Bad Headaches

A thunderclap headache (TCH) has been defined as a “headache that reaches 7 (out of 10) or more in intensity within less than one minute.”

CT for Subarachnoid Hemorrhage

A negative head CT in a neurologically normal patient, with a thunderclap headache presentation, a clear time of onset, and a modern CT scanner performed within 6 hours of onset read by an attending radiologist results in a post test risk of SAH of 1 – 2/1000 patients. A shared decision strategy should be used […]

A Thunderclap Headache

A thunderclap headache is defined as a very severe headache that reaches its maximum intensity within 1 minute. One of the most common causes is subarachnoid hemorrhage, but what else can cause a it?

Subarachnoid Hemorrhage

Never ignore a headache that’s ‘different’, ‘never felt before’, ‘worst’ or not subsiding with ‘usual’ medicines…get a non-contrast CT Head

Serious reasons why your patient fainted…

If your patient presents with… Symptoms of arm ischemia or paresthesias with syncope – Subclavian steal syndrome Chest pain that is acute, radiates, tearing/sharp, involves symptoms above and below diaphragm with syncope – Aortic dissection Tachypnea, pleuritic chest pain, shortness of breath with syncope – PE Neurologic deficit with syncope – TIA/stroke Headache that is […]

Emergency Medicine Kenya Foundation

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