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14 - Preventing Emergency Department Visits in Primary Headache Patients and Prevention of Bounce-Backs to the Emergency Department

Published online by Cambridge University Press:  09 October 2017

Serena L. Orr
Children’s Hospital of Eastern Ontario, Ottawa
Benjamin W. Friedman
Albert Einstein College of Medicine, New York
David W. Dodick
Mayo Clinic, Phoenix, AZ
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Acute therapy of primary headaches includes intravenous rehydration, anti-emetics, corticosteroids, nonsteroidal anti-inflammatory drugs, dihydroergotamine, and serotonin 5-HT1B/1D receptor agonists. Different types of primary headaches may respond similarly to these therapies. Many headaches recur not long after treatment in the ED, and the natural history of the primary headaches is such that they will recur in the long term if not within hours to days of discharge. The ED physician must consider the possibility of post-ED headaches for patients presenting to the ED with primary headaches, and provide anticipatory management for these headaches. The appropriate management of primary headache relies on resources outside the ED, developed in collaboration with outpatient headache healthcare providers. This chapter will address post-ED headache management for primary headache patients.

Emergency Headache
Diagnosis and Management
, pp. 149 - 157
Publisher: Cambridge University Press
Print publication year: 2017

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