EM Cases · Red-flag headache approach
Thunderclap headache — resus/clinical management station
ACEM Fellowship OSCE clinical-management station testing thunderclap recognition, CT≤6h pathway, LP decision, and SAH bundle.
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Study tools
Target exams
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Prompt
Sudden maximal headache 2 hours ago; GCS 14; neck stiffness; possible SAH.
Station brief
Format. Clinical-management station, 11 minutes. You are the EM consultant.
Candidate instructions. Assess and manage a patient with sudden severe headache. State actions and reasoning aloud.[1]
References2ShowHide
- [1]Perry JJ, Stiell IG, Sivilotti ML, et al. Sensitivity of computed tomography performed within six hours of onset of headache for diagnosis of subarachnoid haemorrhage. BMJ, 2011.PMID 21768192
- [2]Pickard JD, Murray GD, Illingworth R, et al. Effect of oral nimodipine on cerebral infarction and outcome after subarachnoid haemorrhage: British aneurysm nimodipine trial. BMJ, 1989.PMID 2496789