Supportive care is the primary treatment for the vast majority of pediatric patients presenting to the ED with syncope, as most syncope is neurocardiogenic. For those patients who have symptomatic hypovolemia, fluids are indicated. Up to 90% of patients with syncopal symptoms will improve with adequate fluid and salt intake. Intravenous fluid is a common treatment for patients who present with persistent symptoms or who have evidence of dehydration and cannot readily hydrate orally. In addition, anticipatory guidance should be given to patients regarding adequate oral intake at home, avoiding provoking events, and early identification of vasovagal symptoms to adjust behaviors and prevent syncope.
To continue reading, please log in or purchase access.