Riddell J, et al. Approach to Acute Headache: A Flipped Classroom Module for Emergency Medicine Trainees. JETem 2016. 1(1): Sg143. https://doi.org/10.21980/J8WC73

Audience: This module is designed for emergency medicine trainees. Though it is focused on those early in their career (medical students and junior residents), it is applicable to all emergency medicine medical students and residents.

Introduction: In the United States, headache is the fifth mostcommon primary complaint of patients presenting to the emergency department and can be the primary symptomatic manifestation of lifethreatening illnesses. The emergency physician plays a unique role in diagnosing and managing these patients. The emergency physician’s two major responsibilities are to relieve headache pain and to ensure that lifethreatening underlying causes are uncovered and treated.

Objectives: At the end of this module, the learner will be able to: 1) list the diagnoses critical to the emergency physician that may present with headache; 2) identify key historical and examination findings that help differentiate primary (benign) from secondary (serious) causes of headache; 3) discuss the indications for diagnostic imaging, lumbar puncture and laboratory testing in patients with headache; 4) recognize lifethreatening diagnoses on CT imaging and CSF examination; 5) describe treatment strategies to relieve headache symptoms.

Methods: This module includes a complete flipped classroom module. Learners are responsible for viewing a 20minute video prior to the 30minute smallgroup, casebased didactic discussion portion. The learners are assessed with multiplechoice question assessments, for low stakes retrieval practice or spaced practice. This could alternatively be run as a teambased learning session, with the pre and posttests used as an individual or group readiness assessment test, and the small group exercises converted to a group application exercise.

Topics: Headache, subarachnoid hemorrhage, migraine, occult trauma, meningitis, temporal arteritis, carbon monoxide toxicity, acute glaucoma, cervical artery dissection, space occupying lesion, idiopathic intracranial hypertension.

Go to http://jetem.org/approachacuteheada... to download this video for lectures or teaching