Emergency Department Management of Syncope | Points & Pearls -

Emergency Department Management of Syncope

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Points & Pearls Excerpt

  • Syncope is a transient loss of consciousness, typically with associated loss of postural tone, followed by complete, spontaneous recovery.
  • Syncope results from global cerebral hypoperfusion from decreased peripheral vascular resistance, decreased cardiac output, or both.
  • There are 3 classifications: (1) neurally mediated (reflex) syncope (the most common): (2) orthostatic hypotension (second most common), and (3) cardiac syncope (the least common, but with highest morbidity).
  • An ECG should be obtained for all patients who present with syncope, and the patient should be placed on continuous telemetry while in the ED.
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Publication Information

James Morris, MD, MPH, FACEP

Peer Reviewed By

Deborah Diercks, MD, MS, FACEP, FACC; Marc A. Probst, MD, MS, FACEP

Publication Date

June 1, 2021

CME Expiration Date

June 1, 2024    CME Information

CME Credits

4 AMA PRA Category 1 Credits™, 4 ACEP Category I Credits, 4 AAFP Prescribed Credits, 4 AOA Category 2-A or 2-B Credits.

Pub Med ID: 34008935

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