Synopsis of Social media discussions

Numerous discussions highlighted specific recommendations from the GRACE-3 guidelines, such as advocating against routine CT scans and emphasizing the HINTS protocol for evaluating dizziness. Phrases like 'it's a game changer' and 'this is a must-read' appear frequently, showcasing the enthusiasm and urgency surrounding the guidelines. The tone often reflects gratitude towards the authors and a desire for better training and understanding of the techniques discussed.

A
Agreement
Moderate agreement

Overall, discussions show a favorable view towards the GRACE-3 guidelines, although there are some differing perspectives on specific recommendations.

I
Interest
High level of interest

The posts indicate a high level of curiosity and relevance about the guidelines, suggesting that many find it important to stay updated.

E
Engagement
Moderate level of engagement

While many users shared basic information, several deepened the discussion by referencing specific techniques and questioning the implementation of certain recommendations.

I
Impact
High level of impact

Many users recognize the potential significant effect of these guidelines on emergency care practices, emphasizing their importance.

Social Mentions

YouTube

2 Videos

Bluesky

1 Posts

Twitter

159 Posts

Metrics

Video Views

630

Total Likes

516

Extended Reach

1,999,972

Social Features

162

Timeline: Posts about article

Top Social Media Posts

Posts referencing the article

Effective Management of Acute Dizziness in Emergency Care

Effective Management of Acute Dizziness in Emergency Care

This video explores the management of acute dizziness and vertigo in the emergency department. Through Margaret's story, we illustrate the application of the HINTS protocol and clinical findings, emphasizing the need for proper training and examination skills among emergency clinicians.

December 19, 2024

536 views


Guidelines for Managing Dizziness in Emergency Medicine

Guidelines for Managing Dizziness in Emergency Medicine

In this episode, we speak with Dr. Chris Carpenter and Dr. Bruce Lo about current recommendations for approaching dizzy patients in the ED. The discussion includes key guidelines from SAEM and ACEP, alongside insights into effective diagnostic techniques and the importance of bedside examination skills.


  • Piyush
    @drpiyushENT (Twitter)

    RT @francisdeng: New guidelines for dizziness/vertigo in the ED: 1) Don't do noncontrast CT routinely!!!
    view full post

    August 16, 2025

    203

  • Dr. R4
    @Roddy_Ramirez (Twitter)

    RT @francisdeng: New guidelines for dizziness/vertigo in the ED: 1) Don't do noncontrast CT routinely!!!
    view full post

    August 14, 2025

    203

  • Amy Ruixuan Jiang
    @RXJiang (Twitter)

    RT @francisdeng: New guidelines for dizziness/vertigo in the ED: 1) Don't do noncontrast CT routinely!!!
    view full post

    December 24, 2024

    203

  • Isabelle Corridan
    @ICorridan (Twitter)

    RT @Sarah_Physio_:
    view full post

    December 21, 2024

    5

  • Cathy Thomson (Quinn)
    @Cathyqphysio (Twitter)

    RT @Sarah_Physio_:
    view full post

    December 20, 2024

    5

  • Carol Lyons
    @gabeoboe (Twitter)

    RT @Sarah_Physio_:
    view full post

    December 20, 2024

    5

  • Claire Smyth
    @SmythClaire (Twitter)

    RT @Sarah_Physio_:
    view full post

    December 19, 2024

    5

  • Eliza Casey
    @elizacasey1997 (Twitter)

    RT @Sarah_Physio_:
    view full post

    December 19, 2024

    5

  • Sarah Burke
    @sarahbphysio.bsky.social (Bluesky)

    Such a joy to make this animation about our patient’s dizzy day in the ED #Vestibular #Stroke #Neuro youtu.be/HDq7GsaMwns
    view full post

    December 19, 2024

    1

  • Sarah Burke
    @Sarah_Physio_ (Twitter)


    view full post

    December 19, 2024

    15

    5

  • Isabella Rosetti
    @PaxInTerra23 (Twitter)

    https://t.co/72koKX7TMY for reasonable and appropriate care in the emergency department 3 (GRACE-3): Acute dizziness and vertigo in the emergency department
    view full post

    July 11, 2024

  • シンノスケ
    @simplechart111 (Twitter)

    RT @TFujiwarbi: 救急外来におけるめまい診断についてのガイドライン ・HINTSの教育を受けるべし ・BPPVの診断/治療法の教育をうけるべし(Dix-H, Epley) ・臨床医がHINTS使えるならルーチンのMRIは勧めず ・頭位性反復性ならルーチンのCT/M…
    view full post

    July 6, 2024

    16

  • 医メモ
    @slowdoctor5 (Twitter)

    RT @sn1shibazaki: #常陸田舎の総合内科 #指導医回診実況中継 (続き)Academic emregency medicineとから2023年にERのめまい診療のガイドラインが出たんだ https://t.co/PRuPXw0oFz そこには、はっきりと「HI…
    view full post

    June 5, 2024

    1

  • 茨城の「墨子」に俺はなる!ひたちなかGIM:柴﨑俊一
    @sn1shibazaki (Twitter)

    #常陸田舎の総合内科 #指導医回診実況中継 (続き)Academic emregency medicineとから2023年にERのめまい診療のガイドラインが出たんだ https://t.co/PRuPXw0oFz そこには、はっきりと「HINTSやdix-hallpikeなどの診察技術のトレーニングをしよう」と書いてある。基本の診察手技だからね!
    view full post

    June 4, 2024

    29

    1

  • Kariova
    @pKariova (Twitter)

    @joze_gota @schortre Não sei exatamente qual o contexto do caso, mas o GRACE-3 ajuda legal. Além disso, tem o canal inteiro do Peter Johns pra aprender as manobras e as alterações. https://t.co/QCxwGcrBDu https://t.co/NyMrHdDD9B https://t.co/DoHBzlTpjr
    view full post

    April 11, 2024

    2

  • vitinho
    @VitoRamalhoo (Twitter)

    @fraiman @chasingvit https://t.co/c2Sjsb06PM
    view full post

    February 3, 2024

    16

  • tel49
    @tel3349 (Twitter)

    RT @lE9BrvyUwLLVZIE: めまいを診るひとは必読のガイドラインが出てますよ
    view full post

    December 23, 2023

    127

  • Shiba
    @shibadog123456 (Twitter)

