Jaime Alonso

Hospital Universitario de La Princesa

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Sonia Quintas

Hospital Universitario de La Princesa

Alba Somovilla

Universidad Autónoma de Madrid

Ana Beatriz Gago‐Veiga

Hospital Universitario de La Princesa

Carlos Hervás

Hospital Universitario La Paz

Liisa Irene Hänninen

Universidad Complutense de Madrid

Carmen del Arco

Hospital Universitario de La Princesa

José Vivancos

Universidad Autónoma de Madrid

Enrique Alday Muñoz

Hospital Universitario de La Princesa

A. Planas Roca

Hospital Universitario de La Princesa

Daniel Ramos Morales

Universidad Complutense de Madrid

Cooperative Institutions

Hospital Universitario de La Princesa

Universidad Autónoma de Madrid

Universidad Complutense de Madrid

Consorci Institut D'Investigacions Biomediques August Pi I Sunyer

Hospital Clínic de Barcelona

Pain and Headache Center

The University of Tokyo

Complejo Hospitalario de Pontevedra

Hospital Universitari i Politècnic La Fe

Sleep Research Society

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Headache History-Taking in an Emergency Department: Impact Evaluation of a Training Session

Pain Medicine (2020)

Carlos Hervás Alba Somovilla Ana Beatriz Gago‐Veiga Jaime Alonso Carmen del Arco

Abstract Introduction Headache represents about 25% of the total neurological consultations at the emergency department (ED). Up to 80% of these consultations are represented by primary headaches, in which an accurate and directed history-taking may help reach the specific diagnosis avoiding unnecessary complementary tests and reducing diagnostic latencies. Methods We carried out a training session on headache management at the ED, focusing on history-taking and primary headaches’ diagnoses and management. We retrospectively compared the number of variables included in the medical reports and the percentage of patients who were diagnosed and/or treated for a primary headache between two months before and two months after the training session. Results A total of 369 medical histories were analyzed for this study (196 before and 173 after the training session). The number of essential variables regarding pain characteristics included in the medical reports showed a post-intervention increment from 4.34 ± 1.224 to 4.67 ± 1.079 (P = .007) and the number of total items registered also increased from 6.87 ± 1.982 to 7.53 ± 1.686 (P = 0.001). The percentage of patients that were given a specific diagnosis for primary headache showed an increment of 11.8% (P = .002) in the post-intervention group. Conclusion Educational interventions can improve history-taking in headache patients in the ED. This fact grants them as potential efficient measures to optimize patient management at Emergency Room.

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Primary headache

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10.1093/pm/pnaa483

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Response to considerations on ventricular preload reserve in selective lung ventilation

Revista Española de Anestesiología y Reanimación (English Edition) (2020)

Jaime Alonso Enrique Alday Muñoz A. Planas Roca

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10.1016/j.redare.2020.01.001

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