Why the study?
Syncope presents a major management challenge regarding appropriate workup and disposition, with nearly 50% of patients unnecessarily admitted and clinical decision rules not proven to reduce these admissions.
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This article highlights key steps in evaluating syncope in the emergency department, determining risk of a cardiac cause, and considerations for disposition based on recent European Society of Cardiology guidance.
Syncope is a common reason for ED attendance and it presents a major management challenge with regard to the appropriate workup and disposition. Nearly 50% of patients are admitted, and for many this is unnecessary; clinical decision rules have not proven to decrease unnecessary admissions. The European Society of Cardiology has recently developed guidance for managing syncope in the ED. This article highlights the key steps in evaluating syncope in the ED, factors involved in determining risk of a cardiac cause, and considerations for admission, observation or discharge.
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Matthew J. Reed (2018) studied this question.
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