Treatment That Actually Works for Colic
A probiotic, Lactobacillus reuteri DSM17938 (L.r.), helped breastfed infants with colic. Now you actually have something to tell the desperate family that comes in with a colicky but otherwise normal baby.
Capsaicin for Cannabis Hyperemesis
Capsaicin cream for cannabis hyperemesis has been described in adults; this is the first reported use in adolescent patients. It appeared to help, N = 2.
Myth Bust – Ondansetron and IV Opiate-Induced Nausea
Prophylactic ondansetron given with IV opiates did not decrease the rate of nausea or vomiting.
Diarrhea Only – C. difficile
In a largely adult population, those presenting to the ED with diarrhea only and no vomiting had C. difficile colitis as the cause in 10%, and almost 40% lacked risk factors.
Why NG Aspiration for Upper GI Bleed Is Unnecessary
NG tube aspiration or lavage for UGI bleeding is unhelpful as a diagnostic tool.
Sending Upper GI Bleeds Home
A Glasgow Blatchford score of ≤1 accurately predicted which patients presenting with upper GI bleed could be safely managed as outpatients.
Sniff an alcohol pad for nausea
Sniffing an alcohol pad significantly reduced nausea short term. Aromatherapy in the ED.
Glucagon no help for food impaction
Glucagon did not resolve esophageal food impaction but was effective in making people miserable by inducing vomiting.