EMCrit Podcast
EMCrit 362 - Jonathan Edlow, Lead Author of GRACE-3, on Dizziness
Nov 17, 2023
Jonathan Edlow, Lead Author of GRACE-3, discusses strategies for managing dizziness in emergency medicine, emphasizing the importance of physical examination over imaging. The conversation highlights the challenges in differentiating between central and peripheral acute vestibular syndromes, exploring the efficiency of the HINDS exam for stroke patients, and the role of physical therapists in managing vestibular issues. Ongoing studies on dizziness and eye lenses are also highlighted.
35:39
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Quick takeaways
- Differentiating between vestibular syndromes aids in appropriate management of dizziness patients.
- Involving physical therapists with expertise in vestibular conditions can expedite patient care and allow for timely interventions.
Deep dives
Importance of Rapid Assessment in Dizziness Cases
In emergency departments, prompt assessment of dizziness patients is crucial. Differentiating between various vestibular syndromes, like acute, spontaneous, and triggered, aids in appropriate management. The use of standing protocols, including the head impulse test and nystagmus testing, simplifies the process for emergency physicians. The protocol assists in identifying common conditions like benign paroxysmal positional vertigo (BPPV) and posterior circulation TIAs.
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