Vesticam goggles have been purchased to assist Doctors and physiotherapists in correctly identifying nystagmus in dizzy patients, improving the confidence and accuracy of diagnosis of dizzy patients. The ability to remove fixation and replay assessment of ocular movements has greatly improved the confidence and accuracy in determining peripheral versus central causes of vertigo.
Vesticam assisting in diagnosis of the dizzy patients
Initiative Type
Service Improvement
Status
Deliver
Added
Last updated
Summary
Key dates
Jul 2018
Sep 2019
Implementation sites
The Princess Alexandra Hospital
Aim
Improve the accuracy of assessment of dizzy patients presenting to the Emergency Department, in doing so we have been able to prevent unnecessary imaging and admissions.
Benefits
Already we have had patients that we have been able to correctly identify with nystagmus that would not have been seen without use of the vesticam goggles. This has further improved HINTS exam (Head Impulse, Nystagmus, and Test of Skew,) reducing the need for imaging of brain and cavum septum pellucidum (csp) for some dizzy patients.
Background
Emergency Department staff can correctly identify nystagmus that would not have been seen without use of the vesticam goggles. The ability to remove fixation and replay assessment of ocular movements has greatly improved the confidence and accuracy in determining peripheral versus central causes of vertigo.
Solutions Implemented
Vesticam goggles are now available for use in assessment of dizzy patients for doctors and physiotherapist in the Emergency Department at the Princess Alexandra Hospital.
Lessons Learnt
Technology has been able to assist improving sensitivity of a clinical exam.
