morbidity and permanent disability. It occurs when the axons of ... Read the Article 2 26 Activity Info
Spinal Shock Spinal shock is a result of severe spinal cord injury. It usually requires high-impact, direct trauma that leads to spinal cord injury and spinal shoc ... Read the Article 1 5 Activity Info
Splenic Injury Injuries to the spleen are one of the most common injuries in abdominal trauma. The spleen is the most vascular organ in the body. Since bleeding in s ... Read the Article 1.25 9 Activity Info
Splenic Rupture The spleen is an encapsulated hematopoietic organ that lies within the posterior aspect of the left upper quadrant in the peritoneal cavity. It has pr ... Read the Article 1 3 Activity Info
Splenic Trauma Traumatic injuries of the spleen can be either blunt or penetrating. The management of splenic trauma has become largely non-operative, as non-operati ... Read the Article 1.25 9 Activity Info
Spontaneous Pneumothorax Spontaneous pneumothorax is an abnormal condition of the lung characterized by the collection of gas in the pleural space between the lungs and the ch ... Read the Article 1.25 9 Activity Info
Status Asthmaticus One of the most common causes of emergency room visits in the United States is status asthmaticus, an acute, emergent episode of bronchial asthma that ... Read the Article 1.25 10 Activity Info
Status Epilepticus Status epilepticus is a neurological emergency requiring immediate evaluation and management to prevent significant morbidity or mortality. Previously ... Read the Article 1.25 9 Activity Info
Stevens Johnson Syndrome Stevens-Johnson syndrome and toxic epidermal necrolysis are acute, rare, and potentially fatal skin reactions involving loss of skin and, in some case ... Read the Article 1.5 18 Activity Info
Stingray Sting Stingray envenomations are common injuries. Practitioners should recognize that these injuries vary in level of severity, and clinical concerns should ... Read the Article 1 6 Activity Info
Stridor Stridor is an abnormal, high-pitched respiratory sound that can be assessed during breathing. It is typically produced by the irregular flow of air in ... Read the Article 1 5 Activity Info
Subconjunctival Hemorrhage Subconjunctival hemorrhage is a common ocular complaint that most clinicians will see in their practice. This article is to describe its causes and it ... Read the Article 1 5 Activity Info
Subdural Hematoma A subdural hematoma, as its name implies, forms because of an abnormal collection of blood under the dura mater. This is one of the intracranial injur ... Read the Article 1.75 20 Activity Info
Sudden Cardiac Death Sudden cardiac death (SCD) is death due to a cardiovascular cause that occurs within one hour of the onset of symptoms. A sudden cardiac arrest occurs ... Read the Article 1 5 Activity Info
Sudden Infant Death Syndrome Sudden infant death syndrome (SIDS) is the abrupt and unexplained death of an infant less than 1-year old. Despite a thorough investigation (a careful ... Read the Article 1.25 9 Activity Info
Suicide Risk Suicide is the tenth most common cause of death in the United States, but it can often be prevented with appropriate intervention. This activity re ... Read the Article 1.5 14 Activity Info
Supraglottic Airway Obstruction Supraglottic obstruction is a medical or surgical emergency. It can result in increased work of breathing and respiratory distress and can progress to ... Read the Article 1 5 Activity Info
Supraventricular Tachycardia Supraventricular tachycardia (SVT) is a dysrhythmia originating at or above the atrioventricular (AV) node and is defined by a narrow complex (QRS &lt ... Read the Article 1.5 16 Activity Info
Surgical Airway Suctioning Airway suctioning refers to the collective measures that are used for clearing the airway of a patient. It involves suctioning, clearing secretions, a ... Read the Article 1 2 Activity Info
Syncope Syncope is a transient loss of consciousness and postural tone followed by spontaneous recovery. While there are numerous classification schemes used ... Read the Article 1.5 14 Activity Info
Syndrome of Inappropriate Antidiuretic Hormone Secretion Syndrome of inappropriate antidiuretic hormone ADH release (SIADH) is a condition defined by the unsuppressed release of antidiuretic hormone (ADH) fr ... Read the Article 1.25 13 Activity Info
Syphilis Syphilis is a systemic, bacterial infection caused by the spirochete Treponema pallidum. Due to its many protean clinical manifestations, it has been ... Read the Article 2.75 45 Activity Info
Tension Pneumothorax Pneumothorax is when air collects in between the parietal and viscera pleurae resulting in lung collapse. It can happen secondary to trauma (traumatic ... Read the Article 2 26 Activity Info
Testicular Torsion Scrotal complaints are relatively common both in primary care and in the emergency department and comprise at least 0.5 percent of all emergency depar ... Read the Article 1.5 18 Activity Info
Tetanus Tetanus is an infection characterized by muscle spasms and lockjaw, also called trismus. Toxins produced by Clostridium tetani are responsible for the ... Read the Article 1.5 17 Activity Info
Tetanus Prophylaxis This activity reviews and outlines the role of tetanus prophylaxis. It will outline the basics of immunization and prophylaxis and will discuss types ... Read the Article 1 7 Activity Info
