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Patients presenting to the emergency department with acute-onset, atypical headaches require an evaluation for subarachnoid hemorrhage (SAH). The standard evaluation for SAH includes noncontrast computed tomography of the head and, if negative, a lumbar puncture to determine the presence of blood in the cerebrospinal fluid (CSF). In austere environments without full laboratory capabilities, a rapid bedside diagnostic test allowing clinicians to rule out SAH would reduce costly transfers of patients requiring further evaluation. CSF samples obtained while evaluating patients for potential SAH were tested with the blood panel of Bayer Multistix urine test strips.

Urine Test Strips as a Bedside Diagnostic Aid to Rule out Blood in CSF: A Validation