Emergency Headache

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Emergency Headache

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Author : Serena L. Orr
language : en
Publisher: Cambridge University Press
Release Date : 2017-10-26

Emergency Headache written by Serena L. Orr and has been published by Cambridge University Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2017-10-26 with Medical categories.

Understand the approach to routine and rare headaches in an emergency setting, with this guide written by experts in neurology and emergency medicine.

Practical Assessment And Treatment Of The Patient With Headaches In The Emergency Department And Urgent Care Clinic

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Author : Dawn A. Marcus
language : en
Publisher: Springer Science & Business Media
Release Date : 2011-07-29

Practical Assessment And Treatment Of The Patient With Headaches In The Emergency Department And Urgent Care Clinic written by Dawn A. Marcus and has been published by Springer Science & Business Media this book supported file pdf, txt, epub, kindle and other format this book has been release on 2011-07-29 with Medical categories.

Migraine is an extremely common condition affecting 28 million Americans. Fully 1 in every 6 adult women suffers from this malady. Patients with migraine are frequently seen in the Emergency Room and Urgent Care Clinic for acute treatment of their headaches. Headache generally accounts for nearly 3 % of all ER visits, resulting in almost 3.5 million visits annually. There currently are no widely used guidelines for the treatment of patients with headache in the ER or UCC, and reducing the number of CT scans remains a key goal for administrators in many ER or urgent care settings. In one study, 35 drugs, alone or in combination, were used to treat migraine. The most common medication class used was narcotics, which were used in 25% of the visits. The next two most commonly used classes were antiemetics and NSAIDs. Only 5% of patients seen for headache received headache-specific medications during their visit. ER and Urgent Care physicians generally have little or no formal training in treating these patients. Consequently, they often feel less comfortable ruling out secondary causes of headaches and using appropriate headache treatment medications and procedures. Since many patients have received narcotics in previous visits, providers may view them as drug seekers. Patients seen in ERs and UCCs for acute treatment of their headaches often report high levels of dissatisfaction. They often end up in the ER or UCC because they don’t have a formal treatment strategy for their severe headaches. Health plans and insurance agencies are often frustrated by the high cost of fragmented care for patients with headaches. Because of the environment that most ER and UCC providers operate in, many unnecessary scans and tests are done because of uncertainty of the diagnosis and unfamiliarity of the patient. Primary care physicians are also frustrated by patients with headaches presenting to them after being seen in the ER or UCC, wanting a refill of their narcotics that they were given. Many patients don’t follow up with their PCPs and simply keep returning to the ER/UCC for their treatment. In short, all involved in the care for patients with headache are frustrated by the current system. The care for these patients is clearly not optimal. It doesn’t have to be that way. There are a wide variety of effective treatment options available, but are underutilized in the acute setting. With these treatment options, patients no longer have to be treated only with parenteral narcotics, only to perpetuate the cycle of suboptimal care described above. This concise handbook covers all aspects of acute headache care, including care of the child and adolescent with acute headaches, treatment of pregnant and breastfeeding women with acute headaches and appropriate evaluation of secondary headaches. In addition, two other novel chapters are included: one on caring for older patients with acute headaches as well as a chapter describing how to ensure a seamless transition of the patient back to a headache interested provider. Representing an important milestone in the care of patients with headache, this is the first concise handbook available to exclusively address the issue of headache treatment in the acute care setting. Including protocols and strategies that can be used right away, Management of Headaches in Emergency Room and Urgent Care Settings: Diagnosis and Management provides information about lesser known, but effective strategies such as greater occipital nerve blocks that can be easily learned and incorporated in the acute care setting. It emphasizes the continuity of care that is so vital to keep headache patients from returning to the ER and UCC for acute treatment.

Emergency And Intractable Headache

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Author : David W. Dodick
language : en
Publisher: Wiley-Blackwell
Release Date : 2014-07-28

Emergency And Intractable Headache written by David W. Dodick and has been published by Wiley-Blackwell this book supported file pdf, txt, epub, kindle and other format this book has been release on 2014-07-28 with Medical categories.

