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Articles Tagged With: Syncope

  • Syncope and Complete AV Block?

    The rhythm strip shown in the figure was recorded from a patient with syncope. It was interpreted as consistent with complete AV block. Do you agree with that interpretation?

  • The Face of the ED Boarding Crisis Is a Child’s

    The boy was 9 years old, wearing makeshift operating room garb that included cut-off paper scrubs. His parents did not want him. The Department of Social Services said there was nowhere to place him. His last four “homes” had been EDs, including one that kept him for months. Given such tragic incidents, ACEP and the Emergency Nurses Association are aggressively lobbying Congress to address the situation. They gathered on Capitol Hill to underscore the crisis and push for passage of the Improving Mental Health Access from the Emergency Department Act.

  • How Many Abnormal Findings?

    No history was available for the tracing in the figure. There are at least seven ECG findings to note. How many can you identify?

  • Updates on Syncope

    Syncope is a common ED chief complaint that often results in over-ordering of tests and unnecessary admission to the hospital, with significant economic impact. The main focus of the emergency medicine physician is to risk stratify the patient based on the history and physical exam.

  • Is the Canadian Syncope Risk Score Valid?

    Researchers found the Canadian Syncope Risk Score accurately predicts which patients are low risk for discharge. However, since it is driven largely by the physician’s final risk classification at ED discharge, the score’s clinical utility is uncertain.

  • The Effects of Yoga for Patients with Vasovagal Syncope

    Randomization to yoga in addition to standard care to treat vasovagal syncope led to better outcomes than standard care alone, with reductions in syncopal and presyncopal events and improvement in quality of life scores at one year.

  • Is the Canadian Syncope Risk Score Valid?

    Researchers found the Canadian Syncope Risk Score accurately predicts which patients are low risk for discharge. However, since it is largely driven by the physician’s final risk classification at ED discharge, the score’s clinical utility is uncertain.

  • Does Chart State Why Syncope Patient Was Deemed Low Risk?

    Prolonged ECG monitoring in the ED, in an observation unit followed by ambulatory monitoring, can mitigate risks for intermediate- and higher-risk patients.

  • Is AV Block Complete?

    The dual lead rhythm strip in the figure was obtained from an elderly patient with syncope. Is there AV dissociation? Is there complete AV block? This is a challenging tracing because a different diagnosis is suggested by the first five beats in the rhythm strip, compared to the last four beats.
  • State Malpractice Claim Rate Tied to Low-Risk Syncope Admissions

    The frequency of malpractice claims is associated with higher rates of hospital admission for ED patients with lower-risk syncope, according to the results of a recent study.