Earlier quoted context omitted.
my 2yo was dehydrated and on IV because of that, too. not uncommon for the smallest kids.
A noro or rotavirus ripped through my 2 years olds daycare recently, and in a couple classrooms (including my kid), tons of kids got sick as well as teachers, but did not hear of any hospitalizations. The first evening was brutal though. 6 hours of drink, vomit, eat, vomit, drink, vomit, etc. My kid easily threw up 20+ times.
First time, maybe a fluke. Check for other signs of illness, heat sickness, what did they eat recently, fever etc.
Second time they get no food or water for two hours. Then small sips of water/Pedialyte
If they don't vomit after the liquid they can eat a few bites of BRAT (banana rice applesauce or toast) if they do, wait another hour or two and repeat.
If they're still vomitting after 6+ hours, depending on the child's age, we'll call the pediatrician and ask for advice.
If they're still not keeping even liquids down after 8+ hours (again depending on age) we take them to the ER after consulting with the pediatrician again. We've only had to do that once.
If at any time the child shows signs of dehydration we skip to the last step.
Source - have 5 kids.