Hey folks, Scott Wangart here and this is the mCrit podcast.

Today, we're going to revisit a topic we've discussed before, but it just needs more emphasis.

It is the diagnosis of posterior stroke, how to deal with a dizzy patient, how to deal with a

vertiginous patient. This strikes fear in the hearts of most ED docs. It is a nebulous area

unless you have really investigated in depth. And the guest I've brought on today,

he's made it his life's mission to teach how to deal with these exact patients and to get you

to the point where you actually feel happy to pick up the chart of a dizzy patient. Now,

he's been on the show before. It's Peter Johns. He's an emergency physician in Ottawa. He's

since retired clinical practice and now is devoted full time to developing teaching and videos and

lectures and everything on how to deal with the dizzy vertiginous patient in the ED and how not to

miss central causes like posterior circulation stroke. Now, what prompted me to reach out to Peter

again, because he's been on the show in episode 316. It was a tour de force on things like the

hints exam and diagnosis of posterior stroke. But the reason I wanted him back is the recent

publication of a document called Grace 3. Now, the Grace Project is the guidelines for

reasonable and appropriate care in the emergency department, hence Grace. And this one, I think,

diverted from the standard in that they really just went beautifully in depth of the evidence

basis for everything and also a vast array of discussions of the various points that actually

could be used as a teaching document or a way to affect your practice. The lead author, John Edlow,

will get him on. We'll talk about this. It's a beautifully wrought piece of work. But if I give it

to a resident, they're going to be destroyed. It's well worth a read. It's really well done. But

there are some points in there that I felt needed further expansion. And so I got Peter back on

because if you haven't checked out his YouTube channel, you should. It's really just purely what

...