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Welcome to WikEM The Global Emergency Medicine Wiki including 10,658 pages with 82,123 recent edits by the global medical community

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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!

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WikEM 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

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===General Disclaimer=== The information on this site and the related mobile software has been, and continues to be, compiled from multiple sources and multiple authors. It is intended for clinicians only and not directly for patients. It can be edited by numerous individuals given access to the site, which produces constantly changing content. As such, the accuracy and completeness of this work cannot be guaranteed. The information contained herein is intended as a quick and convenient reminder of information you have already learned elsewhere. The contents are to be used as a guide only; health care professionals should always use sound clinical judgment and individualize patient care. This information is not meant to be a replacement for training, experience, continuing medical education, or studying the latest literature and medical information. OpenEM Foundation, the site managers, editors, contributing authors, and other people and organizations related to this site make this information available without warranties of any kind, express or implied. We disclaim any liability, loss, or damage caused by the contents. If you do not wish to be bound by the foregoing cautions and conditions, please do not use this site or downloaded mobile software.