Dizziness in the ED: It ’ s Enough to Make Your Head Spin!. Saurin Bhatt, MD/MBA Associate Staff, Cleveland Clinic March 6, 2012. Dizziness. 2.3 - 2.6 million patients representing (about 1.5 % of ED visits) over $1.6 billion in health care expenditures per year
Saurin Bhatt, MD/MBA
Associate Staff, Cleveland Clinic
March 6, 2012
Have the patient sit upright
Turn the patient’s head to the symptomatic side at 45 o angle, lie on the back
Remain in this position until resolution of the nystagmus
Turn the patient’s head 90 o to the other side
Remain up to 1 minutes in this position
Roll their body further in the same direction, so that the patient has their head facing nose down
Remain up to 1 minute in this position.
Go back to the sitting position and remain up to 30 seconds in this position.
During every step of this procedure the patient may experience some dizziness
Often nonspecific findings (N,V, unsteady gait, or HA) and subtle neurologic findings (ataxia, dysarthria, and nystagmus)