<< An Evidence-Based Approach To Diagnosis And Management Of Subarachnoid Hemorrhage In The Emergency Department (Stroke CME)

Emergency Department Evaluation

The patient presenting with the classically described acute onset of severe headache that is described as “worst ever,” with a time to peak of seconds and associated nausea, vomiting, and focal deficits is typically a candidate for sSAH workup. Evaluation of the alert patient with a normal neurologic examination or one with a vague change in his or her primary migraine disorder is less clear. Most worstof- life headaches treated in the ED will have benign causes. Approximately 10% to 16% will have serious pathology, including but not limited to sSAH.61-66

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