Its that time of year again when the risk of CO poisoning is on the rise. AMS? Should you be reaching for that ABG needle? Does your department own a co-oximeter? Does its readings correlate? Take a moment and review WikEM – Carbon Monoxide Toxicity.… Read more
Push Health’s low cost concierge software now has affordable per service malpractice insurance
Want to see patients when you are outside of your home facility, but worried about the malpractice risk? Push Health now has the perfect solution: per service medical malpractice insurance. If you qualify and become an affiliate, your patients pay a $5 fee at the time of services and you are covered with standard malpractice insurance when using Push Health’s mobile and internet software. It is that simple.
Now, you can invoice, message, keep medical records, and order laboratory tests for your concierge patients, friends, and family, all while being covered by medical malpractice insurance. Build your own practice with Push Health!
The many uses of capnography
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
Make money editing emergency medicine review questions!
WikEM is currently collaborating with Osmosis, a medical education company funded by the Robert Wood Johnson Foundation to create a large bank of medical education questions under an open Creative Commons license. Working with medical students, Osmosis has produced around 650 emergency medicine questions so far. They are now seeking EM residents and attendings to double-check their work and make revisions where necessary. Osmosis is paying EM residents/attendings $1 per question reviewed (marked ready to be published) and $5 for any question that needs to be extensively revised or rewritten, as well as making a donation to WikEM for helping with this process.
If you are interested in helping revise the question pack and making some extra money, fill out the form at: Application Form. Osmosis… Read more
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
A Global Residency Directory
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
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
