Management of transient loss of consciousness of suspected syncopal cause, after the initial evaluation in the Emergency Department
Autor: | Andrea Ungar, Massimo Pesenti Campagnoni, Simone Cencetti, Gianfranco Cervellin, Ivo Casagranda, Michele Brignole, Gianluigi Mossini, Paolo Pinna Parpaglia, Giorgio Costantino, Filippo Numeroso, Martina Rafanelli, Raffaello Furlan |
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Rok vydání: | 2016 |
Předmět: |
lcsh:R5-920
medicine.medical_specialty biology business.industry Syncope (genus) Emergency Department Emergency department 030204 cardiovascular system & hematology biology.organism_classification medicine.disease Syncope 03 medical and health sciences 0302 clinical medicine Transient loss of consciousness Emergency medicine Risk stratification medicine 030212 general & internal medicine Medical emergency lcsh:Medicine (General) business Observation unit |
Zdroj: | Emergency Care Journal, Vol 1, Iss 1 (2016) |
ISSN: | 2282-2054 1826-9826 |
DOI: | 10.4081/ecj.2016.6046 |
Popis: | The recommendations enclosed in the present document have been developed by a group of experts appointed by the Gruppo Multidisciplinare per lo Studio della Sincope (Multidisciplinary Group for the Study of Syncope; GIMSI) and Academy of Emergency Medicine and Care (AcEMC). The aim is to define the diagnostic pathway and the management of patients referred to the Emergency Department (ED) for transient loss of consciousness of suspected syncopal cause, which is still unexplained after the initial evaluation. The risk stratification enables the physician to admit, discharge or monitor shortly the patient in the intensive short-stay Syncope Observation Unit (SOU). There are three risk levels of life-threatening events or serious complications (low, moderate, high). Low risk patients can be discharged, while high risk ones should be monitored and treated properly in case of worsening. Moderate risk patients should undergo clinical and instrumental monitoring in SOU, inside the ED. In all these three cases, patients can be subsequently referred to the Syncope Unit for further diagnostic investigations. |
Databáze: | OpenAIRE |
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