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Letter to the Editor

Letter to the Editor

An ED Tool for Cyclic Vomiting Syndrome

doi: 10.1097/01.EEM.0000804984.01280.ef

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    The Cyclic Vomiting Syndrome Action Plan (CVSAP) visually highlights individualized care to facilitate optimized preventive and acute cyclic vomiting syndrome (CVS) care.

    The plan is completed in an outpatient setting by the physician primarily managing the patient's CVS. It is then provided to the patient digitally or in print and added to the electronic medical record.

    During acute presentations to the emergency department, emergency physicians are encouraged to inquire if a patient has a CVS action plan. The patient can produce this plan, or the physician can review the most recent outpatient encounter for CVS care in the EMR. The plan is accompanied by an evidence-based calculator to guide physicians in selecting weight-based abortive emergency pharmacotherapy.

    The CVSAP was a multicenter collaborative effort between pediatric and adult gastroenterologists, and was endorsed by the Cyclic Vomiting Syndrome Association. The plan can be downloaded for free at

    Patrick T. Reeves, MD

    Bethesda, MD

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