vomiting

What is the most effective agent for relieving nausea and vomiting in the ER? The answer may surprise you…

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References:

All references for Episode 42 are found on my Read by QxMD collection

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The information contained within the  ER-Rx podcast episodes, errxpodcast.com, and the @errxpodcast Instagram page is for informational/ educational purposes only, is not meant to replace professional medical judgement, and does not constitute a provider-patient relationship between you and the authors. Information contained herein may be accidentally inaccurate, incomplete, or outdated, and users are to use caution,  seek medical advice from a licensed physician,  and consult available resources prior to any medical decision making. The contributors of the ER-Rx podcast are not affiliated with, nor do they speak on behalf of,  any medical institutions, educational facilities, or other healthcare programs.

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Disclaimer:

The information contained within the ER-Rx podcast episodes, errxpodcast.com, and the @errxpodcast Instagram page is for informational/ educational purposes only, is not meant to replace professional medical judgement, and does not constitute a provider-patient relationship between you and the authors. Information contained herein may be accidentally inaccurate, incomplete, or outdated, and users are to use caution, seek medical advice from a licensed physician, and consult available resources prior to any medical decision making. The contributors of the ER-Rx podcast are not affiliated with, nor do they speak on behalf of, any medical institutions, educational facilities, or other healthcare programs.

Dr. Kenneth L. Koch is a practicing physician, professor of gastroenterology at Wake Forest University, and professor at the Wake Forest Institute for Regenerative Medicine. He’s been on numerous institutional, divisional, and national committees and boards, and has authored hundreds of papers and book chapters during his career. His latest book is called, Nausea and Vomiting: Diagnosis and Treatment, which he co-edited and co-authored. Considering iboga is commonly thought of and experienced as purgative, I thought it imperative to know what happens to our bodies when we vomit in general, but more importantly, while during iboga experiences. Topics of our discussion include: what happens to the body when one eats wood; how the notion of disgust from taste and smell can cause nausea which can lead to vomiting; the gut as a primitive and protective warning system; how the body chooses from which end (e.g. mouth or anus) to expel noxious foreign agents; iboga is commonly referred to as a medicine, so how does the body know whether something is a medicine or a toxin; “optokinetic nystagmus” phenomenon and how psychedelics likely produce states similar to motion sickness, which lead to vomiting. Also, visit my Podcast Supplements article regarding afterthoughts of Kenneth and I's conversation (https://amhouot.com/65-ep2-6_the-root-of-vomiting_kenneth-l-koch/).

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Review of the treatment for malignant bowel obstruction with focus on medical management 

Common-sense approach to the management of nausea and vomiting.

In the next episode of Bowel Sounds, hosts Dr. Jenn Lee and Dr. Peter Lu talk to Dr. Katja Kovacic about the dizzying topic of nausea.  Dr. Kovacic is a leader in the field of pediatric neurogastroenterology and motility disorders, and specializes in the care of children with chronic nausea, gastroparesis, and cyclic vomiting syndrome.  We discuss the evaluation and treatment of children with nausea, including the importance of identifying and diagnosing autonomic dysfunction. We also discuss practical tips for balancing a successful academic career and family life.

As always, the discussion, views, and recommendations in this podcast are the sole responsibility of the hosts and guests and are subject to change over time with advances in the field.

Produced by: Jenn Lee

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Thank you to everyone for listening to our podcast. If you enjoyed this content and thought it was useful, we would like to ask you to consider doing any or all of 3 things:

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This episode is eligible for CME credit! Once you have listened to the episode, click this link to claim your credit. Credit is available to NASPGHAN members (if you are not a member, you should probably sign up). And thank you to the NASPGHAN Professional Education Committee for their review!

As always, the discussion, views, and recommendations in this podcast are the sole responsibility of the hosts and guests and are subject to change over time with advances in the field.

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In this episode we briefly discuss the main mechanisms for nausea, then chat about the main anti-nausea drugs used in hospitals, including Ondansetron and Metoclopramide. We also discuss the drug classes commonly used for different types of nausea (yes, there are different types!), as well as some novel treatments for nausea in the emergency department (turns out alcohol swabs aren't just good at disinfecting).
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For show notes, check out www.medtutes.wordpress.com!

In the next episode of Bowel Sounds, hosts Dr. Jenn Lee and Dr. Peter Lu talk to former NASPGHAN President, the "Emperor of Emesis" himself, Dr. B Li about cyclic vomiting syndrome (CVS). He explains how collaboration with a parent support group that is now the Cyclic Vomiting Syndrome Association (CVSA) helped define his career. We discuss how to make a diagnosis, the evolving treatment of CVS, and controversial topics like the relationship between CVS, marijuana use, and cannabinoid hyperemesis syndrome.  As always, the discussion, views, and recommendations in this podcast are the sole responsibility of the hosts and guests and are subject to change over time with advances in the field.

Produced by: Jenn Lee

Special requests:

Thank you to everyone for listening to our podcast. If you enjoyed this content and thought it was useful, we would like to ask you to consider doing any or all of 3 things:

1. Tell one person that you think would like this type of content about the podcast. We want to reach more GI docs and trainees as well as general pediatricians, pediatric residents and med students.
2. Leave a review on Apple Podcasts - this also helps more people discover our podcast
3. You can also support the show by making a donation to the NASPGHAN Foundation 

This episode is eligible for CME credit! Once you have listened to the episode, click this link to claim your credit. Credit is available to NASPGHAN members (if you are not a member, you should probably sign up). And thank you to the NASPGHAN Professional Education Committee for their review!

As always, the discussion, views, and recommendations in this podcast are the sole responsibility of the hosts and guests and are subject to change over time with advances in the field.

Check out our merch website!

Follow us on Twitter, Facebook and Instagram for all the latest news and upcoming episodes.

Click here to support the show.

Live from Minneapolis:

If your friend or partner got way too drunk and you were sharing a hotel room, where would you make them sleep? Would you still share a bed with their vomiting drunk ass, or make them sleep on the floor or in the tub?

What would you do if you realize you have been calling someone the wrong name (or pronouncing their name wrong) for years and they never corrected you?

If you came down with food poisoning during a flight, would you rather be vomiting or have diarrhea?

Given the opportunity again, would you play at an outdoor show in Minneapolis with subzero temperatures in January? (BTW, thanks for already doing that earlier this year!)

Instagram: https://instagram.com/forvaginasonly

Rob Brierley discusses two research articles investigating genetic subtypes of childhood acute lymphoblastic leukaemia.

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