There’s a lot of dizziness in the world.
Too much some may say.
So before you let your patient crawl, vomiting out of the department it’s best to have done a good history and exam. If they can’t walk, talk, point, speak, see and swallow normally there may be some posterior fossa wrongness afoot.
Here’s a great talk from Stuart Squadron on the Emergency Medicine Cases site
http://emergencymedicinecases.com/download/mp3/EMC-Ep045-Jun2014-Ch1Swadron.mp3
And no ED teaching session would be complete without a bit of Weingart goodness.
http://emcrit.org/podcasts/posterior-stroke/
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3114934/
Some more from Squadron on paper…
"You turn me right round Baby..right round...like a record Baby", he says.
Among other things.
http://www.epmonthly.com/clinical-skills/emrap/a-simplified-approach-to-vertigo/
Finally, it is important to give patients suffering from dizziness sound advice regarding recreational activities...
