Treatment and assessment of emergency department nausea and vomiting in Australasia: A survey of anti‐emetic management

Abstract

Fellows of the Australasian College for Emergency Medicine anti-emetic choice in Australasian ED has been described. The main influences on anti-emetic choice were patient age, perceived drug efficacy and drug side-effect profiles.

Antiemetic treatment in the emergency department: Patient opinions and expectations

“…Although we cannot be certain, we suspect that those who did not have drugs were not offered them, since 90% of patients said they would accept any offered treatment. This is supported by the results of an Australasian survey, in which the majority of ED doctors said they did not routinely prescribe antiemetics for mild nausea . We did not specifically examine for influence of age or sex on antiemetic drug provision, but the US survey found no association with these variables …”

“…Nausea and vomiting is a common and distressing problem for ED patients . Although antiemetic drugs have been used in the ED for many decades, little ED‐based antiemetic research has been conducted.…”

“…Nausea and vomiting is a common and distressing problem for ED patients. 1 Although antiemetic drugs have been used in the ED for many decades, little ED-based antiemetic research has been conducted. A recent Cochrane systematic review on antiemetic drugs for the treatment of adult ED patients with nausea 2 identified only eight ED-based randomised, controlled trials.…”

Antiemetische Therapie in der präklinischen Notfallmedizin – Aktuelle Studienlage

“…Dies ist laut einer ähnlichen Studie aus dem Jahr 2011 bei Emergency Departments in Australien anders: Während auch dort 87 % der erwachsenen Patienten bei Übelkeit und Erbrechen mit MCP behandelt werden, kommen dort bereits an 2. Stelle die 5-HT 3 -Antagonisten [4]. Kinder werden dort hingegen zu 86 % mit 5-HT 3 -Antagonisten behandelt.…”

Treatment of Pediatric Migraine in the Emergency Room

“…Dopamine receptor antagonists have been used extensively in children to treat nausea and vomiting from a variety of etiologies(29-33), and they are commonly used for this purpose in the emergency room setting(30, 31). Chlorpromazine has also been used to treat children with psychiatric disorders(34, 35) and even to provide systemic vasodilation in neonates undergoing cardiac surgery(36).…”