Call 995 for a headache that starts abruptly and is extremely painful, especially if it reaches full intensity almost immediately. Call immediately if the person has weakness on one side, trouble speaking, confusion, a seizure or collapse. Give the exact location and time the symptoms began. NHS guidance on sudden severe headache · HealthHub stroke signs · SCDF emergency medical services
A sudden, extremely severe headache can be a sign of bleeding around the brain. Tell the dispatcher if it came on during exertion or if there is vomiting, a stiff neck or sensitivity to light. The emergency team needs to assess the cause. NHS guidance on sudden severe headache
- Call 995 for an abrupt, extremely painful headache.
- Report any new weakness, speech changes, confusion or seizure.
- Note when the pain began and when it became severe.
On this page · Describe How It Started · While Waiting for Help · Frequently Asked Questions
Describe How It Started
“Worst headache” can mean different things to different people. A useful description is “The pain went from nothing to severe within seconds at 3.10 pm.” Say what the person was doing and whether the symptoms have changed. If they have had headaches before, explain what is different this time. NHS guidance on sudden severe headache · MOH headaches guidance
While Waiting for Help
Stay with the person and follow the dispatcher. If they become less responsive or their breathing changes, update 995 immediately. If another adult is available, ask them to guide the crew from the nearest entrance. Keep the focus on emergency care even if the pain starts easing. SCDF emergency medical services · NHS guidance on sudden severe headache
Frequently Asked Questions
What if there is no facial droop?
An abrupt, extremely severe headache can be an emergency on its own. Report the headache and any other signs you see. NHS guidance on sudden severe headache
What if they also hit their head?
Tell the dispatcher about the injury and when it happened. Report any loss of consciousness, seizure or change in responsiveness. MOH headaches guidance · SCDF emergency medical services