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EMplify – June 2021
- 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
- Neurally mediated
- Orthostatic – are we still doing orthostatic vitals in the ED?
- Differentiating syncope from seizure
- Features that point to seizure
- Urinary incontinence
- Number of jerks
- Prehospital care is all about details
- What did bystanders see?
- What do paramedics see?
- Any trauma?
- Any neuro deficits ?
- ED History – table 4
- History of similar
- Associated symptoms (chest pain, neuro symptoms, etc)
- Pre-syncope ?
- ED exam
- 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 ?
- Lactic acid
- Pregnancy test
- 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)
Last Updated on January 25, 2023