As a group, neurologic conditions represent a substantial portion of emergency department (ED) visits. Cerebrovascular disease, headache, vertigo and seizures are all common reasons for patients to seek care in the ED. Patients being treated for each of these conditions are amenable to care in an ED observation unit (EDOU) if they require further diagnostic or therapeutic interventions beyond their ED stay. EDOUs are the ideal setting for patients who require advanced imaging such as MRIs, frequent neuro checks or specialist consultation in order to determine if they require admission or can be discharged home.
Key points
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ED Observation Units are the ideal setting for continued monitoring, and diagnostic testing for patients presenting to the ED with neurologic complaints.
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A transient ischemic attack (TIA) is a sentinel event for stroke. Patients with TIA should be risk stratified and begin risk lowering therapies.
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Similarly, the EDOU can be used for further risk stratification of patients with non-disabling cerebrovascular accidents (CVA).
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The EDOU is appropriate for patients with other neurologic conditions such as headache, seizures and vertigo. Goals can include neuro checks, imaging or specialist consultation.
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