Podcasts about Syncope

This episode covers: Cardiology This Week: A concise summary of recent studies Colchicine for secondary prevention An algorithmic approach to the workup of syncope Milestones: CIBIS II Host: Rick Grobbee Guests: Carlos Aguiar, Sanjit Jolly, Michele Brignole Want to watch that episode? Go to: https://esc365.escardio.org/event/1805 Disclaimer: ESC TV Today is supported by Bristol Myers Squibb and Novartis. This scientific content and opinions expressed in the programme have not been influenced in any way by its sponsors. This programme is intended for health care professionals only and is to be used for educational purposes. The European Society of Cardiology (ESC) does not aim to promote medicinal products nor devices. Any views or opinions expressed are the presenters' own and do not reflect the views of the ESC. Declarations of interests: Stephan Achenbach, Michele Brignole, Diederick Grobbee and Nicolle Kraenkel have declared to have no potential conflicts of interest to report. Carlos Aguiar has declared to have potential conflicts of interest to report: personal fees for consultancy and/or speaker fees from Abbott, AbbVie, Alnylam, Amgen, AstraZeneca, Bayer, BiAL, Boehringer-Ingelheim, Daiichi-Sankyo, Ferrer, Gilead, GSK, Lilly, Novartis, Pfizer, Sanofi, Servier, Takeda, Tecnimede. Davide Capodanno has declared to have potential conflicts of interest to report: Bristol Myers Squibb, Daiichi Sankyo, Sanofi Aventis, Novo Nordisk, Terumo. Sanjit Jolly has declared to have potential conflicts of interest to report: grant support from Boston Scientific, honorarium from Boston Scientific, Shockwave, Abiomed, SIS, and Teleflex.  Steffen Petersen has declared to have potential conflicts of interest to report: consultancy for Circle Cardiovascular Imaging Inc. Calgary, Alberta, Canada. Emma Svennberg has declared to have potential conflicts of interest to report: Abbott, Astra Zeneca, Bayer, Bristol-Myers, Squibb-Pfizer, Johnson & Johnson.

Host: Rick Grobbee Guest: Michele Brignole Want to watch that extended interview? Go to: https://esc365.escardio.org/event/1805?r  Disclaimer: ESC TV Today is supported by Bristol Myers Squibb and Novartis. This scientific content and opinions expressed in the programme have not been influenced in any way by its sponsors. This programme is intended for health care professionals only and is to be used for educational purposes. The European Society of Cardiology (ESC) does not aim to promote medicinal products nor devices. Any views or opinions expressed are the presenters' own and do not reflect the views of the ESC. Declarations of interests: Stephan Achenbach, Michele Brignole, Diederick Grobbee and Nicolle Kraenkel have declared to have no potential conflicts of interest to report. Carlos Aguiar has declared to have potential conflicts of interest to report: personal fees for consultancy and/or speaker fees from Abbott, AbbVie, Alnylam, Amgen, AstraZeneca, Bayer, BiAL, Boehringer-Ingelheim, Daiichi-Sankyo, Ferrer, Gilead, GSK, Lilly, Novartis, Pfizer, Sanofi, Servier, Takeda, Tecnimede. Davide Capodanno has declared to have potential conflicts of interest to report: Bristol Myers Squibb, Daiichi Sankyo, Sanofi Aventis, Novo Nordisk, Terumo. Steffen Petersen has declared to have potential conflicts of interest to report: consultancy for Circle Cardiovascular Imaging Inc. Calgary, Alberta, Canada. Emma Svennberg has declared to have potential conflicts of interest to report: Abbott, Astra Zeneca, Bayer, Bristol-Myers, Squibb-Pfizer, Johnson & Johnson.

