REBEL Core Cast – Basics of EM – Vomiting

Take Home Points

  • Think about causes – is it the head, the belly, or something else leading to the vomiting
  • Get a upreg on all females of childbearing age
  • Peritoneal signs – look for rebound/guarding, consider surgery consult prior to imaging if unstable
  • Ask about last BM and if their passing gas – avoid metoclopramide if you suspect SBO (ondansetron works just was well)
  • Think DKA in diabetics and ACS in old people that just have N/V
  • If they can’t tolerate PO intake – DO NOT DISCHARGE

REBEL Core Cast – Basics of EM – Vomiting

Click here for Direct Download of the Podcast


Katrina D’Amore, DO MPH
NYC H+H/Coney Island
Brooklyn, NY

Post Peer Reviewed By: Anand Swaminathan, MD (Twitter: @EMSwami)

Cite this article as: Ellsworth Wright, "REBEL Core Cast – Basics of EM – Vomiting", REBEL EM blog, June 1, 2022. Available at:
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Ellsworth Wright

Emergency Physician at St. Joseph's Regional Medical Center

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