Episode
Dizziness in the ED: An Inside Look from PT and Physician Perspectives
- Podcast
- Talk Dizzy To Me
- Published
- Sep 3, 2025
- Duration seconds
- 2971
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Summary
Dizziness in the emergency department is common... and complicated. Today, we talk with Dr. Peter Johns (MD) and Dr. Rebekah Griffith, PT about what actually works in the ED: using the HINTS exam correctly, avoiding unnecessary imaging and meclizine-only discharges, knowing when to call the stroke team, and why physical therapists in the ED can transform safety, outcomes, and costs. You’ll hear about how to triage dizzy patients, spot posterior circulation stroke red flags, treat BPPV efficiently, and keep patients safe when answers aren’t immediate. We also cover topics such as orthostatic hypotension , POTS , rapid-access dizzy clinics, and practical discharge planning. Episode Resources: Peter Johns, MD — Emergency physician and vertigo educator (creator of “Spin Class” vertigo course and a popular YouTube channel). Dr. John's " Spin Class " Course Dr. John's YouTube Channel Rebekah Griffith, PT, DPT — Emergency Department physical therapist and educator advocating for PT/OT presence in EDs nationwide. Dr. Griffith's website Instagram Key Takeaways: Use HINTS to rule in peripheral vestibular dysfunction BPPV is common and under-treated—confirm with positional nystagmus and treat with the correct maneuvers. Assess gait and orthostatics upright, not just vitals in bed; orthostatic hypotension is frequently missed. Embedding PTs in EDs improves safety, reduces unnecessary imaging and admissions, and boosts patient/provider satisfaction. Upstream PT access (outpatient/telehealth) prevents many ED visits and fear-avoidant patterns (e.g., PPPD risk). If this episode helped you, subscribe , like , and share . Comment with your biggest ED dizziness challenge—and we may just cover it in a future episode! For more FREE resources, click here . Hosted by: 🎤 D…