• Benjamin C Sun, Giorgio Costantino, Franca Barbic, Ilaria Bossi, Giovanni Casazza, Franca Dipaola, Daniel McDermott, James Quinn, Matthew Reed, Robert S Sheldon, Monica Solbiati, Venkatesh Thiruganasambandamoorthy, Andrew D Krahn, Daniel Beach, Nicolai Bodemer, Michele Brignole, Ivo Casagranda, Piergiorgio Duca, Greta Falavigna, Roberto Ippoliti, Nicola Montano, Brian Olshansky, Satish R Raj, Martin H Ruwald, Win-Kuang Shen, Ian Stiell, Andrea Ungar, J Gert van Dijk, Nynke van Dijk, Wouter Wieling, and Raffaello Furlan.
• Department of Emergency Medicine, Oregon Health and Science University, Portland, OR. Electronic address: sunb@ohsu.edu.
• Ann Emerg Med. 2014 Dec 1;64(6):649-55.e2.

Study ObjectivesThere is limited evidence to guide the emergency department (ED) evaluation and management of syncope. The First International Workshop on Syncope Risk Stratification in the Emergency Department identified key research questions and methodological standards essential to advancing the science of ED-based syncope research.MethodsWe recruited a multinational panel of syncope experts. A preconference survey identified research priorities, which were refined during and after the conference through an iterative review process.ResultsThere were 31 participants from 7 countries who represented 10 clinical and methodological specialties. High-priority research recommendations were organized around a conceptual model of ED decisionmaking for syncope, and they address definition, cohort selection, risk stratification, and management.ConclusionWe convened a multispecialty group of syncope experts to identify the most pressing knowledge gaps and defined a high-priority research agenda to improve the care of patients with syncope in the ED.Copyright © 2014 American College of Emergency Physicians. Published by Elsevier Inc. All rights reserved.

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