Syncope

Syncope

EMKF

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Common RED flags;

  • Abnormal ECG
  • Abnormal vital signs
  • Hypotension SBP <90 mmHg
  • Bradycardia <50 bpm
  • O2 saturation <94%
  • History of cardiac disease
  • CHF
    • Structural
    • Ischemia
    • Arrhythmia
  • Anemia
  • Hematocrit <30% or Hemoglobin <9g/dL
  • Older age >60 years

Fainting Red Flags

EMKF

syncope

  • Abnormal ECG
  • Abnormal vital signs
    • Hypotension SBP <90 mmHg
    • Bradycardia <50 bpm
    • O2 saturation <94%
  • History of cardiac disease
    • CHF
    • Structural
    • Ischemia
    • Arrhythmia
  • Anemia
    • Hematocrit <30% or Hemoglobin <9g/dL
  • Older age >60 years

Serious reasons why your patient fainted…

EMKF

If your patient presents with…

  1. Symptoms of arm ischemia or paresthesias with syncope – Subclavian steal syndrome
  2. Chest pain that is acute, radiates, tearing/sharp, involves symptoms above and below diaphragm with syncope – Aortic dissection
  3. Tachypnea, pleuritic chest pain, shortness of breath with syncope – PE
  4. Neurologic deficit with syncope – TIA/stroke
  5. Headache that is sudden in onset, maximal at onset, worst of life with syncope – Subarachnoid hemorrhage
  6. Minor trauma with head or neck pain and syncope – Carotid/vertebral artery dissection
  7. Abdominal/flank pain in older patient with syncope – Ruptured AAA