Core EM - Emergency Medicine Podcast

Episode 68.0 – Hiccups

Listen Later

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
Download
One Comment
Tags: Hiccups, Singultus
Show Notes

Take Home Points

  1. 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.
  2. 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.
  3. Last, medication options for hiccups include antipsychotics, anticonvulsants, muscle relaxers and dopamine agonist.  Generally, we start with chlorpromazine 25-50 mg PO or IM.

    4. 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


    Read More
    ...more
    View all episodesView all episodes
    Download on the App Store
    Core EM - Emergency Medicine PodcastBy Core EM
    • 4.5
    • 4.5
    • 4.5
    • 4.5
    • 4.5

    4.5

    237 ratings

    More shows like Core EM - Emergency Medicine Podcast

    View all
    EMCrit FOAM Feed by Scott D. Weingart, MD FCCM

    EMCrit FOAM Feed

    1,864 Listeners

    Emergency Medicine Cases by Dr. Anton Helman

    Emergency Medicine Cases

    539 Listeners

    JAMA Clinical Reviews by JAMA Network

    JAMA Clinical Reviews

    496 Listeners

    The Resus Room by Simon Laing, Rob Fenwick & James Yates

    The Resus Room

    104 Listeners

    EM Clerkship by Zack Olson, MD ; Mike Estephan, MD ; Maddie Watts, MD

    EM Clerkship

    808 Listeners

    The Curbsiders Internal Medicine Podcast by The Curbsiders Internal Medicine Podcast

    The Curbsiders Internal Medicine Podcast

    3,336 Listeners

    Emergency Medical Minute by Emergency Medical Minute

    Emergency Medical Minute

    257 Listeners

    Core IM | Internal Medicine Podcast by Core IM Team

    Core IM | Internal Medicine Podcast

    1,095 Listeners

    The Internet Book of Critical Care Podcast by Adam Thomas & Josh Farkas

    The Internet Book of Critical Care Podcast

    694 Listeners

    The Clinical Problem Solvers by The Clinical Problem Solvers

    The Clinical Problem Solvers

    519 Listeners

    Harrison's PodClass: Internal Medicine Cases and Board Prep by AccessMedicine

    Harrison's PodClass: Internal Medicine Cases and Board Prep

    349 Listeners

    Run the List by Walker Redd, Emily Gutowski, Navin Kumar, Joyce Zhou, Blake Smith

    Run the List

    248 Listeners

    Critical Care Scenarios by Brandon Oto, PA-C, FCCM and Bryan Boling, DNP, ACNP, FCCM

    Critical Care Scenarios

    249 Listeners

    The Curious Clinicians by The Curious Clinicians

    The Curious Clinicians

    366 Listeners

    Critical Care Time by Critical Care Time Podcast

    Critical Care Time

    236 Listeners