#hap17

JC: RCT of Haloperidol for Headaches. Does it work and what about the ethics of analgesic trials against placebo???? @stemlyns @laurahoward10 @emmanchester #JC #headache #haloperidol #FOAMed

Lone acute severe headaches, are a common and sometimes complex presentation to all Emergency Departments. There are obviously life threatening causes of a headache that we rule out with judicious history taking and examination. NICE guidelines have been talked about on St Emlyn’s here (4).

Headaches are often debilitating and cause significant pain and suffering to our patients, treating…

Headache is a pretty common reason for presentation to the Emergency Department – so common, in fact, that it has two curriculum sections of its own (and we’ve already produced an induction post about headaches that you can find here). It can be tricky to find the risk/benefit balance for these patients given the host of possible nasty underlying pathologies headaches might represent,…

Let’s talk about subarachnoid haemorrhage

Around 2-5% of patients presenting to the Emergency Department will be there because of a headache.(1)Most of these are benign, but it’s not uncommon to be faced with a patient with the worst headache of their life. Until now, it has been recommended that all patients with a clinical suspicion of sub-arachnoid haemorrhage and a negative CT head be referred for a lumbar puncture at 12 hours after…