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The Global Emergency Medicine Wiki
9,529 pages with 72,798 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

Check out the new pediatric EM website, PEM Source

PEMsource is a pediatric emergency medicine resource site curated by the faculty and fellows of the Harbor-UCLA Medical Center pediatric emergency medicine fellowship. It has quick links to a range of tools (e.g. BiliTool), FOAM posts, key pediatric algorithms, evidence based reviews, sample ECGs, images, and more. Check it out before you see your next pediatric patient!… Read more

Esophageal Foreign Bodies

Esophageal impaction can result in airway obstruction, stricture, or perforation. The perforation can be due to multiple mechanisms but is generally either mechanical (ingested bones) or via chemical corrosion (button battery). The most common sites of obstruction are the:

 

  • Cricopharyngeus (near C6) muscle is the most common (about 75%)
  • Aortic cross over the esophagus
  • Lower Esophageal Sphincter

Although uncomplicated food impactions (no bones, incomplete obstruction) can be managed expectantly, it should not be allowed to remain for  > 24hrs.  Endoscopy is the only difinitive method to ensure removal but carbonated beverages and glucagon can be considered. Only one RCT of glucagon with 24 patients compared glucagon to diazepam and found no difference in the needRead more

Welcome Residency Directors

Welcome to WikEM!  The Emergency Medicine residency directory has received a lot of attention, and we encourage everyone affiliated with a residency to take a moment and edit their residency page.  These pages give access to important information for future and current EM residents.  The directory can be edited by any registered user so if your program or country is missing, please add it in.  Like all wiki pages, you will receive a notification by email any time anyone edits your residency page.

A few examples:

  • Residents can keep rotation scheduling up to date
  • Residency coordinators can ensure all contact information is accurate
  • Residency directors can highlight important facts for new applicants
  • Graduates can read about changes to their residency page and learn that the educational
Read more