Acute Response

Automated escalation protocol for severe migraine and status migrainosus calls

Detect high-severity migraine language on inbound calls and instantly route to provider or emergency dispatch. Never let a status migrainosus call sit in voicemail.

How it pays back

Status migrainosus routed before critical delay

Patients reporting continuous migraine, failed emergency medication, or neurological symptoms are connected to your provider or directed to emergency care within seconds.

Clinical summary travels with the escalation

When the AI transfers an acute call, your provider or the ER team receives a structured note of symptom onset, medication history, and prior migraine patterns.

Liability reduced through documented triage

Every escalation is logged with the call timestamp, symptom language, and routing decision. Your practice has a clear record of appropriate response.

Post-call follow-up for high-severity cases

Escalated calls trigger automated callbacks to check resolution and log outcomes for quality improvement.

Acute calls routed in seconds

Status migrainosus and neurological red flags trigger immediate escalation

Clinical summary attached to transfer

Provider or ER receives structured intake on every escalation

Full call audit trail

Timestamp, symptom language, and routing decision documented for compliance

Round-the-clock triage

Escalation protocol runs during office hours, after-hours, and weekends

Frequently asked questions

What language triggers an emergency escalation?

The system escalates calls reporting continuous pain lasting hours, repeated vomiting, vision loss, numbness, weakness, confusion, or statements that medications aren't working. Context matters—a patient saying 'my migraine won't stop' gets escalated; routine symptom questions do not.

Where does an escalated call go?

During office hours, acute calls route to your on-call provider or a designated staff number. After-hours, the AI can transfer to on-call triage or direct the caller to seek emergency care with a summary of their intake provided.

How is liability protected?

Every escalation generates a timestamped log showing the symptom language that triggered the alert, the routing decision, and the outcome. This creates a clear record of appropriate clinical triage.

Can the AI route non-emergency acute calls differently from life-threatening ones?

Yes. The system assigns severity tiers. High-severity calls (status migrainosus, neurological changes) route to on-call providers immediately. Moderate calls (breakthrough migraines, medication side effects) may route to nursing triage first.

Do escalation events sync to the EMR?

Escalation alerts and the clinical summary captured during triage are returned as a structured, EMR-pasteable summary for your clinical team to review and file, so you have the full context if the patient follows up.

Related reading

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