- Headache is a chief complaint that accounts for 2% of emergency department (ED) visits.
- SAH 1% of headache (2%).
- Commonly due to ruptured aneurysm.
- symptoms: Rapid onset of headache, worst of life headache, exertional headache, syncope with headache, vomiting, and neck stiffness are red flags associated with a higher pretest probability of SAH. 296 more words
Tags » Neurologic
Summary: For adult patients who have experienced an acute stroke and who do not have any other clinical indication for oxygen supplementation; an approach of not providing supplemental oxygen unless there is a clinical indication appears to be associated with the same functional status at 90 days as an approach of providing prophylactic supplemental oxygen for the first 3 days in hospital. 12 more words
Summary: For patients over 65 who suffer severe traumatic brain injury (TBI), an approach of providing hospice or palliative care may be associated with a lower likelihood of in-hospital mortality than an approach of providing high-intensity treatments (including gastrostomy and tracheostomy). 12 more words
Summary: For adults having 2-8 migraine attacks per month (with or without aura), use of melatonin 3 mg daily may provide more people with at least a 50% reduction in headache frequency than amitriptyline 25 mg daily, with a lower likelihood of side effects (such as sleepiness, dry mouth, weight gain or constipation). 12 more words
Summary: For patients with acute intracerebral hemorrhage, less-intense lowering of blood pressure to a target systolic blood pressure (SBP) range of 140 to 179 mm Hg may lead to a lower likelihood of adverse renal events (and possibly a lower overall likelihood of serious adverse events) than more-intense lowering blood pressure to a target SBP range of 110 to 139 mm Hg, and the less-intense SBP target appears to be associated with the same rate of death or disability as the more-intense SBP target. 12 more words