Vomiting is one of the most common and clinically challenging presentations in small animal medicine and emergency care. This episode of the VetFolio Voice podcast is a practical discussion about evaluating and stabilizing vomiting patients while recognizing the broad range of gastrointestinal and extra-gastrointestinal differentials that may contribute to nausea and emesis. Listeners will learn key clinical signs of nausea, interpretation of diagnostic findings, use of point-of-care ultrasound (POCUS), radiography, and bedside monitoring tools, as well as evidence-informed resuscitation strategies including the ROSE fluid approach, shock assessment, and electrolyte interpretation. The podcast also delves into practical therapeutic strategies for nausea and vomiting, including antiemetics, antinausea therapies, and prokinetics.