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
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 moreThanks to all of our current WikEM Editors! Did you know you can join us? Please consider joining our contributor community and become a WikEM editor through our open and transparent promotion process.
Editor in Chief
Ross Donaldson, MD, MPH, CTropMed, FACEP
Deputy Editor
Daniel G. Ostermayer, MD
Associate Editor
Neil M. Young, MD
Senior Assistant Editor
Aaron Snyder, MD
Marissa Camilon, MD
Michael Holtz, MD
Assistant Editor
Babak Missaghi, MD
Bobak Zonnoor, MD
Joel Miller, MD
Jonathan Osgood, DO
Kenn Ghaffarian, DO
Kevin Lu, MD
Manuel Celedon, MD… Read more
Congratulations to Dr. Michael Holtz on promoting to Senior Assistant Editor.… Read more
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
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
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
Osmosis.org has a new interview with the Creator and Editor-in-Chief of WikEM, as part their Leaders in Medical Education series. Read some of the history behind how WikEM started.
“If anything should be free and open in this world, then certainly the knowledge to care for your fellow human during an emergency has to be on the top of that list.” -Ross Donaldson, MD, MPH
Over the last six years, we have gone from having just a few people accessing the site per day to tens of thousands of sessions per month with over 100,000 downloads of the app to date. WikEM is now the most popular emergency medicine-specific application in the world and is open to all medical providers (including medical students) across the globe to help edit, as a key open access resource. We can now take that life-saving… 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.