Podcast 835: Syncope Review - The Emergency Medical Minute

Podcast 835: Syncope Review

Contributor: Meghan Hurley, MD

Educational Pearls:

  • Syncope is defined as a loss of consciousness with an immediate return to baseline
  • Differential is broad
    • Cardiogenic
      • Structural (aortic stenosis, HOCUM, etc.)
      • Electrical (long QT syndrome, Brugada, etc.)
    • Neurogenic/neurovascular (brain bleed, etc.)
    • Seizure
    • Everything else
      • Hypoglycemia, anemia, and bleeding into the abdominal cavity are some potential causes to rule out
    • Vasovagal
      • Diagnosis of exclusion
  • Work Up
    • EKG
    • Good H&P
    • Labs especially Hb and glucose


Morris J. Emergency department management of syncope. Emerg Med Pract. Jun 2021;23(6):1-24.

Reed MJ. Approach to syncope in the emergency department. Emerg Med J. Feb 2019;36(2):108-116. doi:10.1136/emermed-2018-207767


Summarized by Mark O’Brien, MS4 | Edited by John Spartz, MD, & Erik Verzemnieks, MD

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