By Dawn A. Marcus
Migraine is an exceptionally universal affecting nearly 28 million american citizens. totally 1 in each 6 grownup girls suffers from this illness. sufferers with migraine are often noticeable within the Emergency Room and pressing Care health facility for acute remedy in their complications.
ER and pressing Care physicians typically have very little formal education in treating those sufferers. as a result, they generally believe much less cozy ruling out secondary explanations of complications and utilizing applicable headache remedy drugs and tactics.
Practical review and therapy of the sufferer with complications within the Emergency division and pressing Care hospital covers all facets of acute headache care, together with care of the kid and adolescent with acute complications, remedy of pregnant and breastfeeding ladies with acute complications and acceptable evaluate of secondary complications.
Representing an enormous milestone within the care of sufferers with headache, this can be the 1st source to be had to completely tackle the problem of headache remedy within the acute care environment. together with protocols and techniques that may be used instantaneously, useful evaluation and remedy of the sufferer with complications within the Emergency division and pressing Care medical institution offers information regarding lesser recognized, yet potent ideas corresponding to larger occipital nerve blocks that may be simply realized and integrated within the acute care environment. Emphasizing the continuity of care that's so very important to maintain headache sufferers from returning to the ER and UCC for acute remedy, functional evaluate and remedy of the sufferer with complications within the Emergency division and pressing Care hospital is a useful addition to the literature.
Read or Download Practical Assessment and Treatment of the Patient with Headaches in the Emergency Department and Urgent Care Clinic PDF
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Additional info for Practical Assessment and Treatment of the Patient with Headaches in the Emergency Department and Urgent Care Clinic
Do lights bother you when you have a headache? 3. Do you get sick to your stomach or nauseated with your headache? If you answered “yes” to at least two of these questions, you probably have migraine. Cutaneous allodynia is frequently assessed headache clinics. Cutaneous allodynia describes a hypersensitivity to touch stimulation so that normally nonpainful touch stimuli invoke a pain response. A good example of cutaneous allodynia is a sunburn. Before experiencing the burn, touching the skin does not produce pain.
Have you had similar headaches before? How long did it take for today’s headache to reach its greatest intensity? ) Is anything else bothering you besides the headache? Do you have any other medical problems? Patient responds “yes” – PROBLEM WITH CHRONIC HEADACHE Patient responds “no” – NEW HEADACHE or HEADACHE PLUS If <5 minutes – diagnose thunderclap headache and treat as NEW HEADACHE Patient responds “yes” – HEADACHE PLUS or HEADACHE WITH KNOWN ILLENSS Patient responds “yes” – HEADACHE PLUS or HEADACHE WITH KNOWN ILLENSS Important Questions to Ask in the ED 25 Which category of headaches best describes your ED patient?
A focused history and physical, including a good screening neurological exam, can direct the need for additional testing. 4. The headache assessment should include consideration of rare secondary causes of headache. 5. Distinguishing primary from secondary headache is more important than trying to clarify which specific primary headache diagnosis should be assigned to an individual patient. 6. Selective use of imaging procedures and other testing should be used to rule out rare, secondary causes of headaches.
Practical Assessment and Treatment of the Patient with Headaches in the Emergency Department and Urgent Care Clinic by Dawn A. Marcus