Date Published

March 13, 2012

Updated For

ALS PCS Version ALS PCS Version 5.2


Question: The old protocol for Gravol stated it may be given for severe nausea or vomiting. The new one also says we may give it for nausea or vomiting. It does not say severe anymore. My question is do we have to give it to everyone who says they have nausea even if it's minor?


 Thanks for the question. You are correct that the new directive has removed the word "severe". This was done primarily to avoid the seemingly endless debate as to what constituted "severe". Was it one episode of vomiting? Two? If you are nauseated, you are nauseated, so why did it have to be severe? It is somewhat amusing to us (now perhaps we need a hobby) that now we are debating the removal of "severe" to now debate "minor".

Bottom line: If a patient is complaining of nausea OR vomiting, a paramedic may provide dimenhydrinate if certified and authorized by the auxiliary directive. Certainly it should be offered. Patients as you know have the right to decline or refuse.



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