The Clinical Decision Making in the Emergency Department conference is June 23-27 live and virtual. More information here: https://clinicaldecisionmaking.com
Be on the lookout for an announcement regarding the new EB Medicine app, coming to an App Store near you this summer !!
Syncope- An Interview With Dr. James Morris
See the EB Medicine Article @ https://www.ebmedicine.net/topics/cardiovascular/syncope
Why syncope? Prevalence, hospitalizations, etc.
Etiology: figure 1 is fantastic. Physiologic basis of syncope
Orthostatic – are we still doing orthostatic vitals in the ED?
Differentiating syncope from seizure
Features that point to seizure
Number of jerks
Prehospital care is all about details
What did bystanders see?
What do paramedics see?
Any neuro deficits ?
ED History – table 4
History of similar
Associated symptoms (chest pain, neuro symptoms, etc)
Vitals, vitals, vitals
Orthostatic vitals ?
Carotid sinus massage, why this? Do we do in the ED?
Brugada, blocks, VT, ST changes, etc
BNP, delta bnp ?
Echo – any role in the ED?
PE- get this on everyone ? Is it high prevalence?
Risk stratification tools- the bad and the worse
Table 7, amazing
Admitting the elderly
Orthostatic vitals (we discussed already)