E-ISSN 1658-7820
 

Review Article
Online Published: 16 Aug 2024
 


Management of acute severe headache in the emergency department

Mazi Mohammed Alanazi, Majed Alawe Alotaibi, Saud Nawaf Alotaibi, Razan Faisal Alanazi, Renad Alhammadi, Lama Alsabti, Reema Alwehaibi, Nadyah Khalid Alnajar, Fatimah Alshahrani, Naser Abdullah N Alhabjer.


Abstract
This systematic review aimed to assess the effectiveness of various treatment approaches utilized in emergency rooms to manage severe primary headaches. PRISMA criteria were followed in the course of this investigation. The treatment of severe headaches in the emergency department (ED) was the subject of a comprehensive search on the databases MEDLINE, EMBASE, and Cochrane, which covered the years 2014-2024. The relevant literature references were searched manually to find further research which was not found in the electronic search. This systematic review comprised seven investigations; two were conducted in Turkey, two in Iran, and three in the United States. In three investigations, the effects of lidocaine solution were evaluated; in the others, the effects of sodium valproate and ibuprofen, bupivacaine on the blockade of the greater occipital nerve and sphenopalatine ganglion and acetaminophen were examined. Two studies employed a numerical rating scale, four researchers used a visual analog scale, and one study used a 0-10 scale to quantify pain. Intranasal lidocaine is a useful treatment option for ED patients with severe headaches. Sodium valproate was more effective in the ED at reducing severe headaches. Greater occipital nerve blocks could be a helpful treatment for patients with acute migraine in the ED. Acute severe headaches treated with IV acetaminophen, prochlorperazine, and diphenhydramine in the ED resulted in statistically significant pain relief.

Key words: Severe headache, management, emergency department, acute, systemic review


 
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How to Cite this Article
Pubmed Style

Alanazi MM, Alotaibi MA, Alotaibi SN, Alanazi RF, Alhammadi R, Alsabti L, Alwehaibi R, Alnajar NK, Alshahrani F, Alhabjer NAN. Management of acute severe headache in the emergency department. IJMDC. 2024; 8(8): 2150-2156. doi:10.24911/IJMDC.51-1720772008


Web Style

Alanazi MM, Alotaibi MA, Alotaibi SN, Alanazi RF, Alhammadi R, Alsabti L, Alwehaibi R, Alnajar NK, Alshahrani F, Alhabjer NAN. Management of acute severe headache in the emergency department. https://www.ijmdc.com/?mno=209602 [Access: September 28, 2024]. doi:10.24911/IJMDC.51-1720772008


AMA (American Medical Association) Style

Alanazi MM, Alotaibi MA, Alotaibi SN, Alanazi RF, Alhammadi R, Alsabti L, Alwehaibi R, Alnajar NK, Alshahrani F, Alhabjer NAN. Management of acute severe headache in the emergency department. IJMDC. 2024; 8(8): 2150-2156. doi:10.24911/IJMDC.51-1720772008



Vancouver/ICMJE Style

Alanazi MM, Alotaibi MA, Alotaibi SN, Alanazi RF, Alhammadi R, Alsabti L, Alwehaibi R, Alnajar NK, Alshahrani F, Alhabjer NAN. Management of acute severe headache in the emergency department. IJMDC. (2024), [cited September 28, 2024]; 8(8): 2150-2156. doi:10.24911/IJMDC.51-1720772008



Harvard Style

Alanazi, M. M., Alotaibi, . M. A., Alotaibi, . S. N., Alanazi, . R. F., Alhammadi, . R., Alsabti, . L., Alwehaibi, . R., Alnajar, . N. K., Alshahrani, . F. & Alhabjer, . N. A. N. (2024) Management of acute severe headache in the emergency department. IJMDC, 8 (8), 2150-2156. doi:10.24911/IJMDC.51-1720772008



Turabian Style

Alanazi, Mazi Mohammed, Majed Alawe Alotaibi, Saud Nawaf Alotaibi, Razan Faisal Alanazi, Renad Alhammadi, Lama Alsabti, Reema Alwehaibi, Nadyah Khalid Alnajar, Fatimah Alshahrani, and Naser Abdullah N Alhabjer. 2024. Management of acute severe headache in the emergency department. International Journal of Medicine in Developing Countries, 8 (8), 2150-2156. doi:10.24911/IJMDC.51-1720772008



Chicago Style

Alanazi, Mazi Mohammed, Majed Alawe Alotaibi, Saud Nawaf Alotaibi, Razan Faisal Alanazi, Renad Alhammadi, Lama Alsabti, Reema Alwehaibi, Nadyah Khalid Alnajar, Fatimah Alshahrani, and Naser Abdullah N Alhabjer. "Management of acute severe headache in the emergency department." International Journal of Medicine in Developing Countries 8 (2024), 2150-2156. doi:10.24911/IJMDC.51-1720772008



MLA (The Modern Language Association) Style

Alanazi, Mazi Mohammed, Majed Alawe Alotaibi, Saud Nawaf Alotaibi, Razan Faisal Alanazi, Renad Alhammadi, Lama Alsabti, Reema Alwehaibi, Nadyah Khalid Alnajar, Fatimah Alshahrani, and Naser Abdullah N Alhabjer. "Management of acute severe headache in the emergency department." International Journal of Medicine in Developing Countries 8.8 (2024), 2150-2156. Print. doi:10.24911/IJMDC.51-1720772008



APA (American Psychological Association) Style

Alanazi, M. M., Alotaibi, . M. A., Alotaibi, . S. N., Alanazi, . R. F., Alhammadi, . R., Alsabti, . L., Alwehaibi, . R., Alnajar, . N. K., Alshahrani, . F. & Alhabjer, . N. A. N. (2024) Management of acute severe headache in the emergency department. International Journal of Medicine in Developing Countries, 8 (8), 2150-2156. doi:10.24911/IJMDC.51-1720772008





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