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Thursday, February 18, 2021

IV Fluids in Benign Headaches

REBEL EM - February 18, 2021 - By Jenny Beck-Esmay
Article: Zitek T et al. I-FiBH Trial: Intravenous Fluids in Benign Headaches – A Randomised, Single-Blinded Clinical Trial. Emerg Med J. 2020. PMID: 32620543.
“Clinical Question: In patients presenting to the emergency department for a benign headache, do IV fluids help reduce pain or improve outcomes?
Author’s Conclusion: “Though our study lacked statistical power to detect small but clinically significant differences, ED patients who received an intravenous fluid bolus for their headache had similar improvements in pain and other outcomes compared with those who did not.”
Clinical Take Home Point: In the absence of historical or clinical dehydration, there is little evidence to support the routine use of IV fluids for the treatment of benign headaches in the ED”