Quick Pearl of the Day: End Tidal CO2 monitoring has many uses besides for procedural sedation.
-In cardiac arrest low values indicate poor chest compressions
-Rapid jumps in values can indicate ROSC
-Persistently low values (<10) indicate poor prognosis in prolonged cardiac arrest
Residents and attendings globally can now add information about their residency program to WikEM. The U.S. residencies have been pre-populated. Although most residencies have a central webpage, many of the rotation details are not publicly available and continuously changing. Now new applicants can quickly review a program’s educational curriculum, compare rotations, and learn more about residencies in their country. Faculty can use the resource to learn about the curriculum of other institutions and bring ideas back to their own hospital
To update your residency program:
1. Click on your residency program link
2. If your residency is not on the page you can add it.
3. Load the residency template if your residency hasn’t… Read more
With blunt head trauma, the most frequent question is: “CT brain or no CT brain”: The Head CT in Trauma (clinical decision rule) will help you make your decision.
Other useful guides:
… Read moreBefore your next precipitous delivery arrives in the ED, take a moment to review these important pages for:
… Read moreCongratulations to Dr. Michael Holtz on promoting to Senior Assistant Editor.… Read more
There have been a lot of promotions among the core editorial group at WikEM. Without our highly skilled editorial team and the daily contributors, a global emergency medicine knowledge repository would not be possible. Thank you all! Also, all donations to our organization allow us to continue to improve the software for the world to use for free.… Read more
Antibiotics are hard to remember and during a busy shift we all just want a quick place to refresh our memory. The quick reference by system diagnosis provides a list of all the major treatments across the wiki. Updating a dosing or adding alternative treatments will update the antibiotic on all necessary pages and allow the world free and up to date access to antibiotic dosing.
The June Newsletter is out. Topics include hemophilia, Lyme disease, mammalian bites, and arthritis.… Read more
Which of the following patients does not warrant monitoring with telemetry after admission to the hospital?
A. AICD firing
B. Type II and complete heart block
C. Decompensated heart failure
D. Acute cerebrovascular accident
E. Massive blood transfusion
F. All of the above warrant monitoring
…an excerpt from The Kaji Review
Reference:
LLSA 2009: Chen EH and Hollander JE. When do patients need admission to a telemetry bed? J Emerg Med. 2007; 33(1): 53-60. full text… Read more
The goal of vasopressor use is to reach critical organ perfusion pressure. Estimated required mean arterial pressures (MAP) are listed in the vasopressor review by organ. It is generally safe to aim for a goal map of 65 mmHg. Vasopressors also promote increased venous return and should be used in septic patients after failed response to adequate volume resuscitation.… Read more