Welcome to the Choosing Wisely Campaign series! This is the second episode of a 6-part series exploring the ABIM Foundation's Choosing Wisely Lists. This campaign aims to promote conversations between clinicians and patients to avoid unnecessary medical tests, treatments, and procedures. The first of our case-based episodes presents a school age child with syncope. After a clear discussion of the case and thoughtful consideration of an acute care differential, we use the AAP's Choosing Wisely cardiac list to create a resource-conscious care plan that is safe and patient-centered. In the coming episodes, we'll explore the pediatric lists and apply our knowledge to cases of common presentations seen in primary and acute care pediatrics.    Series Learning Objectives: Introduction to the Choosing Wisely Campaign: Understand the origins, historical precedent, and primary goals of the campaign. Case-Based Applications: Explore five common presentations in primary and acute care pediatrics, applying concepts from various Choosing Wisely lists to guide management and resource stewardship. Effective Communication: Learn strategies for engaging in tough conversations with parents and colleagues to create allies and ensure evidence-based practices are followed. Competencies: AACN Essentials: 1: 1.1 g, 1.2f 2: 2.1 de, 2.2g, 2.5 ij 6: 6.1 i 7: 7.2 ghk 9: 9.1ij, 9.2ij, 9.3ik NONPF NP Core Competencies: 1: NP1.1h, NP 1.2km 2: NP2.1jg, NP2.2kn, NP2.5 lo 6: NP6.1o 7: NP7.2m 9: NP9.1mn, NP9.2n, NP9.3p References: AAP Section on Cardiology and Cardiac Surgery. (2020). Five things physicians and patients should question. https://downloads.aap.org/AAP/PDF/Choosing%20Wisely/CWCardio.pdf Gilpin, K., & Goode, Z. (2024). Syncope. Pediatrics in review, 45(10), 606–608. https://doi.org/10.1542/pir.2023-006053

Syncope (SINK-a-pee) is a clinical word for fainting or passing out. Many people may faint or feel faint once or twice in their lives, and there are several minor triggers for it. But in some cases, it's a sign of a heart issue, such as an abnormal heart rhythm or heart valve issue.Electrophysiologist Dr. Manoj Duggal (MAHN-oage DOO-gle) will discuss what happens when a person experiences syncope, what may be causing it, and why it's important to identify the cause.

Syncope is a symptom, not a diagnosis. Often it's a symptom of a benign etiology but it can indicate a life-threatening condition. So how do we distinguish between the two? We dive into the complex topic of syncope with guest Matt Mendes. We discuss the importance of recognizing syncope, differentiating it from seizures, and identifying who are the high-risk patients and why. The episode covers the guiding principles syncope- a good history, physical exam findings, and the ECG. It also delves into common presentations, risk stratifying strategies, and real-world cases to equip EMS providers with the knowledge needed to manage syncope calls effectively.    00:00 Intro 01:07 Welcome to EMS Cast, host and guest introductions 04:51 Guiding Principles for Syncope Assessment 07:22 High-Risk Syncope Patients 09:14 Initial Approach to Syncope Patients 15:15 Syncope vs. Seizure 20:08 Physical Exam and EKG Importance 25:14 Identifying Arrhythmias in Syncope Patients 26:37 Understanding Wolf Parkinson White Disease 27:46 QT Prolongation and Its Implications 29:49 Left Ventricular Hypertrophy and Its Risks 31:28 Recognizing Brugada Pattern 32:02 Arrhythmogenic Right Ventricular Dysplasia 33:04 Bifascicular Block and Its Dangers 35:00 EKG Interpretation and Syncope Risk Stratification 39:53 Emergency Department Workups for Syncope 55:49 Case Studies and Memorable Syncope Calls   Resources The Resus Tailor EMS Cast Syncope Blog Post Other episodes you might like: Wide Complex Tachycardia Podcast announcements- WE'RE RENAMING THE SHOW TO, LOUD & CLEAR: EMS GUIDING PRINCIPLES Survey- Help us learn what content you want Gear We Like Good Stethoscope - https://amzn.to/3YJJrf2 Good Shears - https://amzn.to/40FROuF or https://amzn.to/3ChZ4Tn  Notepad for taking notes on calls - https://amzn.to/3Z1X21J Sunglasses - https://frontline-optics.com/discount/EMSCAST15 Books we recommend -  The Dichotomy of Leadership - https://amzn.to/4fiCAjN Extreme Ownership - https://amzn.to/3O1FWfa  Managing the Unexpected: Sustained Performance in a Complex World -        https://amzn.to/3V7BwYf Thinking Fast and Slow - https://amzn.to/4fiJG85 A Thousand Naked Strangers: A Paramedic's Wild Ride to the Edge and Back -  https://amzn.to/3YJJrf2 Guest/Cast/Crew information- Guest- Matt Mendes, EM doc, Resident didactics coordinator, former EMS Cast Co-Host Hosts- Ross Orpet, Will Berry  Catch up with us after the show Instagram- @emscast Twitter- @ems_cast Website- www.emspodcast.com  

Syncope Hydrocephalus Coma Final Step type Questions What key symptom differentiates syncope from seizure? What triad is seen in normal pressure hydrocephalus? At what Glasgow Coma Scale (GCS) score is intubation typically required? What is the first-line treatment for increased intracranial pressure in hydrocephalus? What pupil finding suggests opioid toxicity? What test is used to […] The post 126b: Syncope, Hydrocephalus, Coma PANCE Questions appeared first on Physician Assistant Exam Review.

