Grace-3 2023 / Society of Academic Emergency Medicine
Acute dizziness or vertigo is a common emergency department (ED) presentation, accounting for 2.1%–3.6% of visits per year, with an estimated annual cost approximating $10 billion in the United States, a large proportion of which is related to imaging.
The traditional diagnostic approach for these patients was developed 50 years ago and is based on symptom reports (asking patients “What do you mean by dizzy?”). Newer evidence suggests that a diagnostic paradigm based on the timing and triggers of dizziness rather than symptom quality is more useful. The GRACE-3 clinical practice guideline has been developed to address the critical need for evidence-based recommendations for the care of patients presenting in the emergency department with acute dizziness and vertigo…
The traditional diagnostic approach for these patients was developed 50 years ago and is based on symptom reports (asking patients “What do you mean by dizzy?”). Newer evidence suggests that a diagnostic paradigm based on the timing and triggers of dizziness rather than symptom quality is more useful. The GRACE-3 clinical practice guideline has been developed to address the critical need for evidence-based recommendations for the care of patients presenting in the emergency department with acute dizziness and vertigo…
- GRACE-3 Infographic
- Read the Guideline in AEM (Guidelines for reasonable and appropriate care in the emergency department 3 (GRACE-3): Acute dizziness and vertigo in the emergency department. Edlow J te Al. Acad Emerg Med 2023; 30:442-486)