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<< Syncope In Pediatric Patients: A Practical Approach To Differential Diagnosis And Management In The Emergency Department

Emergency Department Evaluation

Initial Management

The evaluation for syncope in the ED depends on whether or not the patient has returned to baseline or remains unconscious or has continued altered mental status. All patients who have altered mental status or are unconscious should be treated using standard PALS guidelines, with an evaluate-identify-intervene continuous cycle of assessment with primary and secondary assessments taking place in a rapid fashion. Of note, if the patient does not have a spontaneous return to consciousness within seconds to minutes and remains unconscious, then this should no longer be treated as syncope; the treatment of the obtunded patient is beyond the scope of this review.

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