Aim
Improve the accuracy of assessment of dizzy patients presenting to the Emergency Department, in doing so we have been able to prevent unnecessary imaging and admissions.
Outcomes
Already we have had patients that we have been able to correctly identify with nystagmus that would not have been seen without use of the vesticam goggles. This has further improved HINTS exam (Head Impulse, Nystagmus, and Test of Skew,) reducing the need for imaging of brain and cavum septum pellucidum (csp) for some dizzy patients.
Background
Emergency Department staff can correctly identify nystagmus that would not have been seen without use of the vesticam goggles. The ability to remove fixation and replay assessment of ocular movements has greatly improved the confidence and accuracy in determining peripheral versus central causes of vertigo.