Headache

Michael Millin, Jeffrey Kelly

Research output: Chapter in Book/Report/Conference proceedingChapter

Abstract

Evaluation of the headache patient begins with the historical exam. Physical findings of concern associated with the headache include: unequal weakness; generalized malaise and inability to ambulate; fevers; neck stiffness; and unequal pupils. Primary causes for the headache include tension headache, migraine, cluster and caffeine withdrawal, and the secondary causes include infection, subarachnoid hemorrhage (SAH), eye complaints, and tumors. Secondary headache is tending to improve as underlying cause of the headache is treated. This chapter presents a review of the common treatment options for the management of headache in the EMS environment. These include inhaled oxygen, anti-emetics, opioids, nonsteroidal anti-inflammatory drugs (NSAIDS), and analgesics. EMS providers must have a heightened level of concern for the causes of headache requiring emergent treatment. The area of headache evaluation and management in the EMS environment needs further study.

Original languageEnglish (US)
Title of host publicationPrehospital Care of Neurologic Emergencies
PublisherCambridge University Press
Pages18-37
Number of pages20
ISBN (Print)9781139629058, 9781107678323
DOIs
StatePublished - Jan 1 2014

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Headache
Tension-Type Headache
Antiemetics
Non-Steroidal Anti-Inflammatory Agents
Subarachnoid Hemorrhage
Pupil
Caffeine
Migraine Disorders
Opioid Analgesics
Fever
Neck
Oxygen
Therapeutics
Infection
Pharmaceutical Preparations
Neoplasms

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Millin, M., & Kelly, J. (2014). Headache. In Prehospital Care of Neurologic Emergencies (pp. 18-37). Cambridge University Press. https://doi.org/10.1017/CBO9781139629058.003

Headache. / Millin, Michael; Kelly, Jeffrey.

Prehospital Care of Neurologic Emergencies. Cambridge University Press, 2014. p. 18-37.

Research output: Chapter in Book/Report/Conference proceedingChapter

Millin, M & Kelly, J 2014, Headache. in Prehospital Care of Neurologic Emergencies. Cambridge University Press, pp. 18-37. https://doi.org/10.1017/CBO9781139629058.003
Millin M, Kelly J. Headache. In Prehospital Care of Neurologic Emergencies. Cambridge University Press. 2014. p. 18-37 https://doi.org/10.1017/CBO9781139629058.003
Millin, Michael ; Kelly, Jeffrey. / Headache. Prehospital Care of Neurologic Emergencies. Cambridge University Press, 2014. pp. 18-37
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