Core EM - Emergency Medicine Podcast

Episode 74.0 – Gastroesophogeal Reflux (GERD)

Listen Later

This week we review some pearls in the diagnosis and management of acid reflux.

https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_74_0_GERD_Final_Cut.m4a
Download
Leave a Comment
Tags: Acid Reflux, Gastrointestinal, GERD, GI
Show Notes

Take Home Points

  1. GERD pain can mimic or co-exist with the more deadly causes of chest pain.  Be sure to consider all the serious causes of chest pain, get an EKG and maybe a chest XR while you go about symptom management.
  2. Respond to a treatment doesn’t prove a diagnosis.  GERD pain may get better with nitro and ACS pain may get better with a GI cocktail.  Keep an open mind while seeing these patients.
  3. Standard treatment for GERD includes an antacid and H2 blocker and maybe a PPI.  Keep in mind that a PPI takes a while to work, so be sure to give something faster acting in the ED
  4. And last, for these patients, take those few extra minutes for some counseling on lifestyle modifications.  All medications come with side effects, so be sure to address things like diet, smoking and weight loss while you have a captive audience.

    5. 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

    244 ratings

    More shows like Core EM - Emergency Medicine Podcast

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

    EMCrit FOAM Feed

    1,866 Listeners

    Emergency Medicine Cases by Dr. Anton Helman

    Emergency Medicine Cases

    541 Listeners

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

    The Resus Room

    100 Listeners

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

    EM Clerkship

    807 Listeners

    The Curbsiders Internal Medicine Podcast by The Curbsiders Internal Medicine Podcast

    The Curbsiders Internal Medicine Podcast

    3,332 Listeners

    Emergency Medical Minute by Emergency Medical Minute

    Emergency Medical Minute

    263 Listeners

    Core IM | Internal Medicine Podcast by Core IM Team

    Core IM | Internal Medicine Podcast

    1,153 Listeners

    Emergency Medicine Board Bombs by EM Board Bombs

    Emergency Medicine Board Bombs

    323 Listeners

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

    The Internet Book of Critical Care Podcast

    703 Listeners

    The Clinical Problem Solvers by The Clinical Problem Solvers

    The Clinical Problem Solvers

    513 Listeners

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

    Harrison's PodClass: Internal Medicine Cases and Board Prep

    365 Listeners

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

    Run the List

    252 Listeners

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

    Critical Care Scenarios

    249 Listeners

    Ninja Nerd by Ninja Nerd

    Ninja Nerd

    319 Listeners

    Critical Care Time by Critical Care Time Podcast

    Critical Care Time

    234 Listeners