HealthCare
Send NSTE-ACS patients with either a high-risk feature or a moderate to high TIMI score to early invasive strategy (with angiography and intent for revascularization with PCI or CABG surgery as defined by the anatomy) vs. a conservative strategy with medical therapy....
HealthCare
First, give adequate fluid resuscitation b/c hypovolemia from vascular leak and hemoconcentration can cause ischemic pain and resultant lactic acidosis. Fluid replacement is the first step to treating pain in these patients. IV opioids, usually PCA pump....
HealthCare
“Acupuncture reduces the frequency of migraine headaches when used as an adjunct to, or in place of, medical management. (Strength of Recommendation: A, based on meta-analyses).” Am Fam Physician. 2017 Jul 1;96(1):23-24....
HealthCare
Headache diary from the Headache Foundation. Keeping a headache diary helps with determining headache triggers & response to treatment. Print Headache diary.
HealthCare
A patient is said to have chronic migraines if she/he has headaches on more than 15 days per month with migraine features on at least 8 days. That is, headaches on more than half the days of the month with migraine symptoms on more than half of those...
HealthCare
Imaging is usually not indicated in a headache patient except a patient has red flag symptoms. MRI with contrast “If a scan is ordered to evaluate a headache disorder, MRI with contrast is preferred as it is a more sensitive test than CT and does not involve any...
