OVERVIEW

Tick-Borne Illnesses: Identification and Management in the Emergency Department (Pharmacology CME) is organized by EB Medicine.

Date of Original Release: September 1, 2018
Date of most recent review: August 15, 2018
Termination date: September 1, 2021.
CME Expiration Date: October 1, 2021

Target Audience:
This enduring online CME material is intended for emergency medicine physicians, physician assistants, nurse practitioners, and residents.

CME Credits:
4 AMA PRA Category 1 Credit ™, 4 ACEP Category I Credits, 4 AAFP Prescribed Credits, 4 AOA Category 2-A or 2-B Credits.

Specialty CME Credits: Incorporated as part of the 4 credits, this CME activity is eligible for 4 Infectious Disease CME and 1.5 Pharmacology CME credits

About this Issue:
The presentation of tick-borne illnesses in children is often nonspecific, which can make early description and treatment challenging. This issue examines the presentation of 9 common tick-borne illnesses and presents evidence-based recommendations for classification, testing, and treatment in the emergency department. You will learn:
• The administration and predominance of common tick-borne illnesses, including Lyme disease, Rocky Mountain spotted fever, ehrlichiosis, anaplasmosis, babesiosis, tularemia, tick-borne relapsing fever, Colorado tick fever, and tick paralysis
• The presenting signs and symptoms of children with these tick-borne illnesses
• Relevant diagnostic testing and confirmatory studies
• Evidence-based recommendations for management, including specific antibiotic treatment regimens

Goals:
At the conclusion of this online activity, you should be able to:
• Describe medical decision-making based on the strongest clinical evidence;
• Cost-effectively diagnose and treat the most critical ED presentations
• Explain the most common medicolegal pitfalls for each topic covered.

CME Objectives:
After completing this online CME article, you should be able to:
• Express presenting signs and symptoms in children with common tick-borne illnesses.
Prepare relevant workups and manage children with tick-borne illnesses and related complications.
• Describe difficulties that can arise from the undiagnosed or late presentation of tick-borne illnesses.