You get a patch from EMS that they are bringing in a patient from dialysis with a complication of their AV fistula. Take the time now to update yourself on bleeding fistulas, clotted fistula, and more at WikEM – Dialysis Complications.… Read more
Author: Neil Young
CO Poisoning
Its that time of year again when the risk of CO poisoning is on the rise. AMS? Should you be reaching for that ABG needle? Does your department own a co-oximeter? Does its readings correlate? Take a moment and review WikEM – Carbon Monoxide Toxicity.… Read more
VP Shunts
A 3 year female with history of VP shunt placed several months ago presents with a slight behavior change per parents.
What do you do next? What images are included in a shunt series? What is your differential?
Review this and more: Ventriculoperitoneal Shunt Problems… Read more
Pediatric Seizures
When faced with the next pediatric seizure that doesn’t respond to first line therapy, take a few seconds to review the second line treatments and dosing in the WikEM page on Pediatric Seizures!… Read more
Choosing Wisely
Check out the 2013 and 2014 Choosing Wisely Campaign ACEP Recommendations!
In this section you can reviewed what ACEP considers care that is supported by evidence, free from harm, and truly necessary. In addition, check out the hyperlinks to learn more details about each of topics included, from PERC rules for PE to red flags in back pain… Read more
Ventilation
Moonlighting overnight in the MICU? Looking for a different strategy for a difficult to vent that SICU patient? Forgot the initial vent settings will intubating at your rural affiliate?
There is a broad range of information covering topics from initial intubation, trouble shooting, changing ventilation settings and modes, and indications for vent weaning.
Check it out in the WikEM Ventilation Section!… Read more
Diabetic Ketoacidosis
32 year female with type 1 DM presents with fever, cough, nausea, and abdominal cramping. Finger stick on arrival is 357 and she has ketonuria on urine dip. What is the work up? When do you start supplemental potassium? Do you go for IV or subcutaneous insulin?
Take a moment to brush up on the management of Diabetic Ketoacidosis. Review the differences between IV and subcutaneous regimens. Expand your differential for causes. Know the risks of intubation.… Read more
Therapeutic Hypothermia
67 year old male found in cardiac arrest. EMS performed one round of CPR, epi, and single shock before ROSC. On arrival he withdraws to painful stimuli, but is otherwise unresponsive and he does not open his eyes. Does this patient meet criteria for therapeutic hypothermia?
Take the time now to review the indications, contraindications, and management of post-cardiac arrest therapeutic hypothermia.… Read more