Welcome Residency Directors

Welcome to WikEM!  The Emergency Medicine residency directory has received a lot of attention, and we encourage everyone affiliated with a residency to take a moment and edit their residency page.  These pages give access to important information for future and current EM residents.  The directory can be edited by any registered user so if your program or country is missing, please add it in.  Like all wiki pages, you will receive a notification by email any time anyone edits your residency page.

A few examples:

  • Residents can keep rotation scheduling up to date
  • Residency coordinators can ensure all contact information is accurate
  • Residency directors can highlight important facts for new applicants
  • Graduates can read about changes to their residency page and learn that the educational
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Check out ddxof.com

Have you ever wondered where WikEM get’s all of its awesome algorithm diagrams? They’re from ddxof (differential diagnosis of), our newest WikEM social media partner. Ddxof contains a compilation of cases based on real patients, each inspiring a systematic approach to the evaluation and management of their chief complaint or diagnosis. The format is centered around the development of simplified algorithms targeted to emergency physicians, with a focus on intelligibility, utility and reproducibility. The new ddxof: algorithm browser also allows for quick searching and filtering by categories/tags among the 60+ and growing algorithms and diagrams. Check it out!

Many new updates

We are always working to make bedside knowledge more accessible and quickly available for clinicians and healthcare providers in emergency settings for free.

We keep all content free because were realize how important information and knowledge sharing is to daily clinical practice and because our users are our patrons and keep everything running.Read more

The diagnosis formerly known as ALTE

The AAP has formally changed the name of ALTE to Brief Unexplained Event (BRUE). The definition has also been formalized with more specific criteria and suggestions to empower the clinician to base the diagnosis on their suspicion rather than relying only on the caregiver’s history.

BRUE is an event occurring in an infant <1 year of age when an observer reports a sudden, brief (<1 min), and now resolved episode of ≥1 of the following without explanation:

  • Cyanosis or pallor
  • Absent, decreased, or irregular breathing
  • Marked change in tone (hyper- or hypotonia)
  • Altered level of responsiveness
  • Must have returned to baseline
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UTox and cross reactivity

Many non illicit drugs cross react with common drugs screened on the traditional urine drug screen.

  • NSAIDs can cause false positive cannabinoid screens
  • Sertraline can cause a benzo false positive
  • Most benzodiazepine screens look for oxazepam which is a metabolite of diazepam and chlordiazepoxide. Therefore, lorazepam, alprazolam, and clonazepam are commonly missed.

What is the detection interval for marijuana on a UDS?Read more