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:
Upon completion of this course, you should be able to:
Included in This Program:
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.
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.
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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.