    RT @lE9BrvyUwLLVZIE: めまいを診るひとは必読のガイドラインが出てますよ
    view full post

    December 23, 2023

    127

  • killermont street
    @Killermont32162 (Twitter)

    RT @lE9BrvyUwLLVZIE: めまいを診るひとは必読のガイドラインが出てますよ
    view full post

    December 23, 2023

    127

  • Lucas Oliveira J. e Silva (Lucas Silva)
    @lucasojesilva12 (Twitter)

    RT @TheSGEM: @SAEMEBM @GRADE_WG @AcademicEmerMed @CORD_EM @SAEM_RAMS @mfbellolio @lucasojesilva12 @JonathanEdlow @SuneelUpadhye @vestibular…
    view full post

    November 6, 2023

    6

  • Lucas Oliveira J. e Silva (Lucas Silva)
    @lucasojesilva12 (Twitter)

    RT @SAEMEBM: @alimkakeng @dukeemergency So @alimkakeng what is your opinion of #GRACE3 https://t.co/X9lnusfhT6 & https://t.co/he3EYGCZ69? I…
    view full post

    September 5, 2023

    1

  • SAEM EBM IG
    @SAEMEBM (Twitter)

    @alimkakeng @dukeemergency So @alimkakeng what is your opinion of #GRACE3 https://t.co/X9lnusfhT6 & https://t.co/he3EYGCZ69? If evidence is convincing, what are Knowledge Translation barriers? @klinelab @TheSGEM @mfbellolio @lucasojesilva12 @JonathanEdlow @EvieMarcolini @probstMD
    view full post

    September 5, 2023

    3

    1

  • Paul Musey MD
    @pmuseyjr (Twitter)

    RT @TheSGEM: @SAEMEBM @emlitofnote @ACEPNow @AcademicEmerMed @SAEMonline @mfbellolio @lucasojesilva12 @SuneelUpadhye @SameerSharifMD @kline…
    view full post

    August 27, 2023

    1

  • Ken Milne MD
    @TheSGEM (Twitter)

    @SAEMEBM @emlitofnote @ACEPNow @AcademicEmerMed @SAEMonline @mfbellolio @lucasojesilva12 @SuneelUpadhye @SameerSharifMD @klinelab @pmuseyjr @EmergencyImages @CAEP_Docs @acemonline Link to the #GRACE3 publication https://t.co/ygvwLS33Dg
    view full post

    August 27, 2023

    1

    1

  • Kariova
    @pKariova (Twitter)

    Alguém tem o pdf do grace 3? https://t.co/NyMrHdDD9B
    view full post

    July 28, 2023

  • .
    @Y1wjmMtATiOTO9R (Twitter)

    RT @lE9BrvyUwLLVZIE: めまいを診るひとは必読のガイドラインが出てますよ
    view full post

    June 18, 2023

    127

  • Francisca Martínez
    @famartinez2001 (Twitter)

    RT @primastcar: Vía @lucasojesilva12 @AcademicEmerMed ✅ Guía GRACE-3 para el manejo del mareo agudo / vértigo en URG
    view full post

    June 14, 2023

    4

  • Lucas Oliveira J. e Silva (Lucas Silva)
    @lucasojesilva12 (Twitter)

    RT @primastcar: Vía @lucasojesilva12 @AcademicEmerMed ✅ Guía GRACE-3 para el manejo del mareo agudo / vértigo en URG
    view full post

    June 11, 2023

    4

  • K love :-) :-*
    @keylili (Twitter)

    RT @primastcar: Vía @lucasojesilva12 @AcademicEmerMed ✅ Guía GRACE-3 para el manejo del mareo agudo / vértigo en URG
    view full post

    June 10, 2023

    4

  • Ricardo Bedón
    @ricardo_bedon (Twitter)

    RT @primastcar: Vía @lucasojesilva12 @AcademicEmerMed ✅ Guía GRACE-3 para el manejo del mareo agudo / vértigo en URG
    view full post

    June 10, 2023

    4

  • Primastcar
    @primastcar (Twitter)

    Vía @lucasojesilva12 @AcademicEmerMed ✅ Guía GRACE-3 para el manejo del mareo agudo / vértigo en URG
    view full post

    June 10, 2023

    6

    4

  • SAEM EBM IG
    @SAEMEBM (Twitter)

    @PeterJohns84 @SAEMonline @SAEM_RAMS @ACEPNow @aaeminfo @RCollEM @EuropSocEM @WileyGlobal Ugh - we neglected acute dizziness in the pre-GRACE3 period when we wrote the 3rd Edition https://t.co/tXbDkPKvUc Looks like time to start working on the 4th Edition
    view full post

    June 10, 2023

  • Touchstone
    @akiho_umida (Twitter)

    RT @lE9BrvyUwLLVZIE: めまいを診るひとは必読のガイドラインが出てますよ
    view full post

    June 7, 2023

    127

  • Lupin
    @Scandalqueenie (Twitter)

    RT @TheSGEM: Do you think EM physicians can properly apply, perform and interpret the HINTS exam? https://t.co/ygvwLS33Dg @EdlowJonathan @H…
    view full post

    June 6, 2023

    4

  • samothrace
    @sam0thrace (Twitter)

    RT @TFujiwarbi: 救急外来におけるめまい診断についてのガイドライン ・HINTSの教育を受けるべし ・BPPVの診断/治療法の教育をうけるべし(Dix-H, Epley) ・臨床医がHINTS使えるならルーチンのMRIは勧めず ・頭位性反復性ならルーチンのCT/M…
    view full post

    June 5, 2023

    16

  • sss
    @sakipo_ (Twitter)

    RT @TFujiwarbi: 救急外来におけるめまい診断についてのガイドライン ・HINTSの教育を受けるべし ・BPPVの診断/治療法の教育をうけるべし(Dix-H, Epley) ・臨床医がHINTS使えるならルーチンのMRIは勧めず ・頭位性反復性ならルーチンのCT/M…
    view full post

    June 5, 2023

    16

  • 梅桃木瓜
    @UmeBoke (Twitter)

    RT @TFujiwarbi: 救急外来におけるめまい診断についてのガイドライン ・HINTSの教育を受けるべし ・BPPVの診断/治療法の教育をうけるべし(Dix-H, Epley) ・臨床医がHINTS使えるならルーチンのMRIは勧めず ・頭位性反復性ならルーチンのCT/M…
    view full post

