Migraine Care

Separating a red flag from a bad night: the migraine triage question set, and what each answer changes

Triage quality is really question quality. The questions put to a headache caller at midnight — onset, medication already taken, functional impact, prior ER visits — and which answers move the call from the morning list to an immediate page.

How it pays back

The same questions at 10 PM and at 4 AM

A consistent question set is what makes two calls comparable, and what stops the quality of a night's triage depending on who happened to answer.

The answers decide the route, not an impression

Escalation is driven by specific responses your practice defined as red flags, so the reason a call was paged out can be read back afterwards rather than inferred.

Your provider reads the answers themselves

The escalation carries the chief complaint in concrete terms, current medications, relevant history and the intake transcript, so the callback begins from the patient's actual words.

A typical migraine is not treated as an emergency

Patients describing their usual pattern, asking about refills, or wanting an appointment are logged for morning scheduling. Reserving the page for the red-flag set is what keeps it useful.

Urgent calls routed to on-call provider

Intractable migraine, medication toxicity, and severe rebound headaches escalated immediately

Non-urgent calls pre-scheduled

Patient books urgent or routine slot for next business day with full intake already logged

Call data available to day staff

Morning team sees all after-hours migraine calls, provider responses, and scheduled follow-ups

On-call provider receives structured alerts

Severity, medication history, and intake summary provided with every urgent page

Frequently asked questions

What exactly is a headache caller asked at midnight?

Duration and onset, whether this is their worst headache ever, which abortive or preventive medication has already been taken, functional impact such as whether they can stand or see, and prior ER history for headache.

Which answers trigger an immediate page to the on-call provider?

The red-flag responses your practice defines. Thunderclap onset, vision loss, fever and persistent vomiting are the usual set; those escalate immediately, while routine refills and appointment questions are logged for morning.

Does the AI decide whether this is a dangerous headache?

No. It does not diagnose and does not give clinical advice. It asks the questions your protocol specifies, records the answers, and applies the escalation thresholds you set. The clinical judgement belongs to the provider who calls back.

Can we change the questions?

Yes. The question set and the thresholds attached to it are configuration. Practices normally start from their existing phone triage protocol and adjust once they see which questions produce the answers they actually use.

What happens to the answers when the call turns out not to be urgent?

They are captured and returned as a structured, EMR-pasteable summary for staff review and filing, and the patient is given a clear next step, such as a callback window or an urgent slot the following morning.

Related reading

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