• Scott C Everett, Olga Chamberlain, Sofia Portuondo, and Michael Shalaby.
• Northeast Ohio Medical University, School of Medicine, USA. Electronic address: severett1@neomed.edu.
• Am J Emerg Med. 2024 Jun 1; 80: 228.e5228.e6228.e5-228.e6.

IntroductionTension headaches, as well as various scalp pathologies including lacerations and abscesses are commonly treated in the emergency department (ED). The occipital nerve block (ONB), previously described in anesthesia and neurology literature, offers analgesia of the posterior scalp on the side ipsilateral to the injection while maintaining a low adverse effect profile.Case ReportWe report three cases in which ONB was utilized for tension headache, scalp laceration repair, and incision and drainage of scalp abscess. These patients all reported significant pain improvement without any reported complications.ConclusionThe ONB is a landmark based technique that offers an opportunity to provide analgesia in the ED that is simple, effective, and without known significant risks that are associated with other modalities of treatment.Copyright © 2024 Elsevier Inc. All rights reserved.

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