Nehzat Koohi

Discussion This study explored barriers and facilitators to diagnosing causes of acute vertigo in the ED, with a specific interest in the potential role of decision-support tools. The original aim focused on CDST acceptability and development; however, the findings revealed broader issues surrounding the diagnostic process itself, including complexity of presentation, limited clinician training, systemic constraints and patient dissatisfaction.

Abstract Accurate diagnosis of acute vertigo (AV) in emergency settings is crucial due to varied underlying causes. Challenges include differentiating non-life-threatening conditions, like vestibular migraine, from severe issues, such as stroke. The “TiTrATE - STANDING Adapted” algorithm was created to help non-specialist emergency physicians diagnose posterior circulation strokes in AV patients, overcoming the limitations of current practices that require specialized knowledge and equipment.

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