WikiTriage — Enabling rapid decision-making for EM clinicians

WikiTriage

2nd June 2023 at 8:27am

You're a clinician in a busy ED. You've just seen a patient but now you're stuck. Wikitriage could help you.

We've all been there...

WikiTriage may help you if you need a...

Diagnosis for your symptom e.g. chest pain, headache

Plan for your diagnosis e.g. ACS, sepsis

Interpretation of an investigation e.g. ECG, hip X-ray.

Read this important disclaimer before proceeding: This is a tool which MAY help clinicians but can also cause harm if used incorrectly. It cannot and will never replace clinical judgement and by using this tool, clinicians must agree that they take FULL responsibility for their clinical decisions. Clinicians must recognise the inherent limitations and flaws of WikiTriage and must weigh up every decision they make as they would in line with their local & national guidelines. If you do not agree with this, please exit the website now.

You may already be familiar with TiddlyWiki software in which case you can go directly to the advanced search function.

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10 minutes since giving first agent (15 minutes since start of seizure)
10 minutes since giving second agent (25 minutes since start of seizure)
12 year old presents with limping. No history of trauma. What is your interpretation of the X-ray?
20 minutes since giving second agent (45 minutes since start of seizure)
5 minutes since onset of seizure
8 year old presents with finger pain for several days. How would you manage this surgically?
A 58 year old man presents with new onset double vision. His double vision is persistent even when he closes one eye or another.
Abdominal aorta POCUS
Acute atraumatic childhood limp
Acute childhood limp
Acute coronary syndrome
Acute coronary syndrome where PPCI is indicated
Airway
Anisotropy
Ankle injuries
Ankle sprain
Ankle X-ray in trauma
Anterior and posterior interosseous block
Anterior draw and lateral tilt test
Anterior shoulder dislocation
Apical 4 chamber
Atraumatic headache
Atraumatic lower back pain
Atraumatic lower back pain with significant neurology but without features of CES, ruptured aneurysm, pyelonephritis or urolithiasis
Atraumatic lower back pain without features of CES or ruptured aneurysm
Atraumatic lower back pain without features of CES, ruptured aneurysm, pyelonephritis or urolithiasis
Atraumatic lower back pain without features of CES, ruptured aneurysm, pyelonephritis, urolithiasis or significant neurology
Atraumatic lower back pain without features of CES, ruptured aneurysm, pyelonephritis, urolithiasis, significant neurology, MSCC, osteoporosis
Bilateral atraumatic lower back pain without features of CES or ruptured aneurysm
Breech presentation
BVM (Bag Valve Mask)
Capnography
Cardiac POCUS
Cardiac tamponade POCUS
Cardioversion
Cauda equina syndrome
Central Line Access (Internal Jugular Vein)
Cerebral venous thrombosis
Chest compressions
Chest pain
Chest pain, unremarkable ECG
Chest pain; ECG NAD; non-cardiac; pleuritic; CXR NAD
Closed reduction of Colle's fractures
Colle's fractures
Complications of precipitous maternal delivery
Confirmed acute coronary syndrome
Cord prolapse
Displacement in Colle's fractures
Distal radius fractures
Draft of 'Generalised maculopapular rash in a child'
Draft of 'How to rule in/rule out acute coronary syndrome using troponins'
Draft of 'Lower back pain'
ECG
ECG in the context of chest pain
ECG with left bundle branch block in the context of chest pain
ECG with right bundle branch block in the context of chest pain
ECG; no BBB
FAST scan
Front of Neck Access (FONA) or surgical cricothyroidotomy
Generalised maculopapular rash in a child
Generalised maculopapular rash with an abnormal Nikolsky's sign and without target/targetoid lesions in a child
Generalised maculopapular rash with target/targetoid lesions and abnormal Nikolsky's sign in a child
Generalised maculopapular rash with target/targetoid lesions in a child
Generalised maculopapular rash without target/targetoid lesions in a child
Generalised paediatric rash
Generalised petechial or purpuric rash in a child
GettingStarted
Gigli Saw
Have fun with
Headache
Headache due to raised ICP
Hip X-ray
Hip X-ray in the context of trauma
How to rule in/rule out acute coronary syndrome using troponins
image.png
Inferior vena cava
Jaw thrust
Knee aspiration
Kovacs Kata
Lateral canthotomy
Likely primary headache
Long parasternal axis
Lower back pain
Lung POCUS
Mapleson C (Water circuit)
Mapleson F (T-piece)
Medial clear space
Meningitis
Mild papilloedema
Moderate papilloedema
Nasopharyngeal airway
New Tiddler
Newborn Life Support
Nikolsky's sign
Non-cardiac chest pain without features of oesophageal perforation, pericarditis, acute aortic syndrome, unremarkable ECG and unwarranted/unremarkable CXR
Non-cardiac chest pain without features of pulmonary embolism, oesophageal perforation, pericarditis, acute aortic syndrome, unremarkable ECG and unwarranted/unremarkable CXR
Non-cardiac chest pain, unremarkable ECG
Non-cardiac chest pain, unremarkable ECG and unwarranted/unremarkable CXR
Non-cardiac, musculoskeletal chest pain without features of pulmonary embolism, oesophageal perforation, pericarditis, acute aortic syndrome, unremarkable ECG and unwarranted/unremarkable CXR
Non-cardiac, non-musculoskeletal chest pain without features of pulmonary embolism, oesophageal perforation, pericarditis, acute aortic syndrome, unremarkable ECG and unwarranted/unremarkable CXR
Non-Invasive Ventilation (NIV)
Non-thunderclap headache
Non-thunderclap headache without features of meningitis
Non-thunderclap headache without features of meningitis or raised ICP
Non-thunderclap headache without features of meningitis, raised/reduced ICP, malignancy, GCA or glaucoma
Non-thunderclap headache without features of meningitis, raised/reduced ICP, malignancy, GCA, CVT or glaucoma
Normal disc
Nuchal cord
Ophthalmological POCUS
Oropharyngeal airway
Pacing
Paediatric rash
Paediatric sedation
Papilloedema
Percussion pacing
Pericardiocentesis
Perimortem Hysterotomy
Peripheral venous access
Point-of-care ultrasound (POCUS)
Postpartum haemorrhage
Pre-sedation assessment (paediatric)
Precipitous maternal delivery
Radial inclination.jpg
Rapid sequence intubation
Reduced level of consciousness
Resuscitaire Use
Resuscitative thoracotomy
Right heart strain POCUS
Securing a chest drain
Securing a Chest Drain
Seldinger Chest Drain
Severe papilloedema
Short parasternal axis
Shoulder dystocia
Squeeze test and external rotation stress test for syndesmosis injury
Status epilepticus
Status epilepticus in children
Subcostal/subxiphoid
Surgical Chest Drain
Surgical cricothyroidotomy
T6W1ewOvXyb7OuLqQ3FRMA105582.jpg
Thomas Splint & Kendrick Splint
Thunderclap headache
Tibio-fibular clear space
TiddlyMap!!
Tracheal intubation
Transcutaneous pacing
Traumatic headache
Traumatic lower back pain
Traumatic lower back pain in an ambulatory patient without features major trauma
Undetectable high-sensitivity troponin
Unilateral atraumatic lower back pain without features of CES or ruptured aneurysm
Urolithiasis
Useful code
Ventilation circuits
Vertebral fractures
What is the diagnosis?
What is the investigation or reference that is required?
What is the symptom?
WikiTriage