Kimberly Sapre – Spinning Out of Control: Evaluating Dizziness and Vertigo in the Emergency Department

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Exploring the Essential Features of “Kimberly Sapre – Spinning Out of Control: Evaluating Dizziness and Vertigo in the Emergency Department”

Speaker:Kimberly Sapre, DMSc, PA-C, CAQ-EM, DFAAPA

Duration:1 Hour 32 Minutes

Format:Audio and Video

Copyright:Jul 02, 2024  

Description

Dive into the intricacies of dizziness and vertigo assessment in the emergency department, including use of the HINTS examination to determine if symptoms have a peripheral or central cause. Through gripping case presentations, learn to swiftly distinguish between severe, potentially life-threatening causes, such as stroke, and benign conditions like BPPV. Elevate your clinical acumen and decision-making skills as we explore collaborative approaches, emphasizing timely interventions for critical cases and effective management strategies for more benign origins of dizziness.

Speaker

Kimberly Sapre, DMSc, PA-C, CAQ-EM, DFAAPA
 
Kimberly Sapre, DMSc, PA-C, CAQ-EM, DFAAPA, has over a decade of work experience as an emergency medicine PA and a Certificate of Added Qualifications in Emergency Medicine. She has previous clinical experience in neurosurgery and quality improvement. Dr. Sapre holds a Doctor of Medical Science degree in education and works as an Adjunct Assistant Professor in the Shenandoah University Doctor of Medical Science program.

Speaker Disclosures:
Financial: Kimberly Sapre has employment relationships with Shenandoah University, George Washington University, Milliman IntelliScript, and Inova Fairfax Medical Campus. She receives a speaking honorarium from PESI, Inc. She has no relevant financial relationships with ineligible organizations.
Non-financial: Kimberly Sapre is a member of the American Academy of PAs, the Virginia Academy of PAs, the Virginia Association of Minority PAs, the Medical Society of Virginia, and the Society of Emergency Medicine PA.

Objectives

1. Describe the pathophysiology of acute dizziness and vertigo
2. Distinguish between central and peripheral causes based on characteristic symptoms and diagnostic maneuvers
3. Implement the appropriate management strategies and disposition for severe and non-urgent causes

Outline

• Background
  • Pathophysiology of Dizziness and VertigoAnatomy and Physiology
  • Pathophysiology
  • History & Physical Examination
    • Traditional Evaluation
    • GRACE-3
    • HINTS Examination
    • STANDING Algorithm
    • TiTrATE Paradigm
• Case Presentations
  • Case #1: Stroke
  • Case #2: BPPV
  • Case #3: Vestibular Migraines
  • Case #4: Ramsay-Hunt Syndrome
  • Case #5: Labyrinthitis
  • Case #6: Meniere’s Disease
• Other Diagnoses to Consider
  • Multiple Sclerosis
  • Ramsay-Hunt Syndrome
  • Labyrinthitis
  • Meniere Disease
• Pitfalls
• Take Home Points

Target Audience

• Nurse Practitioners
• Physician Assistants
• Physicians
• Nurses
• Other clinicians

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