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WikEM WikEM, The Global Emergency Medicine Wiki, is the world's largest and most popular emergency medicine open-access reference resource Our highly acclaimed content is freely available via the internet and our dedicated mobile applications
Emergency Medicine Resources (Main) - WikEM Background This is a list of external emergency medicine content Internet Emergency Medicine Clinical Resources Online Emergency Medicine Blogs Medical Calculators Emergency Medicine Podcasts Smart Phone Emergency Medicine Phone Apps Offline Emergency Medicine Books Emergency Medicine Journals Organizations and Conferences Emergency Medicine Organizations Emergency medicine conferences and
Critical care documentation - WikEM Background Delivery of critical care is common in the ED setting Multiple components must be satisfied and appropriately documented in the medical record when delivering critical care in the ED Elements of Critical Care Time Critical illness or injury = illness or injury that impairs one or more "one or more vital organ systems such that there is a high probability of imminent or life
Alcohol withdrawal - WikEM Background Withdrawal symptoms due to reduced GABA and increased NMDA receptors Benzos useful due to cross tolerance at ethanol GABA receptor and longer half-life Symptom-triggered therapy As effective as fixed dose therapy, but with more rapid detox Don’t use phenytoin or fosphenytoin to treat seizures caused by drug toxicity or drug withdrawal [1] Clinical Features Reduction in alcohol
Appendicitis - WikEM Clinical scoring system, where a score (Total=10) is composed on presence absence of 3 signs, 3 symptoms and 2 lab values to help guide in case management ≤3 = Appendicitis unlikely ≥7 = Surgical consultation 4-6 = Consider CT MANTRELS Mnemonic: M igration to the right iliac fossa, A norexia, N ausea Vomiting, T enderness in the right iliac fossa, R ebound pain, E levated temperature
Hypoglycemia - WikEM This page is for adult hypoglycemia See non-neonatal hypoglycemia (peds) or neonatal hypoglycemia for pediatric patients
Peptic ulcer disease - WikEM Recurrent ulcerations in the stomach and proximal duodenum Defect in the gastric or duodenal wall that extends through the muscularis mucosa into the deeper layers of the wall [1] Majority of cases related to H pylori or NSAID use H pylori found in 30-40% of U S population NSAIDs inhibit prostaglandin synthesis (decreases mucus and bicarb production) Perforation most commonly occurs in
HIV - AIDS (main) - WikEM We need you! See something you could improve? Make an edit and help make WikEM better for everyone
Pneumonia (main) - WikEM Definition: infection of lung parenchyma Empirically classified based upon location risk factors Pneumonia Empiric Categories The term "health care-associated pneumonia" (HCAP) is no longer used [1] It previously referred to pneumonia acquired in any healthcare facility (e g , nursing home, hemodialysis center, recent hospitalization) and was used to identify patients at risk for infection