Trick of the Trade: Gaze Testing Using “Selfie Mode” on Your Smartphone Camera
The NIH Stroke Scale is used to assess the severity of a suspected stroke. It includes 11 neurologic exam components that can be quickly performed at the bedside. The second component of the NIH Stroke Scale is testing of voluntary horizontal eye movements, a.k.a., “best gaze”.1 Gaze is usually tested by instructing the patient to follow the examiner’s hand or pointer finger in a horizontal plane from side to side. This assessment assumes that the patient can comprehend instructions and actively participate in the physical exam.
But… how do you test gaze if your patient is aphasic or unable to follow commands?
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The second season of our EM Fellowship Match Advice Series launches with this insightful discussion with Pediatric Emergency Medicine (PEM) Fellowship Directors from across the United States talking about the nuances of applying into this ACGME fellowship, particularly through the lens of EM-trained residents. Hosted by Dr. Michael Gisondi, listen to the podcast version for details.
Over 1,300 physicians across the U.S. were asked to interpret patient preferences for end-of-life care in theoretical cases. Physicians rarely reached consensus about patient preferences when they were given only living wills and POLST documents to interpret. The addition of a patient video testimonial helped physicians make better care decisions that reflected their patients’ wishes. Will video become the new national standard for advance care planning?