In the ED Now

Spin Doctors – Managing Dizziness in the ED

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Who

Dr. Helena Esmonde is a vestibular physical therapist as well as the Chief Clinical Officer and co-founder of Vestibular First. Her mission includes making essential technology for vestibular care more affordable and improving vestibular education through monthly Journal Clubs, e-newsletters, social media, and continuing education courses. 

Helena’s number one goal is to improve care for patients with vertigo, dizziness, and imbalance by supporting the clinicians who provide that very necessary care.

Episode Takeaways
  • Dizziness triage in the ED
  • How to assess vestibular diagnoses in the ED
  • Where and how to refer your ED patients with vestibular issues
    • Connect with Helena

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    Website

    Youtube

    Resources
    1. https://theeddpt.com/youre-the-dizziness-detective-in-the-ed/
    2. https://youtu.be/5m-CJ88fBRw
    3. Kattah JC. Update on HINTS Plus, With Discussion of Pitfalls and Pearls. J Neurol Phys Ther. 2019 Apr;43 Suppl 2:S42-S45.
    4. Kattah JC, Talkad AV, Wang DZ, Hsieh YH, Newman-Toker DE. HINTS to diagnose stroke in the acute vestibular syndrome: three-step bedside oculomotor examination more sensitive than early MRI diffusion-weighted imaging. Stroke. 2009 Nov;40(11):3504-10.
    5. Kim CH, Jeong H, Shin JE. Incidence of idiopathic benign paroxysmal positional vertigo subtype by hospital visit type: experience of a single tertiary referral centre. J Laryngol Otol. 2023 Jan;137(1):57-60.
    6. Newman-Toker DE, Kerber KA, Hsieh YH, Pula JH, Omron R, Saber Tehrani AS, Mantokoudis G, Hanley DF, Zee DS, Kattah JC. HINTS outperforms ABCD2 to screen for stroke in acute continuous vertigo and dizziness. Acad Emerg Med. 2013 Oct;20(10):986-96.
    7. Tarnutzer AA, Berkowitz AL, Robinson KA, Hsieh YH, Newman-Toker DE. Does my dizzy patient have a stroke? A systematic review of bedside diagnosis in acute vestibular syndrome. CMAJ. 2011 Jun 14;183(9):E571-92.
    8. van Dam VS, Maas BDPJ, Schermer TR, van Benthem PG, Bruintjes TD. Two Symptoms Strongly Suggest Benign Paroxysmal Positional Vertigo in a Dizzy Patient. Front Neurol. 2021 Jan 14;11:625776.a
      9. ...more
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