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All BPPV criteria present** (70)

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Supplemental file 1: Example of positive Dix-Hallpike tests (YouTube video link)

https://www.youtube.com/watch?v=7ePecb9azS4&feature=youtu.be Link used with permission of Dr Peter Johns.

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Supplemental file 2:

Flow diagram of study inclusion and Dix-Hallpike testing. Excluded records: patients were excluded from the study if they left without being seen, had dizziness >14 days, recent trauma, a Glasgow Coma Scale score of less than 15, hypotension (SBP<90), or reported syncope/loss of consciousness. *Symptoms consistent with BPPV: no documentation of symptoms inconsistent with BPPV. **All BPPV criteria present: documentation provided for all three symptoms characteristic of BPPV (lasting <2 minutes, intermittent, evoked by a change in position or head movement/not present when still) and no focal neurologic deficits noted (see main text). BPPV = Benign paroxysmal positional vertigo. DHT = Dix-Hallpike test.

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All BPPV criteria present** (70)

Symptoms consistent with

BPPV* (335)

Symptoms inconsistent with

BPPV (134) All BPPV criteria

present** (62)

Dizzy to ED (3109)

Records extracted (2309)

Excluded records (800)

DHT performed (469)

DHT not

performed (1840)

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