In this episode of MedPod AFMC, Maj (Dr) Harikrishnan is joined by Maj (Dr) Jayant Grover, an expert in internal medicine, to discuss a systematic approach to syncope. Syncope, or transient loss of consciousness due to cerebral hypoperfusion, is a common yet challenging presentation in clinical practice. The discussion covers:✔️ Key causes of syncope – neurally mediated, orthostatic, and cardiac✔️ A structured approach to history-taking and physical examination✔️ Red flag signs and risk stratification✔️ Essential diagnostic workup and treatment strategies✔️ Practical tips for triaging high-risk cases Tune in to gain clinical insights and practical pearls on managing syncope effectively!

Syncope, Hydrocephalus, and Coma Syncope Transient loss of consciousness due to global cerebral hypoperfusion, often with rapid onset, brief duration, and spontaneous recovery A key differential in cerebrovascular cases, distinct from stroke, TIA, and seizures Clinical Presentation Preceding Symptoms: Dizziness, lightheadedness, nausea, pallor, diaphoresis Triggers: Prolonged standing, vasovagal (emotional stress) Orthostatic hypotension (sudden positional changes) […] The post 126 Syncope, Coma & Master Class Tonight!  appeared first on Physician Assistant Exam Review.

Happy New Year!!! We hope you've had some time off over the festive period and now we're back to kick start the new year with three more great papers. Syncope is common presentation to the Emergency Department, accounting for 1% of presentations. Without a clear precipitant of the event it can be challenging to identify those patients who have a higher risk of associated morbidity and mortality, and furthermore those who would benefit from further investigation and observations. Our first paper looks at syncope risk-stratification tools and sheds some light on their utility. Acute exacerbations of COPD with acute type 2 respiratory failure and frequently treated with non-invasive ventilation (NIV), with high flow nasal oxygenation a treatment normally for patients in type 1 respiratory failure. However our second paper is a fantastic RCT looking at the the application of either NIV or high flow nasal oxygenation in those type 2 COPD exacerbations, are both options for our patients? Finally, since the advent of trauma networks in the UK, prehospital patients have been triaged to the most relevant centre based upon trauma triage tools. Our third paper looks at the performance of these tools and gives valuable insights for both those clinicians using the tools and those receiving trauma patients in both MTCs and other trauma units. Once again we'd love to hear any thoughts or feedback either on the website or via X @TheResusRoom! Simon & Rob

Join us as Monee and Meredith with the rest of the hospital medicine team reflect on the past year, discussing some favorite insights gained covering a range of topics, including diabetic foot infections, sepsis, sickle cell inpatient management, syncope, psychiatry for the hospitalist, and acute coronary syndrome.  No CME for this episode, but claim CME for past shows at curbsiders.vcuhealth.org! Patreon | Episodes | Subscribe | Spotify | YouTube | Newsletter | Contact | Swag! | CME Show Segments Introduction Picks of the Year Diabetic Foot Infections  Sepsis Sickle Cell Inpatient Management  Psychiatry Primer Syncope  Acute Coronary Syndrome  Reflections from the Year  Credits Written, Produced, and hosted by: Meredith Trubitt  MD; Monee Amin MD Script Written: Caroline Coleman, MD, RJ Blackburn, MD Cover Art: Caroline Coleman, MD Reviewer: Rahul Ganatra MD Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP Technical Production: PodPaste Sponsor: Rosetta Stone Redeem your 50% off at rosettastone.com/curbsiders