Tetanus Toxoid The tetanus toxoid is a vaccine used in the management and treatment of tetanus. It is in the vaccine class of medications. This activity reviews the ... Read the Article 1.25 13 Activity Info
Thermal Burns Thermal burns are skin injuries caused by excessive heat, typically from contact with hot surfaces, hot liquids, steam, or flame. Most burns are minor ... Read the Article 1.25 10 Activity Info
Thrombocytopenia Thrombocytopenia is a platelet count below the lower limit of normal, i.e., 150000/microliter (for adults). This activity reviews the etiology, evalua ... Read the Article 1.5 16 Activity Info
Thumb Spica Splinting Hand and wrist injuries afflict a large proportion of the population and impact patients of all ages and activity levels. Splinting can be effective a ... Read the Article 1 4 Activity Info
Tick Paralysis Tick paralysis is an uncommon, noninfectious, neurologic syndrome characterized by acute ataxia that progresses to ascending paralysis. It is caused b ... Read the Article 1 5 Activity Info
Topical, Local, and Regional Anesthesia and Anesthetics Nerve impulse transmission occurs when voltage-gated sodium channels on the neuronal membrane open, allowing a massive influx of sodium. This causes m ... Read the Article 1.25 11 Activity Info
Torsade de Pointes Torsades de Pointes is a type of polymorphic ventricular tachycardia characterized on electrocardiogram by oscillatory changes in amplitude of the QRS ... Read the Article 1.5 18 Activity Info
Torticollis Torticollis is a common diagnosis, and estimates are that 90 percent of individuals will exhibit at least one episode of torticollis throughout their ... Read the Article 1 7 Activity Info
Tracheal Rapid Sequence Intubation Rapid sequence intubation (RSI) is a technique that is used when rapid control of the airway is needed as a precaution for patients that may have a 'f ... Read the Article 1.25 8 Activity Info
Tracheal Trauma Tracheal trauma may be penetrating or blunt and acute or subacute. A blow or stab wound to the neck or crush injuries to the upper chest may cause acu ... Read the Article 1.25 8 Activity Info
Tracheoesophageal Fistula Tracheoesophageal fistulas (TEFs) represent one of the most common congenital anomalies seen in major pediatric surgical centers. Infants with tracheo ... Read the Article 1.25 8 Activity Info
Tracheostomy A tracheostomy (or tracheotomy, while there are technical differences, these terms are colloquially used interchangeably. For the purposes of this art ... Read the Article 1.5 14 Activity Info
Tracheostomy Tube Change Tracheostomy is a procedure where an artificial airway is established surgically or percutaneously in the cervical trachea. This activity describes th ... Read the Article 1 2 Activity Info
Transfusion Reactions Transfusion reactions are adverse events associated with the transfusion of whole blood or one of its components. They range in severity from minor to ... Read the Article 1.5 15 Activity Info
Transient Synovitis Transient synovitis (TS) is an acute, non-specific, inflammatory process affecting the joint synovium. Transient synovitis of the hip is a common caus ... Read the Article 1 5 Activity Info
Trauma Care Principles Trauma care principles outline fundamental concepts that providers should know when treating various injuries in a trauma setting. The content will fo ... Read the Article 1.5 13 Activity Info
Trauma Primary Survey The primary survey is designed to rapidly assess and treat life-threatening injuries. The main causes of death in trauma patients are airway obstructi ... Read the Article 1.25 8 Activity Info
Trauma Secondary Survey The secondary survey is a rapid but thorough head to toe examination assessment to identify potential injuries. It should be performed after the prima ... Read the Article 1 6 Activity Info
Traumatic Brain Injury Traumatic brain injury (TBI) can result from trauma ranging from a simple blow to the head to a penetrating injury to the brain. In the United States, ... Read the Article 1.5 13 Activity Info
Trichomoniasis Trichomonas vaginalis is a protozoan responsible for trichomoniasis, one of the most prevalent non-viral sexually transmitted infections (STIs) in the ... Read the Article 1.5 19 Activity Info
Tricyclic Antidepressant Toxicity Tricyclic antidepressants (TCAs) were introduced in the late 1950s for the treatment of depression. With the advent of selective serotonin reuptake in ... Read the Article 1.25 12 Activity Info
Umbilical Artery Catheterization Catheterization of an umbilical artery is one of the commonly performed procedures in extremely premature neonates. This activity reviews the indicati ... Read the Article 1 6 Activity Info
Umbilical Vein Catheterization Umbilical vein catheterization utilizes the exposed umbilical stump in a neonate as a site for emergency central venous access up to 14 days old. Umbi ... Read the Article 1.25 9 Activity Info
Unconscious Patient Unconsciousness is generally caused by a temporary or permanent impairment of either the reticular activating system in the brainstem, both cerebral h ... Read the Article 1 4 Activity Info
Urethral Injury Urethral Injuries are a relatively rare process that is often associated with severe trauma, childbirth, and improper catheterization. This activity o ... Read the Article 1 7 Activity Info
