20 min listen
Episode 68.0 – Hiccups
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Length:
7 minutes
Released:
Oct 17, 2016
Format:
Podcast episode
Description
This week we discuss the workup and management of hiccups in the ED
https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_68_0_Final_Cut.mp3
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Tags: Hiccups, Singultus
Show Notes
Take Home Points
Hiccups, or singultus, are caused by a reflex arc involving the vagus nerve, CNS and phrenic nerve. If you remember the path of these nerves, you can remember that possible bad pathologies that could cause a patient to present with prolonged hiccups.
Physical maneuvers are the first line for solving the hiccups. Try things that will interrupt respiration or stimulate the vagus nerve. We like the modified valsalva in which the patient blows on a syringe, because it’s pretty easy to get the patient to do.
Last, medication options for hiccups include antipsychotics, anticonvulsants, muscle relaxers and dopamine agonist. Generally, we start with chlorpromazine 25-50 mg PO or IM.
Read More
Steger M et al. Systemic review: the pathogenesis and pharmacological treatment of hiccups. Aliment Pharmacol Ther 2015; 42(9):1037-50. PMID 26307025
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Released:
Oct 17, 2016
Format:
Podcast episode
Titles in the series (100)
Episode 15.0 – Adrenal Crises + D-dimer in Aortic Dissection: Pearls from a core content talk on adrenal emergencies, a journal update looking at D-dimer in aortic dissection and some acid/base cases.Read More by Core EM - Emergency Medicine Podcast