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Management strategies for acute headache in the emergency department.
Emerg Med Pract. 2012 Jun; 14(6):1-23; quiz 23-4.EM

Abstract

Approximately 2.1 million patients per year present to United States emergency departments with a primary headache disorder. For emergency clinicians, the responsibility is twofold: First, exclude causes of headaches that pose immediate threats to the life and welfare of patients. Second, provide safe, effective, and rapid treatment of symptoms, while facilitating discharge from the emergency department with appropriate follow-up. While emergency management focuses on identification and treatment of life-threatening causes of headache, such as subarachnoid hemorrhage or bacterial meningitis, there is a tendency to misdiagnose specific primary headache disorders and fail to provide consistent, effective treatments in accordance with published guidelines. These mistakes can be avoided by resisting the temptation to label patients with specific primary headache diagnoses and by adopting a consistent, reproducible strategy for treatment of primary headache disorders in the emergency department that is evidence-based and effective.

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Publisher Full Text

Authors+Show Affiliations

Singh A
Emergency Department, Alameda County Medical Center, Highland Hospital, Oakland, CA, USA.
Soares WE
No affiliation info available

MeSH

Acute DiseaseDiagnosis, DifferentialEmergency Service, HospitalHeadacheHumansPractice Guidelines as TopicUnited States

Pub Type(s)

Journal Article
Review

Language

eng

PubMed ID

22830180

Citation

Singh, Amandeep, and William E. Soares. "Management Strategies for Acute Headache in the Emergency Department." Emergency Medicine Practice, vol. 14, no. 6, 2012, pp. 1-23; quiz 23-4.
Singh A, Soares WE. Management strategies for acute headache in the emergency department. Emerg Med Pract. 2012;14(6):1-23; quiz 23-4.
Singh, A., & Soares, W. E. (2012). Management strategies for acute headache in the emergency department. Emergency Medicine Practice, 14(6), 1-23; quiz 23-4.
Singh A, Soares WE. Management Strategies for Acute Headache in the Emergency Department. Emerg Med Pract. 2012;14(6):1-23; quiz 23-4. PubMed PMID: 22830180.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Management strategies for acute headache in the emergency department. AU - Singh,Amandeep, AU - Soares,William E, PY - 2012/7/27/entrez PY - 2012/7/27/pubmed PY - 2012/9/21/medline SP - 1-23; quiz 23-4 JF - Emergency medicine practice JO - Emerg Med Pract VL - 14 IS - 6 N2 - Approximately 2.1 million patients per year present to United States emergency departments with a primary headache disorder. For emergency clinicians, the responsibility is twofold: First, exclude causes of headaches that pose immediate threats to the life and welfare of patients. Second, provide safe, effective, and rapid treatment of symptoms, while facilitating discharge from the emergency department with appropriate follow-up. While emergency management focuses on identification and treatment of life-threatening causes of headache, such as subarachnoid hemorrhage or bacterial meningitis, there is a tendency to misdiagnose specific primary headache disorders and fail to provide consistent, effective treatments in accordance with published guidelines. These mistakes can be avoided by resisting the temptation to label patients with specific primary headache diagnoses and by adopting a consistent, reproducible strategy for treatment of primary headache disorders in the emergency department that is evidence-based and effective. SN - 1524-1971 UR - https://www.unboundmedicine.com/medline/citation/22830180/Management_strategies_for_acute_headache_in_the_emergency_department_ L2 - http://www.ebmedicine.net/topics.php?paction=showTopic&topic_id=315 DB - PRIME DP - Unbound Medicine ER -