Role of the emergency department in cyclic vomiting syndrome and cannabinoid hyperemesis syndrome care

Although both cyclic vomiting syndrome (CVS) and cannabinoid hyperemesis syndrome (CHS) are chronic conditions, affected patients often present to emergency departments (EDs) for care of severe episodes of nausea, vomiting, and abdominal pain. ED management protocols address dehydration, energy depletion, gastrointestinal symptoms, associated comorbid conditions (migraines, anxiety, hypertension), and possible confounding cannabis use. …