The algorithm of analgesia, +/- CT and LP can lead to headache misses in the emergency department. Dr. Sean Caine reminds us about headache nightmares and keeping the Headache Big 5 (SAH, meningitis, cervical artery dissection, CVT and CO poisoning) on your differential the next time you see a patient with a headache in the emergency department.
Dr. Sean Caine completed his medical training from the University of Toronto and later completed his CCFM-EM training at the University of Calgary. He is currently working at the London Health Sciences Center in London, ON.
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