Which of the following is NOT a risk factor for cerebral edema in diabetic ketoacidosis (DKA)?
A. Elevated blood urea nitrogen
B. Low serum potassium on presentation
C. Treatment with bicarbonate
D. Age < 3 years
E. Failure of serum sodium to rise steadily with correction of hyperglycemia
…an excerpt from The Kaji Review … Read more
A 60kg female patient is seizing and has a serum sodium of 113 mEq/L with no underlying history of seizures. What should be the treatment of her hyponatremia?
A. Hypertonic saline 3% – 290 ml over 2 hours
B. Normal saline 3% – 50 ml over 30 minutes
C. Phenytoin 1 gram
D. Hypertonic saline 3% – 1000 ml IV bolus
E. Hypertonic saline 3% – 750 ml over 2 hours
Read more questions from the Kaji Review… Read more
The Thromboelastography page contains a great review on TEG and ROTEM values as well as a reference for abnormal measurements of the coagulation curves.… Read more
One of the reasons we are so passionate about using a wiki for knowledge organization, is the ability to intelligently derive information from other information. The wiki is a dynamic platform. Caution up front, this post will not focus on medical knowledge as many of our blog posts, but will discuss the technical details of how we used the wiki to automate the creation of 14 pages of data with over 50 medication and equipment doses. The process provides an example of how placing medical knowledge on a wiki provides an exponential number of opportunities of organization, derivation, and advanced learning.
The first concept to explore is structured vs unstructured data. At the most basic form, data that has information attached to it is structured and data that has no describing information… Read more
The April Newsletter is available. It features cardiac ultrasound, the surviving sepsis updates after the most recent randomized trials, lightning injuries and the Kaji Review.
Also please support our ongoing sponsor: Push Health: a virtual medical practice on your phone… Read more
We have been listening to your feedback and are happy to announce that the same Favorites and Lists feature on iOS is now available on Android today. We are always working hard to bring features to our mobile platform while keeping it fast and simple to access WikEM pages offline during a busy ER shift.
The fundamental goal of the WikEM community is organization of EM information for free, easy, and fast access while caring for a patient. Look for many great features over the coming months as we continue to develop our mobile apps.
We are pleased to announce the first publication from WikEM Press, The Kaji Review.
The Kaji Review is an evidence based clinical question book for students, residents, and attending physicians in Emergency Medicine. The book covers core content, life long learning readings, and advanced clinical care topics to advance bedside knowledge, evidence based medicine, and daily clinical practice. There are over 750 questions and hundreds of full text articles, videos, and images.… Read more
Regarding felons, which of the following statements is FALSE?
A. A felon is an infection of the pulp of the distal finger or thumb.
B. It differs from other types of subcutaneous abscesses because of the presence of multiple vertical septa that divide the pulp into small fascial compartments.
C. The incision should be made along the radial aspect of the index, middle, and ring fingers, and the ulnar aspects of the thumb and little finger, avoiding the pincher surfaces.
D. Any incision that is made too deep can injure the flexor tendon sheath.
E. Untreated, the expanding abscess can extend toward the phalanx, producing an osteitis or osteomyelitis.
Correspondence in Annals of Emergency Medicine about WikEM’s important place in social media: http://authors.elsevier.com/a/
Blogs, podcasts, videocasts, social networks, and custom search engines are all important resources for stimulating research discussion and improving medical education. However, as acknowledged by Thoma et al, “to make effective use of this stream of knowledge, learners must filter and choose from myriad resources.”2 We suggest that the wiki is a key social media tool to organize and summarize this growing body of online information. It also has the added benefit of providing easy access to consensus information in the middle of a shift, allowing clinicians to provide better care while at the bedside.
On April 1st The Kaji Review, a 750+ question evidence based review book will launch. The book covers all major topics in emergency medicine as well as deep dives into landmark papers. Between now and April 1st we will be giving away a copy of the book to 5 lucky members of WikEM. All you have to do is join the site and make one edit on the wiki to be eligible for the giveaway.… Read more