TemplateMotion sicknessTap a choice or type a Repertoire Line to see how the note changes. Defaults are what the template inserts on its own.Try a Repertoire Linemotion sicknesscar sickness: dramaminecarsickness: migraine history, meclizineseasickness: promethazinemotion sickness: atypicalcar sickness: no medication, not effectivePractice wording only: leave out patient details. Nothing typed here is saved or sent. Practice a case insteadHistoryChoose anySymptoms, travel triggers, timing, migraine history, medications, and neurologic or hearing symptoms reviewedDefaultAssessmentChoose oneHistory consistent with motion sickness without atypical featuresDefaultSymptoms beyond typical motion sickness, such as dizziness without motion, imbalance, or hearing changeMigraineChoose anyPersonal or family history of migrainePlanChoose anyRecommended behavioral strategies first, including looking at the horizon, limiting head movement, avoiding reading and screens, sitting where motion is least, and fresh airDefaultDiscussed a light meal before travel, avoiding heavy meals, staying hydrated, and good sleepDefaultMedicationChoose oneRecommended dramamine before travelRecommended meclizine before travel given age 12 years or olderRecommended benadryl before travelPrescribed Promethazine for travel given severe symptoms in a teenMedication not recommended given young age; behavioral strategies onlyMedication counselingChoose anyReviewed that these medicines can cause sleepiness or agitation, so a test dose should be tried at home before travelIneffective optionsChoose anyDiscussed that zyrtec, claritin, and Zofran do not help motion sicknessReferralChoose oneReferred to pediatric neurologyReferred to pediatric ENT and audiologyFollow-upChoose oneas neededDefaultafter the specialist visitCounseling paragraphChoose oneParagraphMotion sickness is common in school-age children and usually improves with age and repeated travel. Recommended supportive care with an emphasis on looking at the horizon, avoiding screens and reading during travel, fresh air, and light meals before trips. Return precautions given including vomiting that keeps happening, signs of dehydration, dizziness without motion, hearing changes, a severe headache, trouble walking, new symptoms, prolonged symptoms, worsening symptoms, and other concerns. Caregiver expressed understanding and agreement with plan. Answered all questions.DefaultSome symptoms today do not fit simple motion sickness, so the specialist evaluation will guide the next step. Recommended supportive care with an emphasis on rest during episodes and drinking water throughout the day. Return precautions given including vomiting that keeps happening, a severe headache, hearing changes, trouble walking, weakness, new symptoms, prolonged symptoms, worsening symptoms, and other concerns. Caregiver expressed understanding and agreement with plan. Answered all questions.What the sources coverConsistent with motion sickness vs atypicalMigraine historyBehavioral strategies; meal, hydration, sleep"Age-appropriate medication prevention discussed"Sedation, paradoxical agitation, test doseReturn precautions in the templatevomiting that keeps happeningsigns of dehydrationdizziness without motionhearing changesa severe headachetrouble walkingSourcesCDC Yellow Book 2026, Motion Sickness (page dated April 23, 2025)