Hey There
Here's a strange "Headache"call we attended. The Hx we recieved from the pt and dispatch information...25yo male @ the recreation center with complaint of headache and weakness. On arrival pt found in mens washroom lying on floor. Limited speech but complained of a headache and nausea. His pain when asked was lower occipital region. Upon further questioning the pt gave us the story of: "I was working out doing leg squats and pushed hard on my last set. Got a terrible headache and felt dizzy. When dizziness did not subside, I went to the bathroom where I became violently Ill with continuous vomitting. Shortly after losing 80% of motor skill and speech".
During assessment, it was found that all vitals were well within normal parameters, pupils equal and reactive but body temperature was 34.4C. Pt still complained of his headache but nausea had subsided and was gaining strength again. Upon arrival at the ER, Dr's assessment also revealed that pt was unable to track items or focus on a single object. Eyes just wouldn't agree with each other! All the regular questions were asked, last meal (didn't eat yet that day), family Hx (diabetes, epilepsy,etc), drugs or meds. Nothing out of the ordinary. Temperature had come back into normal range and Pt described himself as feeling much better, other than a slight headache. Full motor skills and eyes were slowly returning to normal state.
Out of precaution, Dr. ordered a CT just out of curiosity. Low and Behold, this guy had a severe bleed subderal and was immediately taken into surgery.
Who would have thought? A headache call turning into something like that!! I will never look at it again as "Just another Headache Run" again.
Cheers
Jaz
