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!
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Category: News
Pages to edit
WikEM maintains a list of pages that are needed so that new and existing editors can have a place to begin writing. Check out the needed pages section for a list of new pages to create.… Read more
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.
- Over the weekend our iOS app received a major update to fix many bugs and improve the appearance of content.
- The website has quick links to the critical care quick reference, antibiotic guide, journal club, and popular pages
- The forum is available for discussion anything Emergency Medicine and new EM job postings
- The newsletter provides monthly updates on educational topics and highlights learning resources on the internet
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
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
Warfarin reversal guide
A quick pearl on the INR stratified guidelines for warfarin reversal.… Read more
April and May JC articles
For April and May, editors will be completing the Bactrim for Abscess and the ALPS Trial journal club summaries. All contributions are welcome.… Read more
WikEM Forum
As an experiment, WikEM has a forum for all practitioners to join in discussion… Read more
Seeking emergency physicians for the Houston area
EmCare® is seeking emergency medicine physicians for several sites in and around Houston. Come join the country’s most experienced, physician-led practice management company.
- Clear Lake Regional Medical Center (Webster, TX)
- Bayshore Medical Center (Pasadena, TX)
- East Houston Medical Center (Houston, TX)
- Pearland Medical Center (Pearland, TX)
Known for its unique structure, EmCare® develops local practices, supports them with regionally-located clinical leadership and operational personnel, while providing them access to unprecedented national resources.
Contact Stacey Harris, EmCare® physician recruiter, at (214) 712-2477 or Stacey.harris@emcare.com
Support open medicine and become a WikEM Sponsor! … Read more