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The Global Emergency Medicine Wiki
7,240 pages with 45,195 recent edits


WikEM, The Global Emergency Medicine Wiki, is the world's largest emergency medicine open-access/open-source 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!


Thanks to all of the WikEM Editors!

Thanks 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...

New Senior Assistant Editor – Michael Holtz

Congratulations to Dr. Michael Holtz on promoting to Senior Assistant Editor.… Read more

Diabetic Ketoacidosis

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