Cannabis Hyperemesis Syndrome

Your time is valuable and so is mine. That’s why I’m sharing brief, focused podcast episodes that will hone in on a single problem. This time, it’s cannabis hyperemesis syndrome (aka Cannabinoid Hyperemesis Syndrome). Learn about the presentation, diagnosis, and treatment of this surprisingly common malady.

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I am proud to offer CME and MOC Part II through Cincinnati Children’s for listening to my podcast. All you have to do is listen to these four brief episodes that were released in the last couple of months, and then complete the multiple choice questions at the following link. Note that registration is open to any provider seeking physician CME even if you are not a Cincinnati Children’s employee.

The link to the CME for these episodes are:

The episodes included in this CME / MOC Part II program are:

Cannabis Hyperemesis Syndrome – 10/29/2021

Ovarian Torsion – 11/3/2021

Stress Dose Steroids – 11/9/2021

DVT 11/29/2021

That CME link again is –


McConachie SM, Caputo RA, Wilhelm SM, Kale-Pradhan PB. Efficacy of Capsaicin for the Treatment of Cannabinoid Hyperemesis Syndrome: A Systematic Review. Ann Pharmacother. 2019 May 18:1060028019852601. PMID: 31104487

Witsil JC, Mycyk MB. Haloperidol, a Novel Treatment for Cannabinoid Hyperemesis Syndrome. Am J Ther. 2017 Jan/Feb;24(1):e64-e67. PMID: 25393073.

Galli JA, Sawaya RA, Friedenberg FK. Cannabinoid hyperemesis syndrome. Curr Drug Abuse Rev. 2011;4(4):241-249. doi:10.2174/1874473711104040241


Adolescent sexual and reproductive health in the ED

This episode features three members of the Pediatric Emergency Care Applied Research Network (PECARN) Adolescent Sexual Health Working Group. PECARN is a network that performs multicenter research related to the emergency care of children. The Adolescent Sexual Health Working Group is focused on researching topics of interest around sexual and reproductive health in the ED. I recently had the pleasure of interviewing three of the study authors and recorded our conversations, then created a podcast episode that hit on some of the highlights of their incredible work. James Gray also helped me put a blog post together that delves into some of the topics in a bit more in depth fashion.

This episode features the contributions of:

Melissa Miller, MD
Associate Professor of Pediatrics
Division of Emergency Medicine
Children’s Mercy Hospital Kansas City

Lauren Chernick, MD, MSc
Assistant Professor of Pediatrics in Emergency Medicine
Columbia University Medical Center

Erin Hoehn, MD
Assistant Professor of Pediatrics
Division of Emergency Medicine
Children’s Hospital of Pittsburgh

Check out the companion blog post at

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Key Article

Miller MK, Chernick LS, Goyal MK, et al. A Research Agenda for Emergency Medicine-based Adolescent Sexual and Reproductive Health. Acad Emerg Med. 2019;26(12):1357-1368. doi:10.1111/acem.13809


Brown J, Fleming R, Aristzabel J, Gishta R. Does pelvic exam in the emergency department add useful information?. West J Emerg Med. 2011;12(2):208-212.

Farrukh S, Sivitz AB, Onogul B, Patel K, Tejani C. The Additive Value of Pelvic Examinations to History in Predicting Sexually Transmitted Infections for Young Female Patients With Suspected Cervicitis or Pelvic Inflammatory Disease. Ann Emerg Med. 2018 Dec;72(6):703-712.e1. doi: 10.1016/j.annemergmed.2018.05.004. Epub 2018 Jul 2. PMID: 30251627.

Linden JA, Grimmnitz B, Hagopian L, Breaud AH, Langlois BK, Nelson KP, Hart LL, Feldman JA, Brown J, Reid M, Desormeau E, Mitchell PM. Is the Pelvic Examination Still Crucial in Patients Presenting to the Emergency Department With Vaginal Bleeding or Abdominal Pain When an Intrauterine Pregnancy Is Identified on Ultrasonography? A Randomized Controlled Trial. Ann Emerg Med. 2017 Dec;70(6):825-834. doi: 10.1016/j.annemergmed.2017.07.487. Epub 2017 Sep 19. PMID: 28935285.