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Related Concept Videos

Methods of reducing fever01:22

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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.
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The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
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"Code Headache": Development of a protocol for optimizing headache management in the emergency room.

Javier A Membrilla1, Alicia Alpuente2,3,4, Laura Gómez-Dabo2

  • 1Department of Neurology, Hospital Universitari Francesc de Borja, Gandía, Spain.

European Journal of Neurology
|September 17, 2024
PubMed
Summary

The Code Headache protocol streamlines emergency room care for urgent headaches, improving diagnosis and treatment by using validated scales and checklists to quickly assess patients and prioritize care.

Keywords:
emergency departmentemergency roomheadachemigrainered flagssecondary headachestatus migrainosus

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Area of Science:

  • Emergency Medicine
  • Neurology
  • Clinical Protocol Development

Background:

  • Emergency rooms (ERs) often present challenges for patients with urgent headaches, leading to diagnostic and treatment delays.
  • Inefficient care pathways can negatively impact patient outcomes for headache presentations.

Purpose of the Study:

  • To design an optimized emergency room protocol for urgent headache management.
  • To improve the speed of diagnosis and initiation of treatment for emergency department headache patients.

Main Methods:

  • A narrative literature review was performed using MEDLINE.
  • The "Code Headache" protocol was developed based on the review and resources of a tertiary care ER.
  • The protocol incorporates two scales (HEAD1, HEAD2) and a checklist (PEACE).

Main Results:

  • The protocol stratifies patients using HEAD1 (for serious secondary causes) and HEAD2 (for pain management).
  • Triage nurses use these scales to identify high-risk patients and expedite pain relief.
  • ER physicians use the PEACE checklist to guide further investigations for secondary headaches.

Conclusions:

  • The Code Headache protocol offers a structured approach to enhance ER headache patient care.
  • The protocol facilitates rapid clinical assessment and aims to improve patient management.
  • Further research is needed to validate the protocol against standard clinical practices.