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The Global Emergency Medicine Wiki
10,679 pages with 84,408 recent edits


Overview

WikEM, The Global Emergency Medicine Wiki, is the world's largest emergency medicine open-access reference resource. Our highly acclaimed content is freely available via the internet and our dedicated mobile applications. If you are a medical practitioner, join our contributor community and share your important knowledge with the world.

WikEM is a project of the OpenEM Foundation, a 501(c)(3) nonprofit public charity. Please donate to help make open access to medical knowledge possible!

News

Pneumonia Antibiotics

As winter is upon those in the United States, make sure you are treating your patients with pneumonia using the appropriate antibiotics.   Outpatient treatment is divided among those with significant comorbidities and those without.  The inpatient regimens distinguish between hospital associated, community acquired and those requiring the ICU.… Read more

How to dose sugammadex

One of the newest drugs available to some EM provider is Sugammadex.  Trade name, Bridion, the drug functions as a reversal agent for Rocuronium.  An IV bolus of 16 mg/kg over 10 seconds via a central or peripheral line will reverse a single 1.2 mg/kg dose of rocuronium in approximately 3 minutes.  Although rarely used in the emergent setting, keep the dose in the back of your mind or reference on the WikEM app just incase you need to order it.… Read more

Neonatal Jaundice

Neonatal jaundice is one of the most common reason for newborns to return the hospital.  There are many risk factors and causes, with the most important piece of the workup being distinguishing direct vs indirect hyperbilirubinemia. Direct hyperbilirubinemia points towards a usually benign cause with breast feeding, breast milk and physiologic jaundice being the most common causes and present within the first 4-7 days of life.  Useful tools for risk stratification include the Bilitool for evaluating need for phototherapy.… Read more