Emergency Medical Minute5 Dec 2022

Podcast 835: Syncope Review

Contributor: Meghan Hurley, MD

Educational Pearls:

Syncope is defined as a loss of consciousness with an immediate return to baseline
Differential is broad

Cardiogenic

Structural (aortic stenosis, HOCUM, etc.)
Electrical (long QT syndrome, Brugada, etc.)

Neurogenic/neurovascular (brain bleed, etc.)
Seizure
Everything else

Hypoglycemia, anemia, and bleeding into the abdominal cavity are some potential causes to rule out

Vasovagal

Diagnosis of exclusion

Work Up

EKG
Good H&P
Labs especially Hb and glucose

References

Morris J. Emergency department management of syncope. Emerg Med Pract. Jun 2021;23(6):1-24.

Reed MJ. Approach to syncope in the emergency department. Emerg Med J. Feb 2019;36(2):108-116. doi:10.1136/emermed-2018-207767

Summarized by Mark O'Brien, MS4 | Edited by John Spartz, MD, & Erik Verzemnieks, MD

In an effort to promote diversity, equity, and inclusion in Emergency Medicine, The Emergency Medical Minute is proud to present our 2nd annual Diversity and Inclusion Award. We support increasing the representation of underrepresented groups in medicine and extend this award to individuals applying to emergency medicine residencies during the 2022-2023 cycle. For information on award eligibility and the application process, visit https://emergencymedicalminute.com/edi-award/

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