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Epley Maneuver for Treatment of BPPV

By Dr. Gutwein via @jmcchiefs

#Epley #Maneuver #BPPV #Benign #paroxysmal #positional #vertigo
Epley Maneuver for ... Treatment of BPPV ... @jmcchiefs #Epley ... #Maneuver #BPPV
Modified Valsalva Maneuver Insturctions

- 43% vs 17% response compared to the standard valsalva maneuver

Per ACLS and
the first-line treatment ... described in the REVERT ... Lastly, sit the ... #REVERT #Instructions ... Protocol #Procedure #SVT
Differentiating Benign Paroxysmal Positional Vertigo (BPPV) From Vestibular Neuritis-Labyrinthitis
BENIGN PAROXYSMAL POSITIONAL VERTIGO
 • Age: More common
Positional Vertigo (BPPV ... consistent with BPPV ... ) • Epley maneuver ... maneuver: Ineffective ... Labyrinthitis #diagnosis
Pediatric SVT - Management Algorithm
Identify SVT:
 • HR not variable
 • Abrupt rate changes
 • Infants:
Pediatric SVT - ... Algorithm Identify SVT ... • Vagal Maneuvers ... Signs of shock or ... peds #Pediatric #treatment
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Shock - Differential ... Diagnosis Framework ... Treatment Goals ... #Differential #Diagnosis ... criticalcare #algorithm #treatment
Epley Maneuver for Treatment of BPPV
1) The patient begins in an upright sitting posture, and the
Epley Maneuver for ... Treatment of BPPV ... #Epley #Maneuver ... #BPPV #Benign #
Shock Classification and Differential Diagnosis
SHOCK
 • MAP <65, SBP <90, drop in SBP > 40
 •
Shock Classification ... and Differential Diagnosis ... SHOCK • MAP ... Decompensated CHF, Severe ... #Differential #Diagnosis
Dix-Hallpike Maneuver for BPPV

Procedure:
1. Make the patient sit on examination table, such that the shoulders would
for BPPV Procedure ... Make the patient sit ... Repeat the entire ... #BPPV #Instructions ... #Diagnosis #neurology
Shock - Differential Diagnosis Framework
MAP = CO x SVR
Hypovolemic (↓ Intravascular volume):
 • Hemorrhage, dehydration due
Shock - Differential ... Diagnosis Framework ... poor PO intake, severe ... uw_IMresidency #Shock ... #Differential #Diagnosis
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Shock - Diagnosis ... Prepare • Full Set ... 5) Analyze and Reverse ... #Diagnosis #Management ... #criticalcare #treatment