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

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Co-Host

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

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