Sponsored by the Council of Residency Directors in Emergency Medicine
Syncope
Resources to Review Prior to Conference
Approach to Syncope
EM in 5
ECG in Syncope
EM:RAP
Goals and Objectives
Goals
-
Trainee will demonstrate competence in the initial evaluation and management of patients with syncope
Objectives
Trainee will be able to:
-
List potentially life-threatening causes of syncope, including:
-
Anemia/hemorrhage
-
Aortic dissection
-
Arrhythmia
-
Ectopic pregnancy
-
Pulmonary embolism
-
Structural Heart Disease
-
Subarachnoid hemorrhage
-
-
Name high-risk groups in patients with syncope
-
Abnormal ECG
-
Coronary artery disease
-
Elderly
-
Structural heart disease
-
Family history of sudden death
-
-
Describe high-risk ECG findings in patients with syncope, including:
-
Arrhythmogenic right ventricular cardiomyopathy
-
Brugada Syndrome
-
Hypertrophic Cardiomyopathy
-
Ischemia
-
Long QT
-
Pericardial Effusion
-
Right heart strain
-
Tachy- and brady-arrhythmias
-
Wolff-Parkinson-White
-
Additional Resources
General
-
Syncope (LITFL 2019)
-
Hospitalization for Elderly with Syncope? (REBEL EM 2019)
-
Syncope (EM:RAP 2016)
ECG in Syncope
-
ECG in Syncope (EM:RAP 2016)
Consensus Statements
-
2017 ACC/AHA/HRS Syncope Guidelines (Circulation 2017) (pdf)
​
Risk Stratification Tools
-
Canadian Syncope Risk Score (MDCalc)
-
San Francisco Syncope Rule (MDCalc)