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Tuesday, November 21, 2017

Headache in the ED

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emDocs - Nov 20, 2017 - Author: Long B - Edited by: Koyfman A
"Key Points:
  • Headache is divided into benign, primary causes and dangerous, secondary etiologies. Focused history and examination are recommended.
  • Benign headaches include migraine, tension, cluster, and several others, but a specific diagnosis is not required in the ED.
  • Management should also focus on symptom treatment for pain and nausea.
  • A combination of medications is advised.
  • Antidopaminergics have the strongest literature support. These should be used with NSAIDs and/or acetaminophen.
  • Steroids likely decrease headache recurrence.
  • Other treatments include ketamine, propofol, and nerve blocks. These are options for refractory headaches to other treatments."