Urinary Tract Infection Forty percent of women in the United States will develop a urinary tract infection (UTI) at some point in her lifetime, making this one of the most co ... Read the Article 1.5 17 Activity Info
Urolithiasis Urolithiasis is a common condition, and it accounts for a large number of hospital visits. It is frequently preventable by modification of risk factor ... Read the Article 1 4 Activity Info
Uveitis Uveitis is a disease process that involves inflammation of the eye. There are multiple different causes of uveitis. These include infections, inflamma ... Read the Article 1.5 16 Activity Info
Vaginal Bleeding Vaginal bleeding is a common complaint with a broad differential diagnosis. This activity reviews the evaluation and management of vaginal bleeding an ... Read the Article 1 5 Activity Info
Varicella (Chickenpox) Vaccine Varicella-zoster virus (chickenpox) is an acute febrile rash illness that was very common in children in the United States before the universal vaccin ... Read the Article 1.5 14 Activity Info
Varicella Zoster Chickenpox or varicella is a contagious disease caused by the varicella-zoster virus (VZV). The virus is responsible for chickenpox (usually primary i ... Read the Article 2 27 Activity Info
Vasovagal Episode A vasovagal episode or vasovagal syncope is the most common form of reflex syncope. Reflex syncope describes any form of syncopal episode caused by a ... Read the Article 1 5 Activity Info
Ventricular Fibrillation Arrhythmias originating from the ventricular myocardium or His-Purkinje system are grouped under ventricular arrhythmia (VA). This includes a subset o ... Read the Article 1.25 10 Activity Info
Ventricular Septal Defect Ventricular septal defects (VSDs) are the most common congenital cardiac anomaly in children and the second most common congenital abnormality in adul ... Read the Article 1.25 13 Activity Info
Ventricular Tachycardia Ventricular tachycardia is characterized as a wide complex tachyarrhythmia. It is classified by duration as non-sustained or sustained. Non-sustained ... Read the Article 1.5 15 Activity Info
Ventriculoperitoneal Shunt A ventriculoperitoneal (VP) shunt is a cerebral shunt used to treat hydrocephalus. The shunt removes excess cerebrospinal fluid. In pediatric patients ... Read the Article 1.25 10 Activity Info
Vibrio Cholerae Cholera is a well-known disease caused by intestinal infection with the toxin-producing bacteria Vibrio cholerae. This potentially fatal diarrheal dis ... Read the Article 1 6 Activity Info
Vibrio Parahaemolyticus Vibrio parahaemolyticus infection can cause various types of illness including gastroenteritis, wound infections, and, in more severe cases, sepsis. I ... Read the Article 1 8 Activity Info
Viral Diarrhea Viruses are the leading cause of acute gastroenteritis both in the United States and globally, accounting for the majority of acute cases of community ... Read the Article 1 4 Activity Info
Viral Gastroenteritis Acute infectious gastroenteritis is a common illness seen around the world, and most cases are caused by viral pathogens. The acute diarrheal disease ... Read the Article 1 6 Activity Info
Viral Meningitis Viral meningitis is the inflammation of the meninges caused by a virus. It is most common in young children but is seen across all age groups. This ac ... Read the Article 1.5 15 Activity Info
Vitamin K Deficiency Vitamin K refers to a group of fat-soluble compounds involved in coagulation, bone development, and cardiovascular health. Vitamin K deficiency can co ... Read the Article 1.25 13 Activity Info
Waddell Triad Waddell’s triad represents a pediatric emergency. The triad comprises of three distinct features seen in pediatric pedestrian patients subject to blun ... Read the Article 1 5 Activity Info
Waterhouse-Friderichsen Syndrome Waterhouse Friderichsen syndrome is a rare but life-threatening disorder associated with bilateral adrenal hemorrhage. In many cases, it is caused by ... Read the Article 1 5 Activity Info
Wheat Allergy The wheat allergy is either IgE-mediated or non-IgE-mediated allergic reaction to wheat proteins. The result can be life-threatening and can lead to a ... Read the Article 1 4 Activity Info
Wheezing Wheezing is the symptomatic manifestation of any disease process that causes airway obstruction. Wheezing is commonly experienced by people who have a ... Read the Article 1 5 Activity Info
Wolff Parkinson White Syndrome Wolff Parkinson White Syndrome (WPW) is considered to be a congenital abnormality that involves the presence of abnormal electrical conductive circuit ... Read the Article 1.75 20 Activity Info
Wound Foreign Body Removal Soft tissue foreign bodies or wounds associated with foreign bodies result from blunt/abrasive trauma or penetrating trauma. Patients may present earl ... Read the Article 1 5 Activity Info
Wound Irrigation Wounds and lacerations are common complaints. Each year in the United States, roughly 12.2 million patients are seen in emergency departments for woun ... Read the Article 1 5 Activity Info
Zika Virus Zika virus is a single-stranded RNA virus of the family and the genus Flavivirus. In the majority of people, infection by the Zika virus is mild and s ... Read the Article 1.25 10 Activity Info

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