    June 5, 2023

    16

  • acco
    @macko312 (Twitter)

    RT @TFujiwarbi: 救急外来におけるめまい診断についてのガイドライン ・HINTSの教育を受けるべし ・BPPVの診断/治療法の教育をうけるべし(Dix-H, Epley) ・臨床医がHINTS使えるならルーチンのMRIは勧めず ・頭位性反復性ならルーチンのCT/M…
    view full post

    June 5, 2023

    16

  • うらけん 耳鼻科×疫学勉強中
    @iPsTXEzOAhbmkoK (Twitter)

    RT @TFujiwarbi: 救急外来におけるめまい診断についてのガイドライン ・HINTSの教育を受けるべし ・BPPVの診断/治療法の教育をうけるべし(Dix-H, Epley) ・臨床医がHINTS使えるならルーチンのMRIは勧めず ・頭位性反復性ならルーチンのCT/M…
    view full post

    June 5, 2023

    16

  • 明星/あけぼし
    @loveofmylifehim (Twitter)

    RT @TFujiwarbi: 救急外来におけるめまい診断についてのガイドライン ・HINTSの教育を受けるべし ・BPPVの診断/治療法の教育をうけるべし(Dix-H, Epley) ・臨床医がHINTS使えるならルーチンのMRIは勧めず ・頭位性反復性ならルーチンのCT/M…
    view full post

    June 5, 2023

    16

  • 森川 暢 /Toru Morikawa Community Hospitalist @ Nara
    @aquariusmed (Twitter)

    RT @TFujiwarbi: 救急外来におけるめまい診断についてのガイドライン ・HINTSの教育を受けるべし ・BPPVの診断/治療法の教育をうけるべし(Dix-H, Epley) ・臨床医がHINTS使えるならルーチンのMRIは勧めず ・頭位性反復性ならルーチンのCT/M…
    view full post

    June 5, 2023

    16

  • みや
    @1ch1go1ch1e (Twitter)

    RT @TFujiwarbi: 救急外来におけるめまい診断についてのガイドライン ・HINTSの教育を受けるべし ・BPPVの診断/治療法の教育をうけるべし(Dix-H, Epley) ・臨床医がHINTS使えるならルーチンのMRIは勧めず ・頭位性反復性ならルーチンのCT/M…
    view full post

    June 5, 2023

    16

  • 世渡りジョニー
    @333XRXR (Twitter)

    RT @TFujiwarbi: 救急外来におけるめまい診断についてのガイドライン ・HINTSの教育を受けるべし ・BPPVの診断/治療法の教育をうけるべし(Dix-H, Epley) ・臨床医がHINTS使えるならルーチンのMRIは勧めず ・頭位性反復性ならルーチンのCT/M…
    view full post

    June 4, 2023

    16

  • アタラックスP
    @roadtomd1 (Twitter)

    RT @TFujiwarbi: 救急外来におけるめまい診断についてのガイドライン ・HINTSの教育を受けるべし ・BPPVの診断/治療法の教育をうけるべし(Dix-H, Epley) ・臨床医がHINTS使えるならルーチンのMRIは勧めず ・頭位性反復性ならルーチンのCT/M…
    view full post

    June 4, 2023

    16

  • Shibata Masashi@GP×EBM
    @EbmShibanyan (Twitter)

    RT @TFujiwarbi: 救急外来におけるめまい診断についてのガイドライン ・HINTSの教育を受けるべし ・BPPVの診断/治療法の教育をうけるべし(Dix-H, Epley) ・臨床医がHINTS使えるならルーチンのMRIは勧めず ・頭位性反復性ならルーチンのCT/M…
    view full post

    June 4, 2023

    16

  • 藤原崇志
    @TFujiwarbi (Twitter)

    救急外来におけるめまい診断についてのガイドライン ・HINTSの教育を受けるべし ・BPPVの診断/治療法の教育をうけるべし(Dix-H, Epley) ・臨床医がHINTS使えるならルーチンのMRIは勧めず ・頭位性反復性ならルーチンのCT/MRIは勧めず 等々。結構細かい推奨よく作ったな。 https://t.co/N9Y4KTeIe9
    view full post

    June 4, 2023

    120

    16

  • アタラックスP
    @roadtomd1 (Twitter)

    RT @lE9BrvyUwLLVZIE: めまいを診るひとは必読のガイドラインが出てますよ
    view full post

    May 31, 2023

    127

  • Zion@Lv.0
    @ZionLv12 (Twitter)

    RT @Takatsuki_GIM: Acad Emerg Med. 2023; 30: 442-486. https://t.co/iEQu2Nlciz 閲覧は無料です!
    view full post

    May 30, 2023

    5

  • Nehal Hasnain Sarja
    @drnhsarja (Twitter)

    RT @lucasojesilva12: GRACE-3 is out
    view full post

    May 28, 2023

    181

  • Kadarein
    @kadardino (Twitter)

    RT @francisdeng: New guidelines for dizziness/vertigo in the ED: 1) Don't do noncontrast CT routinely!!!
    view full post

    May 26, 2023

    203

  • Paula Martins
    @paula_smrtns (Twitter)

    Guidelines for reasonable and appropriate care in the emergency department 3 (GRACE‐3): Acute dizziness and vertigo in the emergency department https://t.co/qduPxT4oW9
    view full post

    May 25, 2023

  • FERNE.org
    @FerneOrg (Twitter)

    Guidelines for reasonable and appropriate care in the emergency department 3 (GRACE-3): Acute dizziness and vertigo in the emergency department. Edlow, JA, Carpenter, C, Akhter, M, et al. Acad Emerg Med. 2023; 30: 442- 486. doi:10.1111/acem.14728 https://t.co/6LB8A1u1xn
    view full post

    May 25, 2023

    1

  • コタツの住人
    @bluekawalk (Twitter)

    Guidelines for reasonable and appropriate care in the emergency department 3 (GRACE‐3): Acute dizziness and vertigo in the emergency department https://t.co/gC5XbLChNN
    view full post

    May 24, 2023

  • jamshid khan
    @jamshidbaheer (Twitter)

