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- Mohamed Toufic El-Hussein and Alexander Cuncannon.
- J Emerg Nurs. 2021 Mar 1; 47 (2): 342-351.
AbstractSyncope is a common presenting symptom to emergency departments, but its evaluation and initial management can be challenging for ED practitioners and particularly urgent in the presence of high-risk features that increase the likelihood of cardiac etiology. Even after thorough clinical evaluation, syncope may remain unexplained. In such instances, practitioners' clinical judgment and risk assessments are critical to guide further management. In this article, evidence-informed strategies are outlined to approach the diagnosis of syncope and provide an overview of syncope clinical decision rules and shared decision-making. By incorporating risk stratification and shared decision-making into syncope care, practitioners can more confidently engage patients and families in disposition decisions to organize appropriate outpatient and follow-up care, observation, or admission.Copyright © 2020 Emergency Nurses Association. Published by Elsevier Inc. All rights reserved.
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