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The Global Emergency Medicine Wiki
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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.

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News

Many new updates

We are always working to make bedside knowledge more accessible and quickly available for clinicians and healthcare providers in emergency settings for free.

We keep al...

The diagnosis formerly known as ALTE

The AAP has formally changed the name of ALTE to Brief Unexplained Event (BRUE). The definition has also been formalized with more specific criteria and suggestions to empower the clinician to base the diagnosis on their suspicion rather than relying only on the caregiver’s history.

BRUE is an event occurring in an infant <1 year of age when an observer reports a sudden, brief (<1 min), and now resolved episode of ≥1 of the following without explanation:

  • Cyanosis or pallor
  • Absent, decreased, or irregular breathing
  • Marked change in tone (hyper- or hypotonia)
  • Altered level of respons...

UTox and cross reactivity

Many non illicit drugs cross react with common drugs screened on the traditional urine drug screen.

  • NSAIDs can cause false positive cannabinoid screens
  • Sertraline can cause a benzo false positive
  • Most benzodiazepine screens look for oxazepam which is a metabolite of diazepam and chlordiazepoxide. Therefore, lorazepam, alprazolam, and clonazepam are commonly missed.

What is the detection interval for marijuana on a UDS?Read more