    RT @TheSGEM: @SAEMEBM @GRADE_WG @AcademicEmerMed @CORD_EM @SAEM_RAMS @mfbellolio @lucasojesilva12 @JonathanEdlow @SuneelUpadhye @vestibular…
    view full post

    May 24, 2023

    6

  • Ken Milne MD
    @TheSGEM (Twitter)

    @Hamishmcmack @SuneelUpadhye @hotSahs @CanadianKayMD Did you take the opportunity to discuss #GRACE3 with the residents? @EdlowJonathan @PeterJohns84 @SAEMEBM https://t.co/ygvwLS33Dg https://t.co/uzvsaXxbX7 #SGEMHOP
    view full post

    May 23, 2023

    2

  • Ayako Shibata@ウィメンズヘルス本発売中
    @ayako700 (Twitter)

    RT @Katsura_ERxCCM: ERにおけるめまいの診療ガイドライン。 現場で役立つ内容が散りばめられています。 ERのめまい診療はストレスフルですので、参考になると思います。 https://t.co/g7dKKR4K8R
    view full post

    May 22, 2023

    2

  • つぼこむ@兼業投資家(日本株+インデックス投信)
    @Katsura_ERxCCM (Twitter)

    ERにおけるめまいの診療ガイドライン。 現場で役立つ内容が散りばめられています。 ERのめまい診療はストレスフルですので、参考になると思います。 https://t.co/g7dKKR4K8R
    view full post

    May 22, 2023

    63

    2

  • バオバブ君
    @yinshuyong1234 (Twitter)

    https://t.co/nTWMBoyfHp
    view full post

    May 22, 2023

  • Christian H. Nickel
    @replynickel (Twitter)

    Excited for the GRACE-3 acute dizziness guideline by US colleagues https://t.co/WOUe2C3Reh Tag @EDbingi @MinottiBruno @EuropSocEM @AlinaLampart @andrea_pawlik @tabakovic_senad
    view full post

    May 22, 2023

    8

  • Jutta Meiwald
    @JuttaMeiwald (Twitter)

    RT @lucasojesilva12: GRACE-3 is out
    view full post

    May 22, 2023

    181

  • イージー@のんびり脳外科専門医
    @Kent_Zima (Twitter)

    RT @Takatsuki_GIM: Acad Emerg Med. 2023; 30: 442-486. https://t.co/iEQu2Nlciz 閲覧は無料です!
    view full post

    May 22, 2023

    5

  • Kevin Wijaya
    @kvnwj (Twitter)

    RT @lucasojesilva12: GRACE-3 is out
    view full post

    May 22, 2023

    181

  • 外科大学院生、外科ラガーマン投資家、サイクリング、野球評論
    @4lAoy2BKP1kcjx0 (Twitter)

    RT @Takatsuki_GIM: Acad Emerg Med. 2023; 30: 442-486. https://t.co/iEQu2Nlciz 閲覧は無料です!
    view full post

    May 22, 2023

    5

  • hy
    @BenkyoIroiro (Twitter)

    RT @Takatsuki_GIM: Acad Emerg Med. 2023; 30: 442-486. https://t.co/iEQu2Nlciz 閲覧は無料です!
    view full post

    May 22, 2023

    5

  • Tomofumi Sakaebara
    @Sakaebara (Twitter)

    https://t.co/bPBzTq06NN
    view full post

    May 21, 2023


  • @tenkona1057 (Twitter)

    RT @Takatsuki_GIM: Acad Emerg Med. 2023; 30: 442-486. https://t.co/iEQu2Nlciz 閲覧は無料です!
    view full post

    May 21, 2023

    5

  • 高槻病院・井上病院・しんあいクリニック 総合内科
    @Takatsuki_GIM (Twitter)

    Acad Emerg Med. 2023; 30: 442-486. https://t.co/iEQu2Nlciz 閲覧は無料です!
    view full post

    May 21, 2023

    74

    5

  • hiSa
    @hiSa_002 (Twitter)

    Guidelines for reasonable and appropriate care in the emergency department 3 (GRACE-3): Acute dizziness and vertigo in the emergency department. Acad Emerg Med. 2023 May;30(5):442-486. doi: 10.1111/acem.14728. (Evidence-based guideline) #EvidenceAlerts #chatgpt4
    view full post

    May 21, 2023

  • Penemonium, Drug Duchess
    @DrugDuchess (Twitter)

    RT @lucasojesilva12: GRACE-3 is out
    view full post

    May 21, 2023

    181

  • Kat Priddis
    @kls_kat (Twitter)

    RT @lucasojesilva12: GRACE-3 is out
    view full post

    May 21, 2023

    181

  • Advanced Clinical Practice @ RBHFT
    @ACP_RBHFT (Twitter)

    RT @lucasojesilva12: GRACE-3 is out
    view full post

    May 21, 2023

    181

  • Dr Linda Dykes has moved to Bluesky
    @DrLindaDykes (Twitter)

    RT @lucasojesilva12: GRACE-3 is out
    view full post

    May 21, 2023

    181

  • Paulina Feola
    @paulyhcm (Twitter)

    RT @francisdeng: New guidelines for dizziness/vertigo in the ED: 1) Don't do noncontrast CT routinely!!!
    view full post

    May 20, 2023

    203

  • Dr A.Hakim Aljawfy
    @AljawfyA (Twitter)

    RT @SAEMEBM: #SGEMHOP episode about #GRACE3 from @SAEMonline now available https://t.co/4XvcZPCaBn with @JonathanEdlow & @TheSGEM reviewing…
    view full post

    May 20, 2023

    7

  • Dr A.Hakim Aljawfy
    @AljawfyA (Twitter)

    RT @SAEMEBM: In https://t.co/ArksmTOgun… reviewing https://t.co/GYkvTTAjp6 did not hear @JonathanEdlow @PeterJohns84 & @TheSGEM discuss #E…
    view full post

    May 20, 2023

    4

  • Dr A.Hakim Aljawfy
    @AljawfyA (Twitter)

    RT @SAEMEBM: Finally @GRADE_WG based emergency medicine/patient-centered clinical practice guidelines for diagnosis & management of acute d…
    view full post

    May 20, 2023

    21

  • Dr A.Hakim Aljawfy
    @AljawfyA (Twitter)

