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Page 1
Vertigo and dizziness in the emergency room.
Zwergal A, Dieterich M. Zwergal A, et al. Curr Opin Neurol. 2020 Feb;33(1):117-125. doi: 10.1097/WCO.0000000000000769. Curr Opin Neurol. 2020. PMID: 31743236 Review.
PURPOSE OF REVIEW: To provide an update on diagnostic algorithms for differential diagnosis of acute vertigo and dizziness and swift identification of potentially harmful causes. RECENT FINDINGS: About 25% of patients with acute vertigo and dizziness have a potentia …
PURPOSE OF REVIEW: To provide an update on diagnostic algorithms for differential diagnosis of acute vertigo and dizziness and swift …
Bedside Testing in Acute Vestibular Syndrome-Evaluating HINTS Plus and Beyond-A Critical Review.
Tarnutzer AA, Edlow JA. Tarnutzer AA, et al. Audiol Res. 2023 Sep 1;13(5):670-685. doi: 10.3390/audiolres13050059. Audiol Res. 2023. PMID: 37736940 Free PMC article. Review.
Acute vertigo and dizziness are frequent presenting symptoms in patients in the emergency department. ...We found that the algorithms that incorporated structured history taking and the use of subtle oculomotor signs had the highest diagnostic accuracy. In fact, both the …
Acute vertigo and dizziness are frequent presenting symptoms in patients in the emergency department. ...We found that the algorithms …
Usage of the HINTS exam and neuroimaging in the assessment of peripheral vertigo in the emergency department.
Quimby AE, Kwok ESH, Lelli D, Johns P, Tse D. Quimby AE, et al. J Otolaryngol Head Neck Surg. 2018 Sep 10;47(1):54. doi: 10.1186/s40463-018-0305-8. J Otolaryngol Head Neck Surg. 2018. PMID: 30201056 Free PMC article.
Of patients who did not undergo neuroimaging, 17 (7.1%) had a bedside HINTS exam performed. Almost half (44%) of documented HINTS interpretations consisted of the ambiguous usage of "HINTS negative" as opposed to the terminology suggested in the litera …
Of patients who did not undergo neuroimaging, 17 (7.1%) had a bedside HINTS exam performed. Almost half (44%) of documented …
Emergency Department Use of the HINTS Exam.
Engler K, Wood J, Cook C. Engler K, et al. Adv Emerg Nurs J. 2022 Oct-Dec 01;44(4):267-271. doi: 10.1097/TME.0000000000000436. Adv Emerg Nurs J. 2022. PMID: 36269806
The study was designed to assess the efficacy and appropriate use of the HINTS exam in the ED. Assessing and evaluating dizziness is complex, and with the growing cost associated with the ED assessment of dizziness, appropriate use of the HINTS exam co …
The study was designed to assess the efficacy and appropriate use of the HINTS exam in the ED. Assessing and evaluating dizzin …
Factors influencing HINTS exam usage by Canadian Emergency Medicine Physicians.
Byworth M, Johns P, Pardhan A, Srivastava K, Sharma M. Byworth M, et al. CJEM. 2022 Nov;24(7):710-718. doi: 10.1007/s43678-022-00365-2. Epub 2022 Sep 15. CJEM. 2022. PMID: 36109489
RESULTS: 88 respondents (47.8%) consistently use the HINTS examination in the work-up of vertigo, and 117 (63.7%) employ it in scenarios where its clinical utility is limited. ...CONCLUSIONS: Though HINTS exam usage is common, there is a need for educa …
RESULTS: 88 respondents (47.8%) consistently use the HINTS examination in the work-up of vertigo, and 117 (63.7%) employ it in …
Leadership Perceptions, Educational Struggles and Barriers, and Effective Modalities for Teaching Vertigo and the HINTS Exam: A National Survey of Emergency Medicine Residency Program Directors.
McLean M, Stowens J, Barnicle R, Mafi N, Shah K. McLean M, et al. West J Emerg Med. 2025 Jan;26(1):70-77. doi: 10.5811/westjem.20787. West J Emerg Med. 2025. PMID: 39918145 Free PMC article.
Of the 192 respondents providing usable data, 149/191 (78.0%) believed the HINTS exam is valuable to teach; 124/192 (64.6%) reported HINTS educational offerings in conference; and 148/192 (77.1%) reported clinical bedside teaching by faculty. ...CONCLUSION: D …
Of the 192 respondents providing usable data, 149/191 (78.0%) believed the HINTS exam is valuable to teach; 124/192 (64.6%) re …
The role of the HINTS exam, TriAGe+ score, and ABCD2 score in predicting stroke in acute vertigo patients in the ED.
Toplu ACO, Aslan IK, Akoglu EU, Ozturk TC. Toplu ACO, et al. Am J Emerg Med. 2025 May;91:110-117. doi: 10.1016/j.ajem.2025.02.027. Epub 2025 Feb 20. Am J Emerg Med. 2025. PMID: 40023138
Our primary outcome was to determine the diagnostic accuracy of the HINTS exam, ABCD2 score, and TriAGe+ score for predicting stroke in patients presenting with isolated dizziness or vertigo. ...CONCLUSION: The diagnostic accuracy of the HINTS exam
Our primary outcome was to determine the diagnostic accuracy of the HINTS exam, ABCD2 score, and TriAGe+ score for predicting …
Diagnostic Accuracy of the HINTS Exam in an Emergency Department: A Retrospective Chart Review.
Dmitriew C, Regis A, Bodunde O, Lepage R, Turgeon Z, McIsaac S, Ohle R. Dmitriew C, et al. Acad Emerg Med. 2021 Apr;28(4):387-393. doi: 10.1111/acem.14171. Epub 2020 Dec 4. Acad Emerg Med. 2021. PMID: 33171003
Our objective was to assess the diagnostic accuracy of the HINTS exam as performed by emergency physicians on patients presenting to the emergency department (ED) with a primary complaint of vertigo or dizziness. ...In no case was dizziness due to a central c …
Our objective was to assess the diagnostic accuracy of the HINTS exam as performed by emergency physicians on patients present …
Performing the HINTS-exam using a mixed-reality head-mounted display in patients with acute vestibular syndrome: a feasibility study.
Sadok N, Luijten G, Bahnsen FH, Gsaxner C, Peters L, Eichler T, Rombach T, Lang S, Khattab S, Kleesiek J, Holle D, Meyer M, Egger J. Sadok N, et al. Front Neurol. 2025 May 14;16:1576959. doi: 10.3389/fneur.2025.1576959. eCollection 2025. Front Neurol. 2025. PMID: 40438569 Free PMC article.
METHODS: Conducted at University Hospital Essen, this study assessed patients with AVS using a MR-OST-HMD during the HINTS-Exam. The feasibility study included 21 healthy subjects, seven patients with acute peripheral vestibular dysfunction and two stroke patients. …
METHODS: Conducted at University Hospital Essen, this study assessed patients with AVS using a MR-OST-HMD during the HINTS-Exam
19 results