خلاصه‌ی مباحث آبان‌ماه مقدمه‌ی آذرماه ۱۴۰۳: سنکوپ

keywords   medical emergencies, dental office, anesthesia, airway issues, syncope, laryngospasm, bronchospasm, patient safety, sedation, anesthesiology   summary   In this conversation, Dr. Serv Wahan and Dr. Peter Pfeiffer discuss critical medical emergencies that can occur in dental settings, focusing on anesthesia-related issues. They explore common emergencies such as syncope, the differences between laryngospasm and bronchospasm, and the protocols for managing these situations effectively. The discussion emphasizes the importance of preparedness in dental offices, including the necessity of monitoring equipment and understanding patient safety during sedation procedures.   takeaways Medical emergencies in dental offices are common and require preparedness. Syncope is the most frequent emergency, often caused by fainting. Proper monitoring equipment, like pulse oximeters, is essential in dental practices. Laryngospasm can occur during sedation and requires immediate attention. Understanding the difference between laryngospasm and bronchospasm is crucial for management. Efficient management of emergencies can reduce patient risks and improve outcomes. Anesthesiologists play a vital role in complex dental procedures. Training and experience in anesthesia can vary significantly among dental professionals. Patient safety protocols should be in place for all sedation procedures. Communication and teamwork are key in managing medical emergencies in dental settings. titles Navigating Medical Emergencies in Dental Practices The Role of Anesthesia in Dental Emergencies Sound Bites "I've seen dental students faint." "If you see someone pass out, lay them down." "Laryngospasm is a cough gone haywire." "Halcion has a little amnesia with it." Chapters   00:00 Introduction to Medical Emergencies in Dental Settings 04:23 Common Medical Emergencies: Syncope and Fainting 10:08 Understanding Airway Complications: Laryngospasm vs. Bronchospasm 16:12 Managing Laryngospasm: Techniques and Protocols

Podcast summary of articles from the August 2024 edition of the Journal of Emergency Medicine from the American Academy of Emergency Medicine.  Topics include sepsis, pediatrics, opioids, syncope, and a review of psychiatric patients boarding in the ED.  Guest speaker is Dr. Kinda Sweidan.

Cardioneural Ablation - A Promising Treatment Strategy for Refractory Vasovagal Syncope   Guest: Guru G. Kowlgi, M.B.B.S. Host: Anthony H. Kashou, M.D.    The learners will get an overview of how to diagnose and manage vasovagal syncope. In addition, they will gain an understanding of cardioneural ablation, which is a promising new catheter ablation treatment option for these patients.   Topics Discussed What is vasovagal syncope (VVS)? How do we diagnose vasovagal syncope? What are some treatment strategies for VVS (including a discussion on cardioneural ablation and the use of pacemakers)?   Connect with Mayo Clinic's Cardiovascular Continuing Medical Education online at https://cveducation.mayo.edu or on Twitter @MayoClinicCV and @MayoCVservices. LinkedIn: Mayo Clinic Cardiovascular Services Cardiovascular Education App: The Mayo Clinic Cardiovascular CME App is an innovative educational platform that features cardiology-focused continuing medical education wherever and whenever you need it. Use this app to access other free content and browse upcoming courses. Download it for free in Apple or Google stores today! No CME credit offered for this episode. Podcast episode transcript found here.

Episode description: Mukund presents a case of nausea, vomiting and syncope with many twists and turns to Valeria and Jas. Featuring: Mukund RaguramJasdeep BajwaValeria Roldan SchemasSyncopeNausea and vomiting thought trainImage negative abdominal pain Download CPSolvers App here RLRCPSOLVERS Click here to view the weekly episode recap email!

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HRS24: CNA for Vasovagal Syncope

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Have you ever fainted? Miranda sure has... like, a LOT of times, and in some pretty weird situations! Fortunately, Mel uncovers what causes these fainting spells, also known as vasovagal syncope episodes, and what to do about them. After that, Miranda shares about some of the most common childhood injuries and how we as parents can be better prepared when our youngsters bump, bruise, scrape, and otherwise hurt themselves! Prop your feet up, drink some water, and join us for a hilarious episode that will tickle (not bump) your funny bone! Spotlight:The Childress Institute for Pediatric Traumahttps://saveinjuredkids.org Sources:Mel-https://www.verywellhealth.com/vasovagal-cardioneurogenic-syncope-1746389 Miranda-https://www.healthpartners.com/blog/most-common-childhood-injuries/https://www.parents.com/health/injuries/first-aid/fast-first-aid-tips-for-6-common-accidents/ Hosted on Acast. See acast.com/privacy for more information.

