SGEM Xtra: Hit Me with Your Best Block – 2025 AHS ED Migraine Guidelines

Ensayos extraídos del pódcast de Dr. Ken Milne

• 20252025 guideline update to acute treatment of migraine for adults in the emergency departmentEmergency & ResuscitationIn adults with migraine in the emergency department, prochlorperazine and occipital nerve blocks relieved headache more reliably than other parenteral options.
• 2017Randomized study of IV prochlorperazine plus diphenhydramine vs IV hydromorphone for migraineEmergency & ResuscitationIn 127 adults with acute migraine in the emergency department, prochlorperazine plus diphenhydramine achieved sustained headache relief more often than hydromorphone.
• 2019Intravenous Metoclopramide in the Treatment of Acute MigrainesEmergency & ResuscitationIn 148 emergency department patients with acute migraine, intravenous metoclopramide did not reduce headache intensity at 30 minutes compared with placebo.
• 2025Remote Electrical Neuromodulation for Migraine in the Pediatric Emergency DepartmentEmergency & ResuscitationIn 22 youth with migraine in the emergency department, remote electrical neuromodulation was feasible and acceptable compared with intravenous typical care.