Emergency and Intractable Headache is a practical guide to help clinicians quickly and accurately identify those patients, based on a brief history and examination, who require investigations to rule out a specific secondary cause for headache. It covers the initial clinical evaluation to generate a short differential diagnosis and provides guidance to the selection of appropriate investigations. The most important secondary causes, especially those that are commonly overlooked, will be briefly discussed, primarily setting out how each disorder presents and when to be suspicious, which tests are appropriate, and the definitive treatment. It also provides an evidence-based approach with specific medication algorithms for those patients with a recurrent primary headache disorder that has not responded to self-administered therapies. Since half of emergency department visits for headache are generated by 'repeat' patients, or so-called frequent fliers, it also offers a practical approach to improving outcomes for and reducing repeat visits by these patients. Emergency and Intractable Headache is a valuable resource for neurologists and neurology trainees, as well as general and family practitioners.

Neurologic Emergencies An Issue Of Emergency Medicine Clinics Of North America

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Author : Michael K. Abraham
language : en
Publisher: Elsevier Health Sciences
Release Date : 2020-11-25

Neurologic Emergencies An Issue Of Emergency Medicine Clinics Of North America written by Michael K. Abraham and has been published by Elsevier Health Sciences this book supported file pdf, txt, epub, kindle and other format this book has been release on 2020-11-25 with Medical categories.

This issue of Emergency Medicine Clinics, guest edited by Drs. Michael K. Abraham and Evie Marcolini, focuses on Neurologic Emergencies. This issue is one of four selected each year by series Consulting Editor, Dr. Amal Mattu. Topics include: Traumatic injuries of the nervous system; Modern Neuroimaging Techniques in Diagnosing TIA and Acute Ischemic Stroke; Neurologic Emergencies at the Extremes of Age; Headache in the Emergency Department Avoiding Misdiagnosis of Dangerous Secondary Causes and Infections of the Central Nervous System.

An Introduction To Clinical Emergency Medicine

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Author : S. V. Mahadevan
language : en
Publisher: Cambridge University Press
Release Date : 2012-04-10

An Introduction To Clinical Emergency Medicine written by S. V. Mahadevan and has been published by Cambridge University Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2012-04-10 with Medical categories.

Fully-updated edition of this award-winning textbook, arranged by presenting complaints with full-color images throughout. For students, residents, and emergency physicians.

Emergency Neurology

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Author : Karen L. Roos
language : en
Publisher: Springer Nature
Release Date : 2021-08-08

Emergency Neurology written by Karen L. Roos and has been published by Springer Nature this book supported file pdf, txt, epub, kindle and other format this book has been release on 2021-08-08 with Medical categories.

This book is an invaluable resource for the diagnosis and management of neurological illnesses in the emergency setting. It emphasizes the quality of prognosis to be contingent on the prompt management of these illnesses. Emergency Neurology, Second Edition follows the exemplary format of the previous edition, with comprehensive chapters on every neurological emergency, including stroke, headache, back pain, dizziness, vertigo, syncope, visual loss, diplopia, facial nerve palsy, weakness, altered mental status, coma, meningitis and encephalitis, seizures, and spinal cord disorders. Chapters emphasize the clinical presentation, diagnostic studies and management, and include high-quality images and tables that are invaluable for rapid diagnosis and therapy. Building off its predecessor's success, Emergency Neurology, Second Edition is an excellent reference for neurologists, emergency room physicians, internists, neurology residents, emergency medicine residents, and internal medicine residents.

Acute Migraine Treatment In Emergency Settings

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Author : U. S. Department of Health and Human Services
language : en
Publisher: Createspace Independent Pub
Release Date : 2013-03-19

Acute Migraine Treatment In Emergency Settings written by U. S. Department of Health and Human Services and has been published by Createspace Independent Pub this book supported file pdf, txt, epub, kindle and other format this book has been release on 2013-03-19 with Medical categories.

