A 25 year-old with previous history of migraine headaches presents to the ED complaining of severe pulsatile headache on the left side of her head and face accompanied by nausea and photophobia. The pattern is consistent with her previous episodes. Home treatment with Ibuprofen and Sumatriptan have been unsuccessful. Which would be an acceptable initial treatment for her symptoms in the ED:

About the Author: Anton Helman

Dr. Anton Helman is an Emergency Physician at North York General in Toronto. He is an Assistant Professor at the University of Toronto, Division of Emergency Medicine and the Education Innovation Lead at the Schwartz-Reisman Emergency Medicine Instititute. He is the founder, editor-in-chief and host of Emergency Medicine Cases.