    RT @TheSGEM: 15 #GRACE3 recommendations summarized into a #paperinapic by @KirstyChallen https://t.co/ygvwLS33Dg #SGEMHOP https://t.co/qTd…
    view full post

    May 20, 2023

    7

  • Academia Emergencias
    @academiaer1 (Twitter)

    RT @academiaer1: Guidelines for reasonable and appropriate care in the emergency department 3 (GRACE-3): Acute dizziness and vertigo in the…
    view full post

    May 20, 2023

    4

  • Ingyin.K.Thwe
    @ingyin2021 (Twitter)

    RT @francisdeng: New guidelines for dizziness/vertigo in the ED: 1) Don't do noncontrast CT routinely!!!
    view full post

    May 20, 2023

    203

  • SAEM EBM IG
    @SAEMEBM (Twitter)

    @PeterJohns84 @TheSGEM @emedfocus @EvieMarcolini @Hamishmcmack @JonathanEdlow @emlitofnote @KirstyChallen @AcademicEmerMed @EmergencyDocs @emergmedottawa @robertohle @PeterJohns84 - is there published proof that creating this video & sharing with expert creates proficient HINTS physician? If not, how do we create that evidence during @SAEM24 workshop? Thank you
    view full post

    May 20, 2023

    1

  • PacoCampillo
    @PacoCampilloPal (Twitter)

    RT @TheSGEM: 15 #GRACE3 recommendations summarized into a #paperinapic by @KirstyChallen https://t.co/ygvwLS33Dg #SGEMHOP https://t.co/qTd…
    view full post

    May 20, 2023

    7

  • Karen Tartt
    @DizzyBartender (Twitter)

    RT @TheSGEM: #GRACE3 - Dizziness and vertigo New Guidelines: https://t.co/ygvwLS33Dg #SGEMHOP Blog: https://t.co/uzvsaXxbX7 https://t.co/…
    view full post

    May 19, 2023

    3

  • r
    @dromron (Twitter)

    RT @TheSGEM: #GRACE3 - Dizziness and vertigo New Guidelines: https://t.co/ygvwLS33Dg #SGEMHOP Blog: https://t.co/uzvsaXxbX7 https://t.co/…
    view full post

    May 19, 2023

    3

  • Ersifa Fatimah
    @ersifa (Twitter)

    RT @lucasojesilva12: GRACE-3 is out
    view full post

    May 19, 2023

    181

  • Ken Milne MD
    @TheSGEM (Twitter)

    @PeterJohns84 @emedfocus @EvieMarcolini @SAEMEBM @Hamishmcmack @JonathanEdlow @emlitofnote @KirstyChallen @AcademicEmerMed @EmergencyDocs @emergmedottawa HINTS is just a tool. Like any other tool it needs to be used correctly. #SGEMHOP #GRACE3 #EBM #FOAMed https://t.co/ygvwLS33Dg https://t.co/fVYQ2MkCkB
    view full post

    May 19, 2023

  • Ken Milne MD
    @TheSGEM (Twitter)

    The GRACE3 team of authors is amazing. https://t.co/ygvwLS33Dg #SGEMHOP https://t.co/uESSt6uzyV
    view full post

    May 19, 2023

    1

  • Lucas Oliveira J. e Silva (Lucas Silva)
    @lucasojesilva12 (Twitter)

    RT @TheSGEM: #GRACE3 - Dizziness and vertigo New Guidelines: https://t.co/ygvwLS33Dg #SGEMHOP Blog: https://t.co/uzvsaXxbX7 https://t.co/…
    view full post

    May 19, 2023

    3

  • Ken Milne MD
    @TheSGEM (Twitter)

    #GRACE3 - Dizziness and vertigo New Guidelines: https://t.co/ygvwLS33Dg #SGEMHOP Blog: https://t.co/uzvsaXxbX7 https://t.co/ZcQNIlb7Ir
    view full post

    May 19, 2023

    11

    3

  • Vishal Shah
    @VishalShahMD (Twitter)

    RT @lucasojesilva12: GRACE-3 is out
    view full post

    May 19, 2023

    181

  • Karen Tartt
    @DizzyBartender (Twitter)

    RT @TheSGEM: @NeurologyToday Seen the new #GRACE3 recommendations for acute dizzy patients in the ED? https://t.co/ygvwLS33Dg @Kirsty…
    view full post

    May 18, 2023

    9

  • Ken Milne MD
    @TheSGEM (Twitter)

    RT @SAEMonline: After only 7 days, the GRACE-3 guideline on managing dizziness in the ED has reached a 521 Altmetric score! Congrats to our…
    view full post

    May 18, 2023

    9

  • Mohammed Hamza
    @MoHamza89 (Twitter)

    RT @TheSGEM: #GRACE3 authors made 15 recommendations. https://t.co/ygvwLS33Dg #SGEMHOP https://t.co/rhUBPUnlKk
    view full post

    May 18, 2023

    5

  • jeffrey kline
    @klinelab (Twitter)

    RT @TheSGEM: #GRACE3 authors made 15 recommendations. https://t.co/ygvwLS33Dg #SGEMHOP https://t.co/rhUBPUnlKk
    view full post

    May 18, 2023

    5

  • jeffrey kline
    @klinelab (Twitter)

    RT @SAEMonline: After only 7 days, the GRACE-3 guideline on managing dizziness in the ED has reached a 521 Altmetric score! Congrats to our…
    view full post

    May 18, 2023

    9

  • Ali S. Raja, MD
    @AliRaja_MD (Twitter)

    RT @SAEMonline: After only 7 days, the GRACE-3 guideline on managing dizziness in the ED has reached a 521 Altmetric score! Congrats to our…
    view full post

    May 18, 2023

    9

  • Lucas Oliveira J. e Silva (Lucas Silva)
    @lucasojesilva12 (Twitter)

    RT @SAEMonline: After only 7 days, the GRACE-3 guideline on managing dizziness in the ED has reached a 521 Altmetric score! Congrats to our…
    view full post

    May 18, 2023

    9

  • SAEM
    @SAEMonline (Twitter)

    After only 7 days, the GRACE-3 guideline on managing dizziness in the ED has reached a 521 Altmetric score! Congrats to our writing committee! @JonathanEdlow @SAEMEBM @mfbellolio @DanyaKhoujah @lucasojesilva12 @klinelab @AcademicEmerMed #GRACE3 https://t.co/Kp4TEogriG https://t.co/d8k2yy0xmX
    view full post

