Droperidol – Is It Safe?
Guidelines for Nonvariceal Upper GI Bleeding
Ondansetron Rx and Bouncebacks to the PED
In children with suspected acute gastroenteritis there was no significant association with the rate of return visits in those who were sent home with a prescription for ondansetron and those who were not.
Do Antiemetics Work? Droperidol, Ondansetron, Placebo
Neither droperidol 1.25mg IV nor ondansetron 8mg IV was better than placebo in achieving an 8mm reduction in nausea on visual analog scale (VAS). But ondansetron was slightly better than droperidol and placebo for overall mean nausea reduction and in patients experiencing the desired effect.
Do Probiotics Plus Antibiotics Prevent C. difficile?
Probiotics decrease the risk of C. difficile infection in adults and children taking antibiotics and may reduce overall adverse events like cramping, nausea, or diarrhea.
No Antibiotics for Diverticulitis…and other stuff the residents taught me this week
After almost twenty years as a doctor, constantly reading, it never ceases to amaze me how much I still don't know. One of the highlights of my job is working with great residents who also teach me. This week was no exception. Here are two things I learned from our residents this week.
Alcohol Pad Aromatherapy vs. Ondansetron
Sniffing an isopropyl alcohol pad was more effective at reducing nausea than oral ondansetron at 30 minutes.
POCUS for Poo 💩
POCUS had reasonable diagnostic accuracy for the diagnosis of constipation by measuring the transrectal diameter and using a cutoff of 3.8cm, and it performed slightly better than x-ray.
Metro Is So Retro – C. diff Guidelines
If you're still reaching for metronidazole in patients with suspected or confirmed C. difficile colitis, it's time to get up to speed with this summary.
Gastric Button Battery – Emergent Scope?
This single-center series found button batteries (BB) lodged in the esophagus all caused mucosal injury, but those in the stomach also caused mucosal injury in 6 out of 12. We may need to rethink the urgency of retrieving gastric BB.