The Timing-and-Triggers Approach to the Patient With Acute Dizziness (Stroke CME)

The Timing-and-Triggers Approach to the Patient With Acute Dizziness (Stroke CME) is organized by EB Medicine.

Publication Date: Dec 01, 2019
CME Expiration Date: Dec 31, 2022

Accreditation:
• 4 AMA PRA Category 1 Credits™, 4 ACEP Category I Credits, 4 AAFP Prescribed Credits, 4 AOA Category 2-A or 2-B Credits.
• Specialty CME Credits: Included as part of the 4 credits, this CME activity is eligible for 2 Stroke CME credits

Description:
Although dizziness is common in the ED, there is incomplete understanding of the fundamentals of physical examination findings in dizzy patients. By using this new “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 quickly.
• Define “vertigo,” “lightheadedness,” and “disequilibrium.” Why is the patient’s description of their symptom inherently unreliable?
• How does the “timing-and-triggers” approach to dizziness more closely track with how other chief complaints are approached?
• Neuritis versus stroke: how can you tell the difference?
• When can a negative CT or MRI be false reassurance?
• Why should you perform the “nystagmus” test portion of HINTS first?
• What are the 5 questions you must answer “NO” to in order to rule out stroke?
• When should you use the Epley maneuver? Semont? Lempert?
• In a patient with triggered dizziness, what are the warning signs of a central cause?

Additional details will be posted as soon as information is available.