Are you behind the wheel feeling unwell? Sensing the urge to vomit? Many drivers have never pondered the protocol for handling sickness while driving. Vomiting while driving isn't just uncomfortable; it can also pose serious risks if not managed properly. If you're prone to motion sickness or experience nausea due to chemotherapy or another medical condition, knowing how to safely pull over and deal with sickness could be a life-saving skill.
Procedures
Preparing for the Situation

Preventative Measures. Motion sickness often arises when the brain is confused by involuntary movement, such as in a car or boat. Typically, the brain relies on signals from the inner ear, eyes, and surface receptors to sense movement. If you're prone to motion sickness and vomiting, avoiding driving altogether can mitigate the risk of finding yourself in a hazardous situation.
- According to the Mayo Clinic, chemotherapy patients with a history of motion sickness are more susceptible to nausea and vomiting. Consider abstaining from driving during your therapy if you anticipate such issues.

Prevent Motion Sickness with Non-Drowsy Medication. If severe motion sickness troubles you, consider taking over-the-counter remedies like Dramamine or Meclizine. Opt for non-drowsy variants to avoid sedative effects that can impair driving safety.
- Alternatively, consult a healthcare professional for advice on antiemetic or anti-nausea medications, such as Emetrol or Pepto-Bismol, to manage symptoms effectively.
- Prioritize discussions with your doctor to understand potential side effects and interactions with other medications.

Equip Your Vehicle with Chewing Gum and Vomit Bags. Prepare for potential vomiting episodes by storing vomit bags conveniently near the driver's seat. Consider using plastic or paper bags and lining the passenger area with protective sheeting.
- Chewing gum, especially mild-flavored options like Juicy Fruit, can alleviate nausea. Additionally, fresh air circulation through partially open windows or directed vents may ease motion sickness symptoms.

Harness the Power of Ginger Before Driving. Incorporate ginger, a traditional remedy for nausea, into your pre-driving routine. Consider taking ginger supplements or chewing ginger gum to alleviate motion sickness symptoms.
- Consult your doctor before using ginger supplements, particularly if you're taking blood-thinning medication like aspirin, as ginger may increase the risk of bleeding.
- Alternatively, prepare ginger tea by steeping grated or powdered ginger in hot water and sip as needed during rest stops.

Adopt Defensive Driving Practices and Recognize Warning Signs. Drive defensively when experiencing motion sickness symptoms, positioning yourself in outer lanes and avoiding expressways with limited exit options.
- Learn to interpret your body's signals; for instance, if headaches precede nausea and vomiting, consider pulling over at the onset of headache symptoms.
Responding to Sudden Nausea

Inform Your Passengers. Notify your passengers if sudden nausea strikes. They can assist by providing a receptacle for vomiting or, in urgent cases, taking control of the steering wheel. In emergencies, improvising a makeshift vomit bag with hands is preferable to enduring a lingering odor in the car or soiling your attire. The key is to ensure they understand the situation and remain composed.

Attempt a Careful Stop. Prioritize controlling the vehicle and ensuring the safety of yourself, passengers, and others on the road. If driving at speeds between 10 and 30 mph, attempt to pull over. If that's unfeasible and traffic is minimal, reduce speed, activate hazard lights, and vomit.
- At slower speeds, stopping in the roadway poses minimal risk. If possible, open the door and vomit.
- When feasible, move onto the roadside. Upon feeling nauseous, brace momentarily and execute a cautious, gradual maneuver onto the shoulder.

Exercise Extreme Caution at Higher Speeds. Avoid stopping in the middle of the road. Drive defensively, signal properly, and don't presume other drivers will yield.
- Avoid stopping in the median of freeways or highways, as they are closer to fast-moving traffic and offer limited space compared to the shoulder.

Vomit Safely, Particularly at High Speeds. While stopping is feasible at lower speeds, it's perilous on faster roads and highways. Even on the shoulder, refrain from exiting the vehicle. Use caution; it's safer to vomit inside the car than risk severe injury from other vehicles.
- At high speeds, if stopping is impossible, prepare to vomit while hovering your foot over the brake pedal to swiftly slow down.

Aim Straight Ahead While Vomiting. If unable to pull over, maintain focus on controlling the vehicle. Avoid turning your head to the side, which can cause swerving. Direct your gaze forward and aim for a container, steering wheel, or front window. Cleanup can be done later with your hand.
- If no container is available, consider vomiting onto your chest to minimize head movement and ensure safety.
- Alternatively, target the floor to avoid soiling controls like the sound system or climate controls.
Helpful Tips
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Swiftly clean any vomit in the vehicle, avoiding prolonged exposure to sunlight. Baked-on vomit on upholstery is notoriously difficult to clean.
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Vomiting on a leather seat is generally preferable to plush seats or rugs.
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Maintain composure and focus, regardless of the difficulty of the situation.
The advice provided here is based on the real-life experiences of Mytour readers like yourself. If you have a useful tip to share, please submit it below.
- Notify passengers promptly if you start feeling unwell while driving. Extra eyes can assist in monitoring changing traffic conditions, and they may offer quick cleanup assistance with bags, napkins, or towels if stopping immediately is not feasible.
- If unable to pull over safely, gradually reduce speed by easing off the accelerator as nausea builds. Maintain focus on the road ahead to prevent drifting within the lane.
- Stay calm if vomiting occurs while driving. Panic only increases risks significantly. Remaining composed enables better control of the vehicle before addressing cleanup, ensuring the safety of all occupants.
- Keep a supply of vomit bags in your glove box or center console if susceptible to motion sickness. This ensures you have something readily available to contain messes if nausea strikes unexpectedly.
- Consider investing in durable custom floor mats designed to resist stains and odors. Brands like WeatherTech and Husky Liners offer quality options that protect your vehicle's carpeting while driving under distressing conditions.
- Consult with your doctor about the potential benefits of over-the-counter anti-nausea medication while driving. Ensure you choose a variety that won't cause drowsiness, following your doctor's recommendation for the safest option and appropriate dosage.
Important Warnings
- Ensuring vehicle control takes precedence when feeling unwell while driving.
- If vomiting persists or if experiencing severe illness or fever, seek immediate medical attention at a hospital.
- Driving with a severe flu can be deemed reckless endangerment, endangering both your life and the lives of other drivers if you lose control of the vehicle.
Essentials
- Vomit bag or alternative for containing vomit
- Bottle of water
- Breath mints
- Paper towels for cleanup