Department of Otolaryngology-Head and Neck Surgery, Massachusetts Eye and Ear, Boston, Massachusetts, USA.
Department of Otolaryngology-Head and Neck Surgery, Harvard Medical School, Boston, Massachusetts, USA.
Otolaryngol Head Neck Surg. 2020 Nov;163(5):857-859. doi: 10.1177/0194599820935859. Epub 2020 Jun 30.
As a result of the COVID-19 pandemic, telemedicine has been thrust to the forefront of health care. Despite its inherent limitations, telemedicine offers many advantages to both patient and physician as an alternative to in-person evaluation of select patients. In the near term, telemedicine allows nonpandemic care to proceed while observing appropriate public health concerns to minimize the spread of pandemic pathogens. Thus, it behooves practitioners to use telemedicine consultations for common otolaryngology complaints. Assessment of the dizzy patient is well-suited to an algorithmic approach that can be adapted to a telemedicine setting. As best practices for telemedicine have yet to be defined, we present herein a practical approach to the history and limited physical examination of the dizzy patient in the telemedicine setting for the general otolaryngologist. Indeed, once the acute crisis has abated, we suspect that this approach will continue to be an effective way to manage dizzy patients.
由于 COVID-19 大流行，远程医疗已成为医疗保健的前沿领域。尽管远程医疗存在固有局限性，但作为选择对特定患者进行面对面评估的替代方法，它为患者和医生带来了许多优势。在短期内，远程医疗允许进行非大流行护理，同时关注适当的公共卫生问题，以最大程度地减少大流行病原体的传播。因此，从业者应该使用远程医疗咨询来处理常见的耳鼻喉科投诉。头晕患者的评估非常适合采用算法方法，可以适应远程医疗环境。由于远程医疗的最佳实践尚未确定，因此我们在此为一般耳鼻喉科医生在远程医疗环境中介绍了一种针对头晕患者的病史和有限体检的实用方法。实际上，一旦急性危机缓解，我们怀疑这种方法将继续成为管理头晕患者的有效方法。
