Benign paroxysmal positional vertigo (BPPV) is the most common peripheral vestibular disorder and causes disabling symptoms. BPPV produces a sensation of spinning called vertigo that is both paroxysmal and positional, meaning it occurs suddenly and with a change in head position. The disorder stems from free-floating particles that enter a semi-circular canal ("canaliths") of the inner ear.
BPPV is diagnosed using a simple and reliable positional test, the Dix-Hallpike test (DHT). The treatment, the Canalith Repositioning Maneuver (CRM), is performed in minutes at the bedside. With these processes, patients can be readily identified and treated at the bedside, quickly and without expensive tests. Yet, these guideline-supported evidence-based practices are substantially underutilized.
This project aims to implement these processes in a real world care setting, through a multi-faceted implementation strategy. The project has the potential to simultaneously improve patient outcomes and healthcare efficiencies.
The goal of this project is to implement BPPV processes in the Emergency Department (ED). The central hypothesis is that a multi-faceted behavioral and educational implementation strategy will increase the use of BPPV processes.
Practicing emergency medicine physicians from six emergency departments in Corpus Christi, Texas.