Danny Lelli talking about complex BPPV at the uOttawa Dizziness Symposium today.

In this month’s Emergency Medicine News, I wrote about SAEM’s #GRACE3 recommendations for #vertigo , Jay Gatsby, and the #orgastic future of #EmergencyMedicine .

I hope you’ll check it out.

journals.lww.com/em-news/fullte…

You cannot run or hide from the dizzy patient and that is why Dr. Peter Johns' YouTube channel on this critical topic is so essential. Peter Johns M.D.
youtube.com/Peter Johns M.D.

Thanks to Peter Johns M.D. for a wonderful Grand Rounds this morning at our annual JGH Day; a 3.5 hour bootcamp all about vertigo. Residents & staff came out invigorated and with a new desire to confidently assess the dizzy patient!
McGill Emergency Med
CIUSSS Centre-Ouest-de-l'Île-de-Montréal
#FOAMed
#medtwitter

Do you hate picking up the 'dizziness' charts because you have uncertainty around posterior strokes/the workup or identification?

Its complicated, its nuanced, its.. DIZZYING (don't @ us).

So Dr. Kate O’Connell has gone and simplified it for us:

emottawablog.com/2024/03/poster…

Just hit 7 millions views in almost 60 videos about dizziness/vertigo! Thanks to all who have watched and shared them. If you think you've seen them all, click on this, I bet you've missed a few! youtube.com/@PeterJohns/vi…

So this paper shows that if you test young healthy people with a DEEP Dix-Hallpike on a mechanical chair, and remove fixation, they won't get symptoms of BPPV, but will get slow persistent nystagmus not typical of BPPV. Not sure how this helps.
read.qxmd.com/read/38300312/…

I recently gave a lecture at Broward Medical Centre in Fort Lauderdale, Florida, and I was asked about how you know if the patient was better after the Epley. So here is my answer. #FOAMed youtu.be/_oerLbKt530

Peter Johns M.D. The Center for Medical Education Dr Johns a co-resident and I followed this exact technique on a patient two nights ago. Diagnosed PC BPPV, then Epley maneuver. The smile on her face said it all. No imaging and no medications. Thanks again for coming down and working with us!

Another fantastic grand rounds! Thank you @peterjohns84 for taking the time to lecture on the diagnosis & stratification of “dizziness” & vertigo in the ED. We have become more confident in our HINTS assessment, BPPV treatment, & use of brain CTs because of it

Me teaching the Head Impulse Test part of the HINTS exam at Broward Medical Centre in Ft. Lauderdale Florida a couple of days ago. You really have to hold their skull firmly! #HINTS #FOAMed

Why do we hate vertigo? In 1985 I certainly did. But look at this table in the vertigo chapter of the Rosen's edition I studied then! I was programmed to hate vertigo! Luckily, I started reading outside the emergency medicine literature, and found the truth.

I've been teaching vertigo this way for more than a decade. We need to be recognize BPPV, vestibular neuritis and dizzy strokes. I called it 'The Big 3 of Vertigo' youtu.be/MwbqJvMDonU

I made a short video reviewing what you MUST see and what you CAN'T see to send someone home with the diagnosis of vestibular neuritis. youtu.be/-VXwD2nskhQ

An great article from the New Yorker by Shayla Love about her experience with getting a diagnosis of vestibular migraine. Every clinician who sees the undifferentiated dizzy patient should be aware of this diagnosis. newyorker.com/culture/annals…

Hey, I was interviewed on the EMCrit Crew about the GRACE-3 guidelines and vertigo in general. Check it out! emcrit.org/emcrit/dizzine…