Subarachnoid hemorrhages (SAH) are frequently misdiagnosed; therefore, we believe it is imperative to address the diagnosis and initiation of early management in the emergency medicine department to minimize poor outcomes in the future.

The diversities of symptom presentation should be considered before proceeding with diagnostic modalities for subarachnoid hemorrhage.

Once a subarachnoid hemorrhage is suspected, a computed tomography of the head with the assistance of the Ottawa subarachnoid hemorrhage rule should be utilized as an initial diagnostic measure.

If further investigation is needed, a CT angiography of the head or a lumbar puncture can be considered keeping risks and limitations in mind.

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