Designed by a Master Vertigo Obsessive and an EM/CC Clinical Educator.
I finally understand emergency vertigo presentations! For the first time I am excited to pick up a dizziness patient to test my new skills rather than hoping my partner grabs that patient first. Thank you!
Jake Cohen, MD
Emergency PhysicianThe things they should have taught you in residency…
Positional Vertigo Dx and RX,
The Subtle Posterior Stroke,
Vestibular Migraine,
and So Much More!
This course will teach you the hidden vertigo curriculum.
Course Titles we almost went with…
Pete and Scott’s excellent vertigo course adventure
The last vertigo course you’ll need to take
Patient has vertigo, you have vexation, let’s make you both feel better
Breaking out of the vertigo vicious cycle of vexation
To have nystagmus or not to have nystagmus, that is the question
How to send home the patient with dizziness/vertigo
What is your least favorite patient presentation, and why is it vertigo?
How to become a vertigo positive physician
How to become a vertigo champion
A vertigo course like no other vertigo course ever
The road to vertigo competence and/or excellence
Meet your Instructors
Take one EM doc obsessed with all things vertigo, dizziness, and posterior stroke and add in an ED Intensivist with a passion for new media education and you get one kick-ass course!
Peter Johns, MD
Vertigo/Dizziness Obsessive
Scott Weingart, MD
Iconoclastic EM Educator
Emergency Intensivist from New York. Physician Coach. Editor-in-Chief of EMCrit.org.
Peter has spent decades exploring the intricacies of emergency vertigo presentations and distilling that knowledge to make it understandable and usable at the bedside.
Who Can be Discharged?
Rule out serious conditions by ruling in a benign cause of vertigo at the bedside without tests.
Who could be a posterior stroke?
Immediately know which patients require immediate MRI or transfer for possible posterior stroke.
Go to the Next Level and Dx Vestibular Migraine
Are you seeing these regularly at the bedside, if not, it is because you are missing the diagnosis.
Start Loving Dizziness
Knowledge breeds enthusiasm, lacking a clear paradigm causes discomfort. Start loving vertigo and dizziness.
Really Amazing! Everything was clear and there was nothing superfluous.
Sean Rees
Emergency MedicineCourse Table of Contents
Introduction & Logistics
- Why We Fear & Dislike Vertigo
- Goals When Seeing a Dizzy Patient
- Vertigo Myths & Misinformation
- General Assessment of Vertigo
- Appropriate History
- Nystagmus Assessment and Documentation
- Screening for Central Features
- Vertigo Categorization
Vertigo – Only When Moving
- Intro to Only When Moving
- Posterior Canal BPPV
- Dix-Hallpike Test
- Epley Maneuver
- Horizontal Canal BPPV
- Supine Roll Test
- Gufoni Maneuver
- Anterior Canal (AC) BPPV
- When to suspect AC BPPV
- Deep Head Hanging Maneuver
- Central Paroxysmal Postional Vertigo (CPPV)
Vertigo – Continuous, At Rest
- Intro to Continuous at Rest
- Acute Vestibular Syndrome
- Vestibular Neuritis vs. Posterior Stroke
- HINTS-Plus Exam
- Acute Imbalance Syndrome – Constant Dizziness without Nystagmus
Vertigo – Chronic, Episodic, At Rest
- Intro to Chronic, Episodic, At Rest
- Vestibular Migraine
- Posterior Transient Ischemic Attack (TIA)
Additional Information
- Other Maneuvers
- Logistics of Posterior Stroke with Isolated Vertigo
- The Triage Posterior Neuro Check
- STANDING Assessment
- Freznel Lens
Conclusion
- Conclusion and Summary
- Top Ten – Key Points from the Course
- Spin Class Final Quiz
How it Works
and What You Get
- Extensive Video Course
available for 1 year. Everything you need to know to handle vertigo presentations in the ED, the floor, and the ICU. - The Ability to Send us Questions
If we have not adequately explained something, we want to know! Send us a question and we will either respond or create new educational material to address the gap. - A course completion quiz
To be able to demonstrate your new level of knowledge to any committee or group that needs it. - Additional Reading
Unfortunately, a possible side effect of this course is you may catch Peter’s vertigo obsession disease. If that occurs, we will provide you with plenty of material to feed that need. - Continuing Medical Education (CME)
16 hours of AMA Cat 1™️Credits and 16 hours of CE Nursing Credits. - Asynchronous and Synchronous Verification of your HINTS plus exam
An optional, additional opportunity to have Peter evaluate your HINTS plus on a friend and then review y
CME Information
Accreditation: Crashing Patient is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. Metasin LLC is accredited by the California Board of Registered Nursing to provide contact hours for nurses.
Credit Designation: Crashing Patient designates this enduring material for a maximum of 16 AMA PRA Category 1 Credits™️. Nursing CME provided by Metasin LLC. Provider approved by the California Board of Registered Nursing, Provider #CEP17016, for 16 Contact Hours. Participants should claim only the credit commensurate with the extent of their participation in the activity.
Full CME Information can be found on the CME Page.
See a Sample Lesson from the Course
See one of the amazing lessons from the course.
In this one, Peter describes the Head Impulse Test (HIT).
Add Your Email and We’ll Send You the Lesson Stat!
If you don’t see the email, please check your spam folder
I want to commend you both on an INCREDIBLE course. I thought it was engaging, high-yield, and at the perfect level of detail for an EM audience.
Anand Bery, MD
Vestibular NeurologistRegister for Spin Class!
You walk the path of vertigo and dizziness mastery