For an unknown reason, our Android app has just been removed from the app store. Little to no information has been provided to us from Google and we are working to get the app reinstated.… Read more
Ever wonder who puts all the great content in WikEM and keeps it up to date? Well, you do! WikEM is a wiki, open to medical providers around the world. Join our contributor community and help ensure this fantastic open-access resource has the most accurate and recent information ready at your fingertips. While you’re at it, you can additionally be recognized as a WikEM editor through our open and transparent promotion process. Join us!
The WikEM Editors
Editor in Chief
Ross Donaldson, MD, MPH, CTropMed, FACEP
Daniel G. Ostermayer, MD
Claire Lewis, MD
Michael Holtz, MD
Neil M. Young, MD
Senior Associate Editor
Kevin Lu, MD
Daniel Eggeman MD
Michael O’Brien, MD, FAAEM
Senior Assistant Editor
Bobak Zonnoor, MD
Jonathan Osgood,… Read more
Last month we had a disastrous bug that caused many users to download high definition images over their cellular connection. In the coming app update we will be rolling out a new feature that allows for control over downloaded content. Although initially on iOS it will follow on android. From the updates icon on the WikEM app launch screen you can see the following toggles to control downloaded and updated content.
You may have noticed algorithm diagrams supplementing various topics on WikEM. They’re part of the WikEM Algorithm Project, a continuing partnership with ddxof.com (differential diagnosis of). The WikEM algorithms are developed to serve as rapid emergency department references for differential diagnosis generation, clinical decision rule application, and critical management steps. They also serve as convenient teaching tools for educators.
- Negative-pressure pulmonary edema (NPPE) occurs after a patient makes strong inspiratory effort against a blocked airway. The negative pressure causes hydrostatic edema that can be life-threatening if not but minimized if treated early, usually resolves after 24-48 hours.
- Patients have and airway obstructive process either from an allergy, laryngospasm, trauma, and commonly in the case of hangings.
The following guest post is written by MD candidate Joseph N. Ponce at McGovern Medical School, Houston TX, and describes the current state of evidence with adjunctive techniques to treat refractory VF.
Refractory ventricular fibrillation (RVF) is a life-threatening cardiac arrhythmia unresponsive to traditional methods of defibrillation and advanced cardiovascular life support (ACLS). Current literature lacks a uniform definition for RVF, however, some studies provide more specific clinical definitions of refractory ventricular fibrillation such as ventricular fibrillation that is resistant to at least three defibrillation attempts, 300 mg of amiodarone, and does not exhibit return of spontaneous circulation (ROSC) after > 10 min of cardiopulmonary resuscitation (CPR).… Read more
As winter is upon those in the United States, make sure you are treating your patients with pneumonia using the appropriate antibiotics. Outpatient treatment is divided among those with significant comorbidities and those without. The inpatient regimens distinguish between hospital associated, community acquired and those requiring the ICU.… Read more