    May 18, 2023

    38

    9

  • Sophie Richter
    @DrSophieRichter (Twitter)

    RT @TheSGEM: @NeurologyToday Seen the new #GRACE3 recommendations for acute dizzy patients in the ED? https://t.co/ygvwLS33Dg @Kirsty…
    view full post

    May 18, 2023

    9

  • PT
    @lio_tangitau (Twitter)

    RT @TheSGEM: 15 #GRACE3 recommendations summarized into a #paperinapic by @KirstyChallen https://t.co/ygvwLS33Dg #SGEMHOP https://t.co/qTd…
    view full post

    May 18, 2023

    7

  • Ali S. Raja, MD
    @AliRaja_MD (Twitter)

    RT @TheSGEM: @NeurologyToday Seen the new #GRACE3 recommendations for acute dizzy patients in the ED? https://t.co/ygvwLS33Dg @Kirsty…
    view full post

    May 18, 2023

    9

  • Pierre Arbulú
    @mtd98 (Twitter)

    RT @TheSGEM: @NeurologyToday Seen the new #GRACE3 recommendations for acute dizzy patients in the ED? https://t.co/ygvwLS33Dg @Kirsty…
    view full post

    May 18, 2023

    9

  • Cris Polma
    @CrisPolma (Twitter)

    RT @TheSGEM: @NeurologyToday Seen the new #GRACE3 recommendations for acute dizzy patients in the ED? https://t.co/ygvwLS33Dg @Kirsty…
    view full post

    May 18, 2023

    9

  • Dharmin Trivedi
    @dst2209 (Twitter)

    RT @TheSGEM: @NeurologyToday Seen the new #GRACE3 recommendations for acute dizzy patients in the ED? https://t.co/ygvwLS33Dg @Kirsty…
    view full post

    May 18, 2023

    9

  • Ken Milne MD
    @TheSGEM (Twitter)

    The #GRACE3 authors have a "dizzying" intellect. https://t.co/ygvwLS33Dg #SGEMHOP @SAEMEBM @mfbellolio @SuneelUpadhye @EdlowJonathan https://t.co/WZ9mL7yfSO
    view full post

    May 18, 2023

  • Ken Milne MD
    @TheSGEM (Twitter)

    #SGEMHOP https://t.co/ygvwLS33Dg https://t.co/bqKc44KzFG
    view full post

    May 18, 2023

    1

  • Ali S. Raja, MD
    @AliRaja_MD (Twitter)

    RT @lucasojesilva12: GRACE-3 is out
    view full post

    May 18, 2023

    181

  • Matt Douglas-Vail
    @MattDouglasVail (Twitter)

    RT @TheSGEM: 15 #GRACE3 recommendations summarized into a #paperinapic by @KirstyChallen https://t.co/ygvwLS33Dg #SGEMHOP https://t.co/qTd…
    view full post

    May 18, 2023

    7

  • れももん
    @alpha_shi0n (Twitter)

    RT @lE9BrvyUwLLVZIE: めまいを診るひとは必読のガイドラインが出てますよ
    view full post

    May 18, 2023

    127

  • Ali S. Raja, MD
    @AliRaja_MD (Twitter)

    RT @TheSGEM: Majority do NOT think EM docs can properly apply, perform & interpret the HINTS exam. #SGEMHOP https://t.co/70ITWOhnj2 https…
    view full post

    May 18, 2023

    3

  • Ali S. Raja, MD
    @AliRaja_MD (Twitter)

    RT @TheSGEM: #GRACE3 authors made 15 recommendations. https://t.co/ygvwLS33Dg #SGEMHOP https://t.co/rhUBPUnlKk
    view full post

    May 18, 2023

    5

  • Ali S. Raja, MD
    @AliRaja_MD (Twitter)

    RT @TheSGEM: Here is the link to the #GRACE3 document on vertigo and dizziness. https://t.co/ygvwLS33Dg #SGEMHOP
    view full post

    May 18, 2023

    1

  • ACEP Geriatric Sect
    @GeriatricEDNews (Twitter)

    RT @TheSGEM: @NeurologyToday Seen the new #GRACE3 recommendations for acute dizzy patients in the ED? https://t.co/ygvwLS33Dg @Kirsty…
    view full post

    May 18, 2023

    9

  • SAEM EBM IG
    @SAEMEBM (Twitter)

    RT @TheSGEM: #GRACE3 authors made 15 recommendations. https://t.co/ygvwLS33Dg #SGEMHOP https://t.co/rhUBPUnlKk
    view full post

    May 18, 2023

    5

  • AEM Journal
    @AcademicEmerMed (Twitter)

    RT @TheSGEM: 15 #GRACE3 recommendations summarized into a #paperinapic by @KirstyChallen https://t.co/ygvwLS33Dg #SGEMHOP https://t.co/qTd…
    view full post

    May 18, 2023

    7

  • AEM Journal
    @AcademicEmerMed (Twitter)

    RT @TheSGEM: @NeurologyToday Seen the new #GRACE3 recommendations for acute dizzy patients in the ED? https://t.co/ygvwLS33Dg @Kirsty…
    view full post

    May 18, 2023

    9

  • Sebastian Funken
    @PLATINUM_TEN (Twitter)

    RT @TheSGEM: @NeurologyToday Seen the new #GRACE3 recommendations for acute dizzy patients in the ED? https://t.co/ygvwLS33Dg @Kirsty…
    view full post

    May 18, 2023

    9

  • Ken Milne MD
    @TheSGEM (Twitter)

    @KirstyChallen made this meme for the #SGEMHOP episode on the new GRACE3 recommendations. https://t.co/ygvwLS33Dg https://t.co/ENotvTp1KN
    view full post

    May 18, 2023

  • Ken Milne MD
    @TheSGEM (Twitter)

    The GRACE3 authors did at times recommend AGAINST the routine use of CT/CTA in some cases. https://t.co/ygvwLS33Dg #SGEMHOP https://t.co/xvJDh0jijb
    view full post

    May 18, 2023

  • Joshua
    @reverendofdoubt (Twitter)

