How to Avoid or Prepare for the ER

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Key Questions
  • When should someone experiencing a migraine attack go to the ER?
  • What are some reasons people avoid the ER when experiencing an attack?
  • Beyond head pain, what other symptoms that accompany migraine might warrant a trip to the ER?
  • What steps can be taken at home to help avoid the ER during a migraine attack?
  • How can an ER visit impact one’s mental health?
  • How can we counter the perception that those with migraine are “drug seekers” when seeking emergency care?
  • How can we work with our physician to write a migraine treatment protocol to be used at the ER?
  • What information might this protocol contain?
  • Where besides the ER can an individual seek emergency care for an attack?
Interview Notes
Treatments Mentioned
  • Antiemetics 
  • Cooling patches
  • Cryotherapy
  • Dexamethasone (Decadron)
  • Diphenhydramine (Benadryl)
  • Ginger chews
  • Headache Hat
  • Ketorolac (Toradol)
  • Magnesium
  • Methylated rubs
  • Migraine glasses
  • Neuromodulation devices
  • Peppermint
  • Prochlorperazine (Compazine)
  • Promethazine (Phenergan) 
  • Saline

Please note: The Migraine World Summit’s aim is to bring you a variety of perspectives and expertise, independent of bias or judgment. Alternative theories presented in this video have not been medically reviewed. Views expressed in this interview do not necessarily represent the views of the Migraine World Summit. Please always consult your health care professional and do your own research before making changes to your treatment plan.

Jaime Sanders

Patient Advocate & Blogger
The Migraine Diva

Jaime Sanders is a patient advocate, blogger, and mother of three. She lives with chronic migraine, fibromyalgia, depression, and anxiety. Jaime has a popular blog called The Migraine Diva, which is her personal diary, platform for her advocacy, and sounding board where readers can learn how chronic pain affects a person and their family. She is a partner with the Coalition for Headache and Migraine Patients (CHAMP) and is a part of the leadership of the Disparities in Headache Advisory Council. Jaime also partners with the Headache and Migraine Policy Forum, the Society for Women’s Health Research Interdisciplinary Migraine Network, the HealthyWomen Chronic Pain Advisory Council, and the Patient Leadership Council with the National Headache Foundation. Through her advocacy work and blog, Jaime’s mission is to make a very invisible disease visible to the rest of the world and validate the real pain of millions.

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