Take Home Points
- Break the differentials down into bad & painless, bad & painful, and other causes – WOMAN-PE
- Cardiac causes – mechanical or electrical – look for the obvious and 5 non-obvious causes (WPW, HCOM, ARVD, prolonged QT, and Brugada)
- Ask the red flag questions – was there a prodrome, signs of seizure activity – tongue lacerations and urinary incontinence
- Ask about family history of similar sxs, cardiac arrhythmias, or sudden death at a young age
- Get Upreg, EKG, and finger stick on every patient with syncope
- Use decision scores as tools not rules – if you think they need a work-up – do one!
REBEL Core Cast – Basics of EM – Syncope
Click here for Direct Download of the Podcast
Jenny Beck-Esmay, MD FACEP
Associate Professor for Emergency Medicine Icahn School of Medicine at Mount Sinai
Assistant Residency Director
Mount Sinai Morningside – Mount Sinai West
New York, NY
Post Peer Reviewed By: Anand Swaminathan, MD (Twitter: @EMSwami)
Cite this article as: Ellsworth Wright, "REBEL Core Cast – Basics of EM – Syncope", REBEL EM blog, June 1, 2022. Available at: https://rebelem.com/rebel-core-cast-basics-of-em-syncope/.