CAP12

JC: Can I safely discharge dizzy patients from the ED?

Distinguishing peripheral dizziness from posterior circulation stroke can be difficult in the emergency department. This 2018 review discusses bedside assessment, including nystagmus, HINTS, neurological examination and gait. It emphasises the knowledge and practice needed to use these techniques, rather than offering a simple discharge rule.

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Syncope at St Emlyns

A 2014 induction guide and podcast on assessing syncope in the emergency department. Simon Carley and Iain Beardsell discuss establishing what happened, gathering a witness history and using the ECG, then connect possible causes with the physiology of cerebral perfusion to structure further assessment.

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