On the emergency treatment of syncope.docVIP

 PAGE \* MERGEFORMAT 8 On the emergency treatment of syncope [Paper Keywords] syncope; diagnosis; loss of consciousness; ECG [Abstract] syncope is due to insufficient blood supply to the brain caused by a short, self-limiting loss of consciousness state, accounting for 3% of emergency patients [1] The symptoms can be caused by many diseases, so the principles of treatment vary widely, the key is How to make a diagnosis quickly and accurately about the literature in this area more than the authority of the European Society of Cardiology Working Group on syncope lt;lt;syncope diagnosis and treatment guidelinesgt;gt; The guide clinicians as a general admissions of patients with syncope guidelines, but because of race, geographical, economic and cultural differences, local physician reported the proportion of different categories of syncope, which doctors need to combine necessary requirement for a detailed analysis of local epidemiological situation, in order to quickly make the correct diagnosis. Step 1 for the diagnosis of syncope 1.1 medical history and symptoms of fear, pain, emotional stimuli, standing off waiting for the diagnosis of syncope caused by vasovagal syncope special circumstances, such as coughing, sneezing, gastrointestinal stimulation (swallowing, visceral pain, stool), voiding (urination ago) and excessive exercise and other cases, the presence of syncope consider situational syncope; before the onset of syncope and palpitations symptoms highly suspected cardiac syncope; metabolic disease metabolic potential of syncope; past who have been diagnosed [2]. 1.2 signs of syncope associated with orthostatic hypotension, could confirm the diagnosis of orthostatic syncope may be due to a loss of blood, low blood volume, diarrhea, addison disease; syncope associated with neurological signs were considered as cerebrovascular syncope. 1.3 Laboratory tests to consider whether there exist severe blood loss anemia in patients wi