Gastroenterology Book


Triage of Children with Vomiting

Aka: Triage of Children with Vomiting
  1. See Also
    1. Vomiting in Children
    2. Vomiting Causes in Children
    3. Vomiting Management in Children
    4. Pediatric Diarrhea
    5. Pediatric Dehydration
  2. Indications: Immediate Evaluation
    1. Hematemesis
    2. Persistent Abdominal Pain longer than 2 hours
    3. Possible Intestinal Obstruction
      1. Intussusception
      2. Volvulus
    4. Possible Ileus or Appendicitis
    5. Abdominal or Head Trauma
    6. Suspected poison or Foreign Body Ingestion
      1. Ask parents to examine vomitus for pills or leaves
      2. Common ingestions
        1. House Plant
        2. Medication
        3. House cleaning chemical or cleanser
        4. Coins
    7. Pediatric Dehydration
      1. Infant under age 1 year: Last Urine > 8 hours prior
      2. Child over age 1 year: Last Urine >12 hours prior
    8. Difficult arousal
    9. Stiff neck (Have child touch chin to chest)
  3. Indications: Clinical evaluation within 16 hours
    1. Acute Vomiting (if 3 or more episodes)
      1. Age <6 months old: Vomiting persists >12 hours
      2. Age <2 years old: >24 hours
      3. Age >2 years old: >48 hours
    2. See more quickly if Diarrhea accompanies Vomiting
  4. Indications: Routine clinical evaluation in 1-2 weeks
    1. Recurrent Vomiting (assess for psychogenic cause)

You are currently viewing the original '\legacy' version of this website. Internet Explorer 8.0 and older will automatically be redirected to this legacy version.

If you are using a modern web browser, you may instead navigate to the newer desktop version of fpnotebook. Another, mobile version is also available which should function on both newer and older web browsers.

Please Contact Me as you run across problems with any of these versions on the website.

Navigation Tree