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
Category: Featured
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
Hone your pediatric skills with Pediatric Emergency Playbook!
Pediatric Emergency Playbook is a new pediatric EM podcast to help make tough calls when caring for acutely ill and injured children. Check out their great podcasts on:
This post is part of WikEM’s Blog and Podcast Partnership Program.… 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
New Assistant Editor – Neil Young, MD
The WikEM Team, welcomes Dr. Neil Young to the editorial staff as our new Assistant Editor. His current contributions to the wiki and peer review of existing content has been extensive. He consistently ranks at the top of our contributor list. As we previously described, the WikEM review process requires that all wiki edits must be fact checked by our editorial staff. We are all excited to have Neil join our team!
Biography:
Dr. Young started his interest in medicine when after high school he joined the military. He served for over 5 years with the Navy and Marine Corps as a Hospital Corpsman, providing medical care on ship, in hospitals, and in the field. He underwent advance training in combat medicine and military instructorship. His tour in Iraq with an infantry battalion confirmed his desire to… Read more