Vomiting

Bleep triage

How fast

Within 1–2 hours

Add to your jobs list; go now if a red flag applies.

Go now if

  • Vomiting blood or coffee grounds
  • Distended abdomen, not opening bowels
  • Drowsy or severe headache

Ask on the phone

  1. How many times? Any blood?
  2. Bowels? Abdominal pain?
  3. Diabetic (check ketones)? New drugs?
Every bleep: the basics
  • Name, ward, bed, age, why they're in hospital.
  • Full set of obs and the NEWS2 score — and what it was before.
  • Resuscitation status (DNACPR / ReSPECT) and ceiling of care.

Ask the nurse to start

  • Give the prescribed antiemetic if none given yet.
  • Fluid balance; capillary glucose (and ketones if diabetic).

Call your senior if

  • Haematemesis, obstruction, or DKA.

When you get there

Sources (1)

For healthcare professionals, as an aid to clinical judgement — not a substitute for it. Follow your local policy and ask a senior when in doubt.