Migraine is a chronic neurovascular disorder characterized by dysfunction of the central and peripheral nervous systems and intracranial vasculature. Acute exacerbations of episodic and chronic migraine cause severe and disabling pain that often results in visits to an emergency department (ED), as well as decreased productivity and missed time from work, school, and other activities. Migraine has a negative impact on overall quality of life and is associated with psychiatric and medical comorbidities. In the United States, migraine and related medical issues result in costs of more than $13 billion per year due to lost productivity. Migraine causes acute headaches, which typically last 4 hours to 3 days if untreated. Most individuals with migraine are able to treat their attacks at home; however, this treatment is not always successful. Furthermore, when the initial oral treatment for acute severe headaches fails, subsequent attempts are likely to fail as well. Of Americans with migraine, 7 percent were reported to use an ED or urgent care center for treatment of severe headache within the previous 12 months.7 In the United States, headaches accounted for 2.1 million ED visits annually, 2.2 percent of all ED visits.8 Migraine sufferers who use the ED often report multiple ED visits annually. While headache is a common cause of presentation to the ED, there is substantial practice variability among emergency clinicians. Twenty disparate parenteral agents are used to treat acute migraine in EDs in the United States. Among the agents used are 5-hydroxytryptamine (HT) receptor agonists (e.g., triptans), dopamine receptor antagonists (e.g., phenothiazines, metoclopramide), ergot derivatives (e.g., dihydroergotamine [DHE]), intravenous (IV) nonsteroidal anti-inflammatory drugs (NSAIDs), and opioids. The most common first-line agents for migraine treatment include opioids; however, in more recent research studies, metoclopramide and prochlorperazine, a phenothiazine, appear to be increasingly used. While alternative phenothiazines exist, prochlorperazine is usually preferred due to its efficacy and safety. IV DHE and ketorolac are also used to treat acute migraine. Opioids are often used to treat acute migraine, despite their recognized ability to cause dependence and their association with a higher risk of headache relapse.18 Some physicians use agents sequentially (e.g., metoclopramide followed by ketorolac if patients are not fully recovered following a 30-60–minute assessment period); however, the use of a combination treatment is also popular (e.g., metoclopramide and ketorolac administered simultaneously). The first objective of this Comparative Effectiveness Review (CER) is to assess the effectiveness of various parenteral medications for adult patients with moderate to severe acute migraine who present to an ED for treatment. The second objective is to assess important immediate and short-term side effects of the different interventions. This CER will specifically investigate akathisia associated with metoclopramide and phenothiazines. A third focus is to examine the benefit and risk of using corticosteroids for preventing recurrence of acute migraine that results in a return visit to a physician or ED.

Headache

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Author : Olivia Begasse De Dhaem
language : en
Publisher: Oxford University Press
Release Date : 2023

Headache written by Olivia Begasse De Dhaem and has been published by Oxford University Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2023 with categories.

Part of the What Do I Do Now? Pain Medicine series, this timely volume presents clinical scenarios exploring headache medicine and treatments. Headache Medicine is a complex and constantly developing field, often relying on outdated and time-intensive textbooks. The purpose of this book is to educate readers on the diagnosis and management of commonly encountered headache disorders through brief discussion of relevant and specific cases. The book begins with Headache Medicine clinical pearls and red flags. It progresses through primary and secondary headache disorders, using cases to illustrate presentations and then help to guide an approach to evaluation and management. The book follows the same order as the International Classification of Headache Disorders (ICHD-3). Topics include migraines, cluster headaches, neuropathic eye pain, and trigeminal and occipital neuralgia. This handy guide will be of use to physicians and advanced practitioners (nurse practitioners and physician assistants) interested in the practice of Headache Medicine, emergency room and urgent care physicians, neurologists, internists, psychiatrists, physiotherapists, residents, and medical students undergoing a Neurology or Headache Medicine rotation.

Prehospital Care Of Neurologic Emergencies

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Author : Todd Crocco
language : en
Publisher: Cambridge University Press
Release Date : 2014-07-24

Prehospital Care Of Neurologic Emergencies written by Todd Crocco and has been published by Cambridge University Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2014-07-24 with Medical categories.

This concise practical book is a reliable and definitive resource for emergency medical services personnel at multiple levels.

Migraine And Other Primary Headaches An Issue Of Neurologic Clinics

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Author : Randolph W. Evans
language : en
Publisher: Elsevier Health Sciences
Release Date : 2019-10-07

Migraine And Other Primary Headaches An Issue Of Neurologic Clinics written by Randolph W. Evans and has been published by Elsevier Health Sciences this book supported file pdf, txt, epub, kindle and other format this book has been release on 2019-10-07 with Medical categories.

This issue of Neurologic Clinics, guest edited by consulting editorRandolph W. Evans, will focus onMigraine and other Primary Headaches. Topics include, but are not limited to,Epidemiology, Burden, and Comorbidities of Migraine; Pathophysiology of Migraine; Transient Neurologic Dysfunction in Migraine; Vestibular Migraine; Diagnostic Testing for Migraine; Acute Treatment of Migraine; Migraine in the Emergency Eepartment; Preventive Migraine Treatment; Inpatient Management of Migraine; Behavioral Medicine for Migraine; Chronic Migraine; Pediatric Migraine; Migraine in Women; Trigeminal Autonomic Cephalalgias; and Other Primary Headaches