    RT @TheSGEM: @NeurologyToday Seen the new #GRACE3 recommendations for acute dizzy patients in the ED? https://t.co/ygvwLS33Dg @Kirsty…
    view full post

    May 18, 2023

    9

  • Ken Milne MD
    @TheSGEM (Twitter)

    @NeurologyToday Seen the new #GRACE3 recommendations for acute dizzy patients in the ED? https://t.co/ygvwLS33Dg @KirstyChallen @SAEMonline @AcademicEmerMed #SGEMHOP #EBM #FOAMed https://t.co/FqUnAjwDpK
    view full post

    May 18, 2023

    14

    9

  • 魔狸(35歳) ポケGoトレーナー 台湾独立
    @Matanuki (Twitter)

    "Guidelines for reasonable and appropriate care in the emergency department 3 (GRACE-3): Acute dizziness and vertigo in the emergency department" https://t.co/rdR0L7cVim PMID: 37166022 https://t.co/OqOZEp6mcF
    view full post

    May 17, 2023

  • Ken Milne MD
    @TheSGEM (Twitter)

    RT @SAEMonline: Learn about #GRACE3 — the first guideline on managing dizziness in ED — on Wednesday, 11 am-12 pm in SAEM Booth 120 with le…
    view full post

    May 16, 2023

    8

  • Ali S. Raja, MD
    @AliRaja_MD (Twitter)

    RT @SAEMonline: Learn about #GRACE3 — the first guideline on managing dizziness in ED — on Wednesday, 11 am-12 pm in SAEM Booth 120 with le…
    view full post

    May 16, 2023

    8

  • SAEM EBM IG
    @SAEMEBM (Twitter)

    RT @SAEMonline: Learn about #GRACE3 — the first guideline on managing dizziness in ED — on Wednesday, 11 am-12 pm in SAEM Booth 120 with le…
    view full post

    May 16, 2023

    8

  • SAEM
    @SAEMonline (Twitter)

    Learn about #GRACE3 — the first guideline on managing dizziness in ED — on Wednesday, 11 am-12 pm in SAEM Booth 120 with lead author @JonathanEdlow Chris Carpenter @SAEMEBM and AEM editor-in-chief @klinelab #SAEM23 Read the article in @AcademicEmerMed https://t.co/HxiGY35UGE https://t.co/0IX24RgB1n
    view full post

    May 16, 2023

    19

    8

  • Sri Lanka EM
    @SriLankaEM (Twitter)

    RT @SameerSharifMD: This was a massive effort lead by a North American team @SAEMonline - we are proud to present the GRACE-3 Guidelines on…
    view full post

    May 15, 2023

    7

  • USACS Education
    @USACS_Education (Twitter)

    RT @SameerSharifMD: This was a massive effort lead by a North American team @SAEMonline - we are proud to present the GRACE-3 Guidelines on…
    view full post

    May 15, 2023

    7

  • Saema Saeed
    @saemasaeed (Twitter)

    RT @SAEMonline: The first clinical guideline on managing dizziness in the ED, Guidelines for Reasonable and Appropriate Care in the Emergen…
    view full post

    May 13, 2023

    26

  • kathy kastner
    @KathyKastner (Twitter)

    RT @SAEMonline: Learn more about #GRACE3 — the first clinical guideline on managing dizziness in the ED — in Ken Milne's @TheSGEM interview…
    view full post

    May 13, 2023

    9

  • Ken Milne MD
    @TheSGEM (Twitter)

    RT @SAEMonline: Learn more about #GRACE3 — the first clinical guideline on managing dizziness in the ED — in Ken Milne's @TheSGEM interview…
    view full post

    May 13, 2023

    9

  • Ali S. Raja, MD
    @AliRaja_MD (Twitter)

    RT @SAEMonline: Learn more about #GRACE3 — the first clinical guideline on managing dizziness in the ED — in Ken Milne's @TheSGEM interview…
    view full post

    May 13, 2023

    9

  • SAEM
    @SAEMonline (Twitter)

    Learn more about #GRACE3 — the first clinical guideline on managing dizziness in the ED — in Ken Milne's @TheSGEM interview with lead author @JonathanEdlow. https://t.co/jxv717vwDy #SGEMHOP #GRACE3 Read the article in @AcademicEmerMed https://t.co/GzbhcCjfsT https://t.co/9RNg8hJTVO
    view full post

    May 13, 2023

    21

    9

  • wizard_of_Obs
    @brian_hiestand (Twitter)

    RT @SAEMonline: The first clinical guideline on managing dizziness in the ED, Guidelines for Reasonable and Appropriate Care in the Emergen…
    view full post

    May 13, 2023

    26

  • laura howard
    @laurahoward10 (Twitter)

    RT @SAEMonline: The first clinical guideline on managing dizziness in the ED, Guidelines for Reasonable and Appropriate Care in the Emergen…
    view full post

    May 13, 2023

    26

  • Kieran A. O'Connor
    @AgeWellCork (Twitter)

    RT @SAEMonline: The first clinical guideline on managing dizziness in the ED, Guidelines for Reasonable and Appropriate Care in the Emergen…
    view full post

    May 13, 2023

    26

  • Resa E Lewiss MD
    @ResaELewissMD (Twitter)

    RT @SAEMonline: The first clinical guideline on managing dizziness in the ED, Guidelines for Reasonable and Appropriate Care in the Emergen…
    view full post

    May 13, 2023

    26

  • Manrique Umana McDermott
    @umanamd (Twitter)

    RT @SAEMonline: The first clinical guideline on managing dizziness in the ED, Guidelines for Reasonable and Appropriate Care in the Emergen…
    view full post

    May 13, 2023

    26

  • Dr Shindo P Francis
    @DrShindoPF (Twitter)

    RT @SAEMonline: The first clinical guideline on managing dizziness in the ED, Guidelines for Reasonable and Appropriate Care in the Emergen…
    view full post

    May 13, 2023

    26

  • Thomas Shanahan (Dr.) MRCEM
    @clifford0584 (Twitter)

    RT @SAEMonline: The first clinical guideline on managing dizziness in the ED, Guidelines for Reasonable and Appropriate Care in the Emergen…
    view full post

    May 13, 2023

    26

  • Angela Mills MD
    @AngelaMMills (Twitter)

    RT @SAEMonline: The first clinical guideline on managing dizziness in the ED, Guidelines for Reasonable and Appropriate Care in the Emergen…
    view full post

