REBEL Core Cast – Basics of EM – Syncope

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
Twitter: @jbeckesmay


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:
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Ellsworth Wright

Emergency Physician at St. Joseph's Regional Medical Center

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