Hahn School of Nursing, University of San Diego, San Diego, California.
Adv Emerg Nurs J. 2023;45(4):321-326. doi: 10.1097/TME.0000000000000487.
Patients with headaches who present to the emergency department (ED) need prompt pain management. Headaches are a common complaint in the ED. Urgent evaluation is critical to assess for life-threatening headache causes. Once the causes of secondary headaches are ruled out, various pain control modalities for primary headaches can be used. This article and case will illustrate the treatment of primary headaches using battlefield acupuncture (BFA) as it is effective, minimally invasive, and has minimal undesired side effects or interactions. BFA will continue to work after the patient has left the ED. Average pain relief can be 4-7 days but varies depending on etiology. BFA presents an opportunity to minimize costly resource overutilization while still providing an option for quick, safe, and effective pain control. The article will also briefly mention some crucial headache assessments (detailed education on headache assessment should be done separately by the reader).
头痛患者到急诊科(ED)就诊需要及时进行疼痛管理。头痛是 ED 中常见的主诉。紧急评估对于评估危及生命的头痛原因至关重要。一旦排除继发性头痛的原因,就可以使用各种原发性头痛的疼痛控制方式。本文和病例将说明使用战场针灸(BFA)治疗原发性头痛,因为它有效、微创,且副作用或相互作用极小。BFA 在患者离开 ED 后仍会持续发挥作用。平均止痛效果可持续 4-7 天,但具体取决于病因。BFA 提供了一个机会,可以最大限度地减少昂贵的资源过度利用,同时仍然提供快速、安全和有效的疼痛控制选择。本文还将简要提及一些关键的头痛评估(读者应单独接受详细的头痛评估教育)。