Related Experiment Video
Updated: Jul 4, 2025
09:52
Setting Up a Stroke Team Algorithm and Conducting Simulation-based Training in the Emergency Department - A Practical Guide
Published on: January 15, 2017
17.2K
Treatment in the emergency department
Yu-Hsiang Ling1, Debashish Chowdhury2, Shuu-Jiun Wang3
1Department of Neurology, Neurological Institute, Taipei Veterans General Hospital, Taipei, Taiwan; College of Medicine, National Yang Ming Chiao Tung University, Taipei, Taiwan.
Handbook of Clinical Neurology
|February 2, 2024
Summary
Migraine is a common cause of emergency department visits, leading to significant burdens. This chapter outlines an emergency department algorithm for rapid migraine diagnosis and treatment, aiming to prevent readmissions and refer high-risk patients.
Area of Science:
- Neurology
- Emergency Medicine
Background:
- Migraine represents a significant cause of emergency department (ED) visits, incurring substantial medical and economic costs.
- Effective ED management focuses on rapid symptom resolution, preventing relapse, and appropriate specialist referral for high-risk individuals.
Approach:
- This chapter details a specialized algorithm for migraine diagnosis and treatment tailored to the ED environment.
- A comprehensive review of high-quality clinical trials, with a focus on ED populations, informs optimized treatment strategies.
Key Points:
- The presented algorithm facilitates efficient migraine diagnosis and management within the ED setting.
- Evidence-based treatment options are highlighted to improve patient outcomes and reduce healthcare burdens.
- Emphasis is placed on identifying and referring patients with chronic migraine or medication-overuse headache.
Conclusions:
- Optimized ED migraine management algorithms are crucial for timely and effective patient care.
- This approach aims to reduce ED revisits and ensure appropriate follow-up for complex migraine cases.
- The chapter provides valuable insights for clinicians managing migraine patients in emergency settings.
Related Concept Videos
01:29Acute Respiratory Failure-V
140
The treatment for acute respiratory failure varies based on factors like the underlying cause, overall health, and severity. A collaborative healthcare team is essential for early detection, often through arterial blood gas analysis. Identifying the cause is the primary goal, with treatment strategies adjusted for ventilation/perfusion (V/Q) mismatch, shunting, or diffusion impairment.
Ensure that patients are monitored continuously for their response to therapy, including changes in...
Ensure that patients are monitored continuously for their response to therapy, including changes in...
140
01:22Methods of reducing fever
664
The signs and symptoms of fever include hot and dry skin, flushed face, thirst, muscle aches, anorexia, headache, tachycardia, tachypnea, and fatigue. Elevated body temperature is reduced using two methods: pharmacological and nonpharmacological. Proper identification and treatment of the root cause of a fever is of utmost importance.
Pharmacological Methods of Reducing Fever:
Pharmacological Methods of Reducing Fever:
664
01:26Flail Chest-II
172
Managing flail chest, a condition characterized by a segment of the chest wall moving independently from the rest of the thoracic cage, requires a comprehensive approach. It includes a thorough assessment of the patient's condition, a diagnostic evaluation to determine the extent of the injury, and the implementation of appropriate medical interventions tailored to the individual's needs.
Assessment:
1. Clinical Evaluation:
History:
Assessment:
1. Clinical Evaluation:
History:
172
01:28Pneumonia IV: Management
329
The treatment of pneumonia varies based on its severity and the causative pathogen. Here is a structured approach to managing pneumonia, integrating pharmaceutical and supportive care strategies.
Bacterial Pneumonia Treatment
For bacterial pneumonia, antibiotics serve as the cornerstone of therapy. Initial treatment often begins with empirical antibiotics, tailored to the anticipated causative organism and adjusted based on culture results. Key antibiotic choices include:
Bacterial Pneumonia Treatment
For bacterial pneumonia, antibiotics serve as the cornerstone of therapy. Initial treatment often begins with empirical antibiotics, tailored to the anticipated causative organism and adjusted based on culture results. Key antibiotic choices include:
329
01:26Tonsillitis II: Management
111
This lesson will focus on the different treatment options for managing tonsillitis, which typically depend on the cause and severity.
111
01:30Adrenergic Agonists: Therapeutic Uses
778
Adrenergic agonists have diverse therapeutic uses across various medical conditions and emergencies.
Emergency and Intensive Care Unit (ICU) applications: Pressor agents increase blood pressure, heart rate, and contractility in shock and organ failure situations. Dopamine can induce vasodilation and stimulate adrenoceptors. Endogenous catecholamines are effective in treating cardiogenic shock. α2-agonists like clonidine can reverse anesthesia-induced hypertension.
Allergies and...
Emergency and Intensive Care Unit (ICU) applications: Pressor agents increase blood pressure, heart rate, and contractility in shock and organ failure situations. Dopamine can induce vasodilation and stimulate adrenoceptors. Endogenous catecholamines are effective in treating cardiogenic shock. α2-agonists like clonidine can reverse anesthesia-induced hypertension.
Allergies and...
778