Cgabryszek: Created page with "Syncope is defined as a temporary loss of consciousness with recovery. Syncope may be caused by: Cardiac Arrythmia, Hypoglycemia, Seizure, Toxicological, Medication Effect (hypotension), Heat Exposure/Dehydration, Vasovagal Response, Hypotension/Septic shock, etc. '''Any patient requiring ACLS care should have an ALS intercept if logistically possible.''' {| class="wikitable" |EMR - Emergency Medical Responder |} # Begin initial medical care # Attempt to clarify r..."

2025-06-19T17:25:41Z

Created page with "Syncope is defined as a temporary loss of consciousness with recovery. Syncope may be caused by: Cardiac Arrythmia, Hypoglycemia, Seizure, Toxicological, Medication Effect (hypotension), Heat Exposure/Dehydration, Vasovagal Response, Hypotension/Septic shock, etc. '''Any patient requiring ACLS care should have an ALS intercept if logistically possible.''' {| class="wikitable" |EMR - Emergency Medical Responder |} # Begin initial medical care # Attempt to clarify r..."

New page

Syncope is defined as a temporary loss of consciousness with recovery.

Syncope may be caused by: Cardiac Arrythmia, Hypoglycemia, Seizure, Toxicological, Medication Effect (hypotension), Heat Exposure/Dehydration, Vasovagal Response, Hypotension/Septic shock, etc.

'''Any patient requiring ACLS care should have an ALS intercept if logistically possible.'''

{| class="wikitable"
|EMR - Emergency Medical Responder
|}

# Begin initial medical care
# Attempt to clarify recent medical history and details surrounding the syncopal episode:
## Pre-syncopal symptoms? (Palpitations, lightheaded, overheated, chest pain, shortness of breath, etc).
## GI bleeding? (Bloody/black emesis or stools)?
## Vaginal bleeding
## Nausea, vomiting, diarrhea
## Ongoing Symptoms? Chest pain/palpitations Shortness of breath
## Relevant Past Medical History? Cardiac, CVA, Seizure
## New medications?
# Administer oxygen if indicated
# Assist ventilations if RR < 8 or > 35
# Assess for hypotension/ shock (HR >130, cap refill > 2 seconds) & follow shock protocol
# Perform an initial Trauma Examination to evaluate for potential traumatic injuries if there was a fall or other traumatic mechanism associated with the syncope.
## If there is concern for possible traumatic injury, follow '''Initial Trauma Care''' protocol, including spinal protective measures.
# '''Call for ALS intercept'''

{| class="wikitable"
|EMT- Emergency Medical Technician ''perform/confirm all above interventions''
|}

# '''Assure ALS intercept''' is en route
# Transport as early as possible
# Measure blood sugar, follow hypoglycemia protocol if indicated (Glucose < 60).
# Follow '''Symptomatic Bradycardia''' protocol if indicated (HR < 60 with cardio-respiratory compromise).
# Reassess VS often during transport
# Apply ECG monitor & run strip (if trained, if time allows and after all other interventions are completed)
# Perform 12-lead ECG (if trained) as indicated

'''CONTACT MEDICAL CONTROL'''

{| class="wikitable"
|'''AEMT – Advanced Emergency Medicine Tech ''' ''Perform/Confirm All Above Interventions''
|}

# Start IV/IO access en route, '''NS TKO''' (do not delay transport)
# Administer additional '''NS fluid bolus''', as directed

'''CONTACT MEDICAL CONTROL'''
{| class="wikitable"
|'''Intermediate''' ''perform/confirm all above interventions''
|}

# Attach cardiac monitor if not already done, confirm rhythm in more than 1 lead
# Treat dysrhythmia primarily; Heart rates > 150 or < 50 are often unstable and/ or symptomatic
# Administer '''NS fluid bolus''' up to a total of 500 mL '''-IF-'''
## Symptomatic, no dysrhythmia & lungs are clear
# Reassess VS, lung sounds & rhythm frequently

'''CONTACT MEDICAL CONTROL'''

{| class="wikitable"
|'''Paramedic''' ''perform/confirm all above interventions''
|}

# Follow '''Cardiac Dysrhythmia''' (Tachycardia or Bradycardia) protocol if indicated.
# Follow '''Hypoglycemia''' protocol if indicated.
# Follow '''Medical Hypotension/Shock''' protocol if indicated.
# Follow '''Seizure''' protocol if indicated.
# Follow '''Hyperthermia''' protocol if indicated.

2-24 SYNCOPE - Revision history