ALiEM - December 09, 2019 - By Andrew Grock
"Enormous practice variability exists in syncope medical decision making among emergency medicine physicians, perhaps due to a lack of externally validated clinical decision rules (CDR).Even worse, the literature is rife with conflicting evidence over specific syncope features such as the age cut-off that confers an elevated risk, or the risk of near syncope versus syncope. Following is a 3-step, evidence-based framework for the evaluation and workup of syncope...
Summary: Syncope in 3 Easy Steps
- Make sure it’s syncope
- Consider true syncope versus symptom syncope
- Assess the patient’s dysrhythmia risk – “FA HE HE” and Canadian Syncope score"