    May 13, 2023

    26

  • Mary McLean, MD
    @marymclean85 (Twitter)

    RT @SAEMonline: The first clinical guideline on managing dizziness in the ED, Guidelines for Reasonable and Appropriate Care in the Emergen…
    view full post

    May 13, 2023

    26

  • M. Kamran Waqar
    @mkwaqar (Twitter)

    RT @SAEMonline: The first clinical guideline on managing dizziness in the ED, Guidelines for Reasonable and Appropriate Care in the Emergen…
    view full post

    May 13, 2023

    26

  • #hello I'm Dr Kirsty
    @KirstyChallen (Twitter)

    RT @SAEMonline: The first clinical guideline on managing dizziness in the ED, Guidelines for Reasonable and Appropriate Care in the Emergen…
    view full post

    May 13, 2023

    26

  • Juan Jose Mengual
    @jjmch2000 (Twitter)

    RT @SAEMonline: The first clinical guideline on managing dizziness in the ED, Guidelines for Reasonable and Appropriate Care in the Emergen…
    view full post

    May 13, 2023

    26

  • Lucas Oliveira J. e Silva (Lucas Silva)
    @lucasojesilva12 (Twitter)

    RT @SAEMonline: The first clinical guideline on managing dizziness in the ED, Guidelines for Reasonable and Appropriate Care in the Emergen…
    view full post

    May 13, 2023

    26

  • Erin Hawkey she/her
    @ErinHawkey (Twitter)

    RT @SAEMonline: The first clinical guideline on managing dizziness in the ED, Guidelines for Reasonable and Appropriate Care in the Emergen…
    view full post

    May 12, 2023

    26

  • Ken Milne MD
    @TheSGEM (Twitter)

    RT @SAEMonline: The first clinical guideline on managing dizziness in the ED, Guidelines for Reasonable and Appropriate Care in the Emergen…
    view full post

    May 12, 2023

    26

  • Bilal Ahmed, MD
    @DrBilAhmed (Twitter)

    RT @SAEMonline: The first clinical guideline on managing dizziness in the ED, Guidelines for Reasonable and Appropriate Care in the Emergen…
    view full post

    May 12, 2023

    26


  • @elwakeel11 (Twitter)

    RT @SAEMonline: The first clinical guideline on managing dizziness in the ED, Guidelines for Reasonable and Appropriate Care in the Emergen…
    view full post

    May 12, 2023

    26

  • James C. Fletcher, MD
    @jfletchermd (Twitter)

    RT @SAEMonline: The first clinical guideline on managing dizziness in the ED, Guidelines for Reasonable and Appropriate Care in the Emergen…
    view full post

    May 12, 2023

    26

  • Ali S. Raja, MD
    @AliRaja_MD (Twitter)

    RT @SAEMonline: The first clinical guideline on managing dizziness in the ED, Guidelines for Reasonable and Appropriate Care in the Emergen…
    view full post

    May 12, 2023

    26

  • SAEM
    @SAEMonline (Twitter)

    The first clinical guideline on managing dizziness in the ED, Guidelines for Reasonable and Appropriate Care in the Emergency Department (GRACE-3): Acute Dizziness and Vertigo in the Emergency Department, has published in @AcademicEmerMed #GRACE3 https://t.co/GzbhcCjfsT https://t.co/FKFYC3Lp44
    view full post

    May 12, 2023

    47

    26

  • Felipe Villarroel
    @flipovr (Twitter)

    RT @SameerSharifMD: This was a massive effort lead by a North American team @SAEMonline - we are proud to present the GRACE-3 Guidelines on…
    view full post

    May 12, 2023

    7

  • Absurd
    @qualityisarul3 (Twitter)

    RT @physorg_health: New guideline for treatment of acute #dizziness and #vertigo in the emergency department https://t.co/qyHkzBeyVc https:…
    view full post

    May 11, 2023

    1

  • Jodie
    @Jodie_Pritch (Twitter)

    RT @SameerSharifMD: This was a massive effort lead by a North American team @SAEMonline - we are proud to present the GRACE-3 Guidelines on…
    view full post

    May 11, 2023

    7

  • Medical Xpress
    @physorg_health (Twitter)

    New guideline for treatment of acute #dizziness and #vertigo in the emergency department https://t.co/qyHkzBeyVc https://t.co/gZ3gSfYPka
    view full post

    May 11, 2023

    1

    1

  • Sameer Sharif
    @SameerSharifMD (Twitter)

    We will break down the evidence behind each recommendation in the coming days. This work was possible because of the amazing leadership of @mfbellolio @JonathanEdlow @SAEMEBM @DNewmanToker ! Link: https://t.co/RkunwLzlRr (17/17)
    view full post

    May 11, 2023

    1

  • SAEM EBM IG
    @SAEMEBM (Twitter)

    RT @SameerSharifMD: This was a massive effort lead by a North American team @SAEMonline - we are proud to present the GRACE-3 Guidelines on…
    view full post

    May 11, 2023

    7

  • Lucas Oliveira J. e Silva (Lucas Silva)
    @lucasojesilva12 (Twitter)

    RT @SameerSharifMD: This was a massive effort lead by a North American team @SAEMonline - we are proud to present the GRACE-3 Guidelines on…
    view full post

    May 11, 2023

    7

  • Sameer Sharif
    @SameerSharifMD (Twitter)

    This was a massive effort lead by a North American team @SAEMonline - we are proud to present the GRACE-3 Guidelines on Acute Dizziness and Vertigo in the Emergency Department Link: https://t.co/ET9s6vbhj0 Please see below for the Recommendations
    view full post

    May 11, 2023

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Abstract Synopsis

  • This guideline, GRACE3, focuses on the management of adult patients presenting with acute dizziness and vertigo in the emergency department, aiming to provide evidence-based recommendations for effective care.
  • A panel of experts created 15 recommendations based on critical evaluations of diagnostic techniques and identified training needs for emergency clinicians, emphasizing the importance of using bedside examination skills.
  • Key recommendations include applying the HINTS protocol for distinguishing between central and peripheral causes of dizziness, utilizing specific tests like the Dix-Hallpike maneuver for benign paroxysmal positional vertigo, and advising against routine CT and MRI scans unless trained clinicians are available.