Acknowledgements -- Preface -- Overview of headache in the emergency department -- Getting started -- Secondary headaches -- General treatment strategies -- Treating the child and adolescent with acute headache -- Treatment of pregnant and breastfeeding patients with acute headache in the ED -- Treatment of the older adult patient (>50 years old) with acute headache in the ED -- Managing risk in the ED -- After the ED: arranging post-ED follow-up care
Summary
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 per cent 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