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In this video, I review the evidence (or lack thereof) around NG tubes and small bowel obstruction. There are no RCTs of this practice. The observational data suggests harm. NG tubes have been proven to be harmful in similar clinical scenarios (post-op ileus). And there is clear harm. Why do any doctors do this to their patients? First10EM is a free open access medical education (FOAMed) platform created and run by Dr. Justin Morgenstern dedicated to high quality education focused on resuscitation and evidence based medicine. The major take home points from this video are: 1 There are no RCTs of this practice. 2 Observational data suggests harm 3 NG tubes hurt Want more? Check out the main post on First10EM: https://first10em.com/ng-tubes-for-sm... Website: https://first10em.com/ Resuscitation: http://resus.first10em.com/ Evidence based medicine: https://ebm.first10em.com/ Twitter: @First10EM / first10em Facebook: / first10em Instagram: / first10em Bluesky: @first10em.bsky.social https://bsky.app/profile/first10em.bs... TikTok: / first10em Reddit: / first10em Timestamps: 0:00 Intro 01:13 Evidence 02:24 Observational data 03:54 Extrapolating 05:17 Harms 05:50 Summary Hashtags: #resuscitation #emergencymedicine #generalsurgery #evidencebasedmedicine #science #medicine First10EM is devoted to free, open access medical education, aimed at medical professionals. The website does not provide specific medical advice. I may be a physician, but I am not your physician. If you are a medical professional, the information should be used like any other you encounter: think critically, consider other sources of information, and ensure that you understand how the information presented here fits with your own skills, work environment, and resources. Full disclaimer: https://first10em.com/disclaimer/ I have never accepted money from any drug or device company. I have no financial conflicts of interest in any information I present. Thank you for watching! 🙂