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FACP. Colegio de médicos de Tarragona Nº 4305520 / fgcapriles@gmail.com

WORLD EMERGENCY MEDICINE SOCIETIES & RELATED

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Tuesday, June 15, 2021

Dyspepsia in the ED

TAMING THE SRU
TAMING THE SRU - June 15, 2021 - By Justine Milligan
“FIRST OFF, SOME TAKE HOME POINTS…
  • For acute management of dyspepsia in the emergency department, antacids alone may provide the fastest relief, but it is short-lived. 
  • The addition of lidocaine (“the GI cocktail”) does not an additional clinical benefit and has risks of harm. 
  • For longer-term relief of symptoms, consider a dose of an H2RA or PPI. 
  • When sending a patient home with a short-term script of acid suppressants, determine the frequency of their symptoms. If they are occurring >1 time per week, a PPI may be more useful. For more occasional symptoms, an H2RA may be sufficient. If symptoms have been persistent for >1 month despite empiric treatment, further evaluation is recommended“