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Non-traumatic subarachnoid haemorrhage (SAH) is a neurosurgical emergency that may present similarly to a benign headache, yet poses high morbidity and mortality in what often times are young and otherwise healthy patients. While the diagnosis may be made via several different modalities, not all of these are available to every emergency physician. A high suspicion for SAH along with a good history and physical examination may best serve patients in these resource-limited settings. Adequate resuscitative and supportive care, combined with prompt transfer to a facility with neurosurgical capabilities is integral to optimizing patient outcomes.