Don't pass up on passing out! Stand up to syncope as Dr. Dan Dressler (Emory University) guides us to confidently manage cases! We review a framework for understanding different types of syncope, and strategies for determining which low-risk patients can be safely discharged, and appropriate next steps to work up those high-risk and in-between cases.  Claim CME for this episode at curbsiders.vcu health.org! Patreon | Episodes | Subscribe | Spotify | YouTube | Newsletter | Contact | Swag! | CME Show Segments Intro Picks of the Week Case 1: Tamara What is syncope? Categorizing Syncope Initial workup Risk scores Pulmonary embolism  Case 2: Travis Cardiac evaluation Take-home points Outro Credits Producer, Script and Show Notes: Emi Okamoto MD  Infographic and Cover Art: Caroline Coleman MD Hosts: Monee Amin MD and Meredith Trubitt MD Reviewer: Rahul Ganatra MD, MPH Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP Technical Production: PodPaste Guest: Daniel D. Dressler, MD, MSc, MHM, FACP Sponsor: Freed You can try Freed for free right now by going to freed.ai. And listeners of Curbsiders can use code CURB50 for $50 off their first month. Sponsor: Pattern Request your disability insurance quotes with Pattern at patternlife.com/curbsiders. Sponsor: Pathway Download the Pathway app by visiting pathway.md

Syncope (loss of unstressed vowels after a stressed syllable.)Example “chocolate” [CHAWK-uh-luht] becomes [CHAW-kluht]1- I like to eat chocolate. [CHAW-kluht]2- She visits her mother every weekend. [EV-ree]3- He bought a new camera. [KAM-ruh]4- We go for a walk in the evening. [EEV-niŋ]6- Are you interested in ancient history? [HIS-tree]7- We have a vegetable garden. [VEJ-tuh-buhl]8- Those two ideas are not comparable. [KOM-pruh-buhl]9- She works in a laboratory. [LAB-ruh-tor-ee]10- What an interesting person he is. [IN-truhs-tiŋ]11- I got the flu last week. I felt so miserable. [MIZ-ruh-buhl]12- Generally I only drink coffee in the morning. [JEN-ruh-lee]13- I have a headache. I'm going to take an aspirin.14- Mexican Spanish is different from Argentinian Spanish.15- What is your favorite flavor of ice cream?16- Let's go to a restaurant for dinner.17- Is coffee your beverage of choice?18- I'd like to introduce you to my family.19- That seems like a reasonable solution to our problem.20- Ireland is nicknamed the “Emerald” Isle.Intro & Outro Music: La Pompe Du Trompe by Shane Ivers - https://www.silvermansound.com Support the showYou can now support my podcasts and classes:Help Barry pay for podcast expenses--thank you!

In today's episode, we had the pleasure of interviewing Jordan, a midwife and first-time mum who made the decision to birth her baby at home. We chat to Jordan about her journey to conceive which involved taking Letrozole to help support ovulation. Jordan shared her experience of a swift 6-hour labour, culminating in the beautiful birth of her son in a birth pool. Notably, Jordan encountered a unique challenge during the third stage of labor, as she experienced Vasovagal Syncope while attempting to deliver the placenta. This occurrence was attributed to the presence of a bilobed placenta situated behind her cervix, a condition known as Cervical Shock Syndrome. Our discussion further delved into Jordan's profound thoughts and emotions surrounding the hospital system, as well as the reasons that guided her decision to embrace the path of a homebirth. Join us as we explore the intricacies of Jordan's experience, gaining valuable insights into the world of midwifery and the transformative power of making informed choices during the birthing process.Jordan documented her whole pregnancy and birth on her instagram page  - Fromwomb_toworld Links:Photographer - Caitlyn Hands (Stemmer)  - Earthchild.photography Hunter Valley Homebirthers Facebook group Coulton Stoliar, S., Dahlen, H. G., & Sheehan, A. (2023). A national survey of Australian midwives' birth choices and outcomes. Women and Birth, 36(2).Coulton Stoliar, S., Dahlen, H. G., & Sheehan, A. (2022). Insider knowledge as a double-edged sword: an integrative review of midwives' personal childbearing experiences. BMC pregnancy and childbirth, 22(1), 640. PANDA https://treasury.gov.au/sites/default/files/2021-05/171663_perinatal_anxiety_and_depression_australia.pdfBlack Dog Institute Gidget FoundationSupport the show@homebirthstoriesaustralia Please be advised that this podcast may contain explicit language. Listener discretion is advised.The information, statistics, and research presented in this podcast are for informational purposes only and are not intended to constitute or replace medical or midwifery advice. All information discussed can be found online and is provided in the links in the show notes. It is always recommended to conduct your own research and make informed decisions. We advise you to discuss any topics or concerns with your healthcare provider. While we strive to incorporate the most up-to-date research in our episodes, we do not warrant or guarantee the accuracy of the information discussed on the show.

