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The Timing-and-Triggers Approach to the Patient With Acute Dizziness (On-demand Course) -

$99.00

Although dizziness is common in the ED, understanding the fundamentals of physical examination findings in dizzy patients can be difficult. By using a “timing-and-triggers” approach instead of the old “what do you mean, ‘dizzy’?” approach, you can more confidently make the correct diagnosis and ensure that patients with central causes of dizziness receive appropriate care in a timely manner. This course will answer the following questions and more:

This course will discuss:

• How dizziness patients can be categorized into one of three strata. For each strata, both benign and more serious specific diagnoses will be identified.
• A systematic history, physical exam, and neurological exam, so the evaluation of dizziness patients can be streamlined and efficient.
• Nystagmus, the role of the CNS, and the role of the peripheral vestibular system will be clarified, so it’s possible to interpret this important physical exam finding in dizzy patients who are evaluated in the acute setting.
• EMR documentation tips that will allow the practitioner to use templates to create effective dizziness patient charts.
• Special considerations for dizzy patients in the COVID-19 era. 

Upon completion of this course, you should be able to:

1. Utilize the timing-and-triggers approach to diagnose patients who present with dizziness
2. Identify the differential diagnosis of vestibular syndromes
3. Recognize a posterior circulation transient ischemic attack in patients presenting with transient episodes of dizziness
4. Utilize bedside physical examination maneuvers to diagnose and treat acute dizziness, when appropriate
5. Identify management caveats related to COVID-19 for patients presenting with dizziness

Included in This Program:

1. On-demand 1-hour lecture with Q&A
2. An evidence-based companion article
3. 1 Stroke CME - AMA PRA Category 1 Credit™

Note: This course is available at no charge to Emergency Medicine Practice and Pediatric Emergency Medicine Practice subscribers. If you’re a current subscriber, simply log in to access the content. If you’re not a subscriber, you can purchase this course or subscribe to receive instant access.

Faculty:

Edward P. Sloan, MD

Dr. Sloan is an emergency physician and the Medical Director at Dominican University in Illinois and Professor Emeritus at UIC Emergency Medicine. He’s the founder of FERNE (the Foundation for the Education and Research in Neurological Emergencies), a specialist in neurologic emergencies, a long-time educator, and a healthcare provider career coach.

Sam Ashoo, MD

Dr. Ashoo is an emergency physician practicing in Tallahassee, Florida and is board certified in emergency medicine and clinical informatics. He’s the founder of Admin EM, an educational website that provides administrative and clinical support. He’s also the host of EB Medicine’s podcast, EMplify.

Feedback from Past Participants:

• “Excellent review of a difficult topic. This is user friendly and I will begin utilizing this immediately.”
• “Most important course of the year. Should be mandatory for EVERY ED physician. Would save hundreds of millions of dollars on unnecessary imaging, unnecessary admissions, and minimize missed strokes.”
• “I am now comfortable incorporating the HINTS exam into my clinical practice. I feel much more comfortable with narrowing the differential diagnosis of the 'dizzy' patient. This article did an incredible job of tackling a historically tricky area of emergency medicine and creating a useful framework for the average ER doc to follow.”
• “This changed my emergency practice life! Will be more confident and orderly in my physical exam! Best course of the year!”
• “This is one of the best courses I have done in my entire career. In fact, I keep a copy of the article in my work bag to review when I am seeing these patients. I thought the organization and explanations were outstanding and worth every second of reading.”

CME Information:

Date of Activity: June 17, 2020

CME Expiration Date: June 17, 2023

Accreditation: EB Medicine is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. This activity has been planned and implemented in accordance with the accreditation requirements and policies of the ACCME.

Credit Designation: EB Medicine designates this activity for a maximum of 1 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Specialty CME: Included as part of the credit, this CME activity is eligible for 1 stroke credit, subject to your state and institutional requirements.

Needs Assessment: The need for this educational activity was determined by a survey of medical staff, including the editorial board of this publication; review of morbidity and mortality data from the CDC, AHA, NCHS, and ACEP; and evaluation of prior activities for emergency physicians.

Target Audience: This activity is designed for emergency medicine physicians, physician assistants, nurse practitioners, and residents.

Goals: Upon completion of this activity, you should be able to: (1) demonstrate medical decision-making based on the strongest clinical evidence; and (2) provide patient-centered care for each topic covered.

Objectives: Upon completion of this activity, you should be able to: (1) utilize the timing-and-triggers approach to diagnosis patients who present with dizziness; (2) identify the differential diagnosis of vestibular syndromes; (3) recognize a posterior circulation transient ischemic attack in patients presenting with transient episodes of dizziness; (4) utilize bedside physical examination maneuvers to diagnose and treat acute dizziness, when appropriate; and (5) identify management caveats related to COVID-19 for patients presenting with dizziness.

Faculty Disclosure: It is the policy of EB Medicine to ensure objectivity, balance, independence, transparency, and scientific rigor in all CME-sponsored educational activities. All faculty participating in the planning or implementation of a sponsored activity are expected to disclose to the audience any relevant financial relationships and to assist in resolving any conflict of interest that may arise from the relationship. In compliance with all ACCME Essentials, Standards, and Guidelines, all faculty for this CME activity were asked to complete a full disclosure statement. The information received is as follows: Dr. Ashoo, Dr. Sloan, Dr. Edlow, Dr. Duran-Gehring, Dr. Srinivasan, Dr. Mishler, Dr. Toscano, Dr. Jagoda, and their related parties report no relevant financial relationships. Dr. Lewandowski reported a relationship as consultant/advisor to Shire/Takeda. All conflicts of interest were mitigated through peer review.

Commercial Support: This activity received no commercial support.

Earning Credit: To earn credit, participate in the activity and complete the post-test and the evaluation form on the EB Medicine website.

Hardware/Software Requirements: You will need a computer and speakers or headphones for the discussion portion and a computer in order to take the CME test and evaluation.

Accessibility: EB Medicine is committed to making its CME activities accessible to all individuals. If you are in need of an accommodation, advance notification will help us to better serve you.