5 Things you Must do when Patients Present with Syncope

Patients who present to the emergency department following a syncopal episode can be a diagnostic challenge to us. There are 5 things we should always do, to help us make the diagnosis. Before we start with the big 5, I need to make 3 general comments: Syncope is a symptom, not a condition. We need…

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ECG predictors of Cardiac Arrhythmias in Elderly with Syncope

CASE A 72 yo woman presents to your emergency department following an episode of syncope. There was a brief 2-3 seconds of dizziness followed by a loss of consciousness. The patient did not complain of chest pain or palpitations, nor headache, nor abdominal pain and there was no weakness, or loss of function. There was…

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Syncope in Children

Syncope is not uncommon, occurring in up to 25% of children. Most causes are benign, however we need to be aware of the of 3 major groups as these can be very serious diagnoses: Those with a cardiac cause Those with a neurological cause Very young children, as syncope shouldn’t occur in this group. Making…

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Syncope Rules

Patients presenting with syncope to the Emergency Department can pose a significant diagnostic challenge. The two main reasons for this are: Syncope is a symptom, not a diagnosis. We need to search for the underlying cause. Adverse events can occur, when none are obvious or predictable during our Emergency Department evaluation. We know that the rate…

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Seizure, Syncope and Sudden Collapse

Associate Professor Peter Kas presents Seizure, Syncope and Sudden Collapse. The patient with syncope or presyncope becomes a challenge in the emergency setting. Although this diagnosis is reported to comprise 5% of emergency presentations, it seems like so much more than this. This lecture looks at the definition of syncope, which comprises three elements: a sudden…

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Seizure, Syncope and Sudden Collapse Dr Peter Kas

Seizure, Syncope and Sudden Collapse, By Associate Professor Peter Kas, looks at the causes of syncope and simplifies these causes by looking at two broad categories; Is it cardiac or Not? Is it syncope PLUS something else? The aim is to exclude the cardiac causes of syncope and those causes that aren’t cardiac but are…

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A 9 year old girl with syncope

The Case A 9 yo girl is brought into the emergency department, following an episode of syncope. She has a current viral illness and looks miserable. She was walking into the Emergency Department with her mother, when she collapsed. She recovered quickly with no post ictal component but also had no memory of the event, although the…

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Syncope

Syncope is one of those conditions you either love or hate. I certainly have at least five presentations of patients with syncope per shift. Having an approach to those patients certainly helps minimise missing the big stuff. Remember that syncope is a symptom and we need to find the diagnosis. The detective work is about…

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The ECG’s of Syncope

I’m not sure about you, but I seem to be seeing more patients with syncope than ever before. This year at EMCORE, I spent over an hour going into the ECG’s of syncope. Syncope is difficult because it is a symptom, not a condition and it’s up to us to find the cause. My approach…

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