The Clinical Concepts Podcast

Are you an EMS professional who seeks to provide the best care possible to the patients for which you care? Are you an EMS professional who spends the quiet of the early morning or late night thinking about the science behind the medicine and its implications on the care we provide? Are you fascinated with how the science of emergency medicine is related to our industry's culture? Where have we been? Where are we going, and how are we going to get there? If these are the questions you find yourself asking, then the Clinical Concepts Podcast is for you! Join us as we dive into all things related to EMS and prehospital emergency medicine from clinical care, driving cultural change, innovation, customer service, and more! We bring the Podcast to you, while you take the care to the patient!

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The Clinical Concepts Podcast

Hey man, that's my weed!

September 20, 2022 • Jonathon Jenkins • Season 1 • Episode 2

Patient: "I'm nauseated, i'm vomiting, my belly hurts, and I use cannabis a lot! I have cannabis hyperemesis syndrome."

Paramedic: "You have what now?"

Cannabis (marijuana) use for medical and recreational purposes alike is more common now than ever before. Speaking of common, EMS providers often encounter patients who fall into the trap of cyclic vomiting, chronic nausea, and diffuse abdominal pain. But, have you ever stopped to ponder whether or not these two topics are related? Is Cannabis Hyperemesis Syndrome (CHS) on your differential diagnosis list for the nausea, vomiting, abdominal pain patient?

Join me as we take a dive into the "need to know" pathophysiology for EMS, diagnosis, and care plan development for the patient possibly experiencing CHS!

References:

Beadle, K., et al. “385 Isopropyl Alcohol Nasal Inhalation Intervention for Nausea in the Emergency Department: A Randomized Placebo-Controlled Human Trial.” Annals of Emergency Medicine, vol. 66, no. 4, 8 Dec. 2015, https://doi.org/10.1016/j.annemergmed.2015.07.421.

Hernandez, Jeremy M., et al. “Cannabinoid Hyperemesis Syndrome Presentation to the Emergency Department: A Two-Year Multicentre Retrospective Chart Review in a Major Urban Area.” CJEM, vol. 20, no. 4, 2017, pp. 550–555., https://doi.org/10.1017/cem.2017.381.

Pickett, Jason R. “Cannabis Hyperemesis Syndrome.” Episode 13: Austin-Travis County EMS System Office of the Medical Director Official Podcast. Apple Podcasts, 22 Feb. 2018.

Winstead-Derlega, Christopher. “More than a Hot Shower – Treatment for Cannabinoid Hyperemesis Syndrome (CHS).” EmDOCs.net - Emergency Medicine Education, EmDOCS, 20 Nov. 2020, http://www.emdocs.net/more-than-a-hot-shower-treatment-for-cannabinoid-hyperemesis-syndrome-chs/.

Stay safe, and do good care!