- Occult blood loss (GI, ectopic)
- Vaginal bleeding
- Fluid loss:
- Past medical history
Signs and Symptoms:
- Loss of consciousness with recovery
- Lightheaded, dizziness
- Palpitations, slow or rapid pulse
- Pulse irregularity
- Decreased blood pressure
- Orthostatic hypotension
- Cardiac syncope
- Micturition / Defecation syncope
- Shock (see Shock Protocol)
- Toxicologic (Alcohol)
- Medication effect (hypotension)
- Universal Patient Care Protocol
- Consider Spinal Motion Restriction Protocol
- Complete set of vital signs including SaO2
- Assess Blood Glucose
- Orthostatic Vital Signs
- 12-Lead ECG
AT ANY TIME If relevant signs / symptoms found go to
- Recommended Exam: Mental Status, Skin, HEENT, Heart, Lungs, Abdomen, Back, Extremities, Neuro
- Assess for signs and symptoms of trauma if associated or questionable fall with syncope.
- Consider dysrhythmias, GI bleed, ectopic pregnancy, and seizure as possible causes of syncope.
- These patients should be transported.
- More than 25% of geriatric syncope is cardiac dysrhythmia based.