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Hiccups

Jennifer Farah, MD and Jessica Mason, MD
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08:46
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Nurses Edition Commentary

Kathy Garvin, RN and Lisa Chavez, RN
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01:39

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EMRAP_2018_10_October_Written Summary_v2 548 KB - PDF

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John R. -

You forgot the best hiccups cessation study. I've passed this study on to the hospitalist the few times I've admitted a hiccup patient. It's a crowd pleaser. ;-)
https://www.ncbi.nlm.nih.gov/pubmed/2299306

Jenny Farah, MD -

Haha! Thanks for the link John! We can add this to our list of innovative techniques to combat intractable hiccups!

Sean V. -

Don't forget to ask your patients with intractable hiccups about recently started medications. Benzodiazepines and steroids have been associated with hiccups. This happened to me once after starting a medrol dose-pack. A very unpleasant experience!

Ian L., Dr -

From personel experience a deep breathe in and holding your breathe for thirty seconds to one minute always works.

Stanley H. -

I am on shift in the ED tonight, got hiccups that I couldn't shake, remembered this episode, looked up the recommendations, considered liquor / massage / sex, thought better of it, decided to rub just below clavicles anteriorly to stimulate C5 dermatome, and IT WORKED PERFECTLY!! Thanks Jess and the EMRAP team!

Victor U. -

The physiological name is diaphragmatic myoclonus.

Bryce N. -

Dear Colleagues,

I know I'm late to this conversation thread, but tonight I just had hiccups and my partner who is also a doctor told me that the cure for hiccups is "drinking water backwards". I had no idea what she meant, but she explained that I should half fill a cup with water, and attempt drinking the water from the opposite side of the cup (needing to bend over and 'suck' the water up with my chin). This sounded like the silliest thing I'd ever heard, but desperate for a solution and unable to convince my partner of the benefits of sexual intercourse or digital rectal examination I gave it a go, and it worked FIRST TIME.

I'm convinced of a miracle cure, and wanted to inform my colleagues.

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EM:RAP 2018 October Full episode audio for MD edition 245:31 min - 230 MB - M4AEM:RAP 2018 October Canadian Edition Canadian 48:30 min - 67 MB - MP3EM:RAP 2018 October German Edition Deutsche 98:17 min - 135 MB - MP3EM:RAP 2018 October French Edition Français 31:44 min - 25 MB - MP3EM:RAP 2018 October Spanish Edition Español 89:24 min - 123 MB - MP3EMRAP_2018_10_Oct_Board Review Answers_Vol.18_10 128 KB - PDFEMRAP_2018_10_Oct_Board Review Questions_Vol.18_10 95 KB - PDFEM:RAP 2018 10 October Individual MP3 files 302 MB - ZIPEMRAP_2018_10_October_Individual PDF 855 KB - ZIPEM:RAP 2018 10 October Spanish Written Summary 812 KB - PDFEMRAP_2018_10_October_Written Summary_v2 548 KB - PDF

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