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Revision as of 20:31, 25 March 2014

Characterize the symptoms

Loss of consciousness (LOC)

❑ Rapid or slow onset
❑ Short or long duration
❑ Spontaneous complete recovery or incomplete recovery

Prodrome:

Diaphoresis
Nausea
Lightheadedness
Pallor
❑ Warmth
Blurry vision

Chest pain (suggestive of cardiovascular syncope)
Palpitations
❑ Position prior to LOC:

Supine (suggestive of cardiovascular syncope)
Supine to erect posture(suggestive of orthostatic hypotension or reflex syncope)
❑ Prolonged standing (suggestive of reflex syncope)

❑ Activity prior to LOC:

❑ Driving
❑ Machine operation
❑ Flying
❑ Competitive athletics (suggestive of cardiovascular or reflex syncope)
❑ Bowel or bladder incontinence (suggestive of reflex syncope)
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 

Characterize the timing of the symptoms

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 

Identify possible triggers

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 

❑ Examine the patient
❑ Order an EKG

 
 
 
 
 
 
 
 
 
 



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