Commentary by Dr. Valentin Fuster

Syncope is a noun that refers to the temporary loss of consciousness caused by a fall in blood pressure.  Our word of the day comes almost directly from a Greek word that means ‘strike' or ‘cut off.' By the Late Middle English period, syncope had been adopted into English. Here's an example: Having a significant drop in blood pressure may not seem like a huge problem. But frankly, it would terrify me to experience the syncope that often comes with it. I can't imagine anything scarier than losing consciousness. 

Welcome back to February's papers of the month. Syncope is a really common presentation to the Emergency Department and it can be complicated to tease out those with a concerning precipitant from the others with a more benign cause. The first paper gives us some context to the management of these undifferentiated syncopes and provides a barometer for how stringently ESC guidance on the topic is followed. Next up we take a look a huge RCT of transfusion thresholds in patients presenting with a myocardial infarction. Should we be restrictive in our approach, saving a valuable resource, or is it validated to transfuse more liberally in terms of the patients outcome? Finally we take a look at a paper looking to tease out the predictors of post intubation hypotension in those getting a prehospital anaesthetic following trauma, with some interesting associations and factors to looks out for. Once again we'd love to hear any thoughts or feedback either on the website or via X @TheResusRoom! Simon & Rob

Lancet 1993;342:821-28.Background The Survival After Ventricular Enlargement (SAVE) trial demonstrated that administration of the angiotensin converting enzyme inhibitor (ACEi) captopril, following MI complicated by LV dysfunction (EF ≤40%) but without clinical heart failure significantly improved morbidity and mortality over 3.5 years of follow-up. Yet many post-MI patients at the time had clinical heart failure and this represented a vulnerable population of patients with significantly increased morbidity and mortality compared to those without clinical heart failure. The Acute Infarction Ramipril Efficacy (AIRE) trial sought to test the hypothesis that administration of Ramipril to patients with AMI complicated by acute congestive heart failure would reduce morbidity and mortality vs a placebo. Cardiology Trial's Substack is a reader-supported publication. To receive new posts and support our work, consider becoming a free or paid subscriber.Patients Eligible patients were 18 years of age or older with a definite AMI occurring 2 to 9 days prior to randomization with clinical evidence of congestive heart failure at any time after the index MI. While clinical evidence of heart failure was mandatory for study entry, it could be transient and not necessarily present at the time of randomization. Patients were excluded with NYHA IV heart failure (these patients would receive ACEi therapy regardless), heart failure of primary valvular or congenital etiology, or patients with any recognized contraindications to ACEi therapy were excluded.Baseline characteristics The average age of patients was 65 years and 74% were men. Approximately one quarter of patients had had a prior MI, 12% had diabetes, 30% had hypertension and smoking status was not listed. The ejection fraction of study participants was not systematically assessed as part of the study protocol. 62% had a Q wave MI and the predominant location was anterior. The mean time to randomization was 5 days. Approximately 60% of patients received thrombolysis. The average blood pressure and heart rate were not provided. At the time of randomization 22% of patients were receiving a beta blocker and 12% digoxin.Many more patients (52,019) were reviewed than ultimately enrolled (1,986). The main reasons for exclusion were no definitive MI (21,302) and no definite heart failure (16,989). The authors estimate that among eligible patients with a definitive MI and heart failure that approximately half were enrolled. Information on those enrolled versus not enrolled was not provided.Procedures Patients were initiated on Ramipril 2.5 mg twice daily or matching placebo for 2 days after which the dose was increased to 5 mg twice daily. If patients could not tolerate the 5 mg twice daily dose they were discharged on 2.5 mg twice daily. For patients who could not tolerate the 2.5 mg dose they were given 1.25 mg twice daily for 2 days with attempts to up-titrate to 2.5 mg and 5 mg at discharge. For patients that could not tolerate at least 2.5 mg twice daily at discharge they were NOT discharged on the 1.25 mg dose. These patients were withdrawn from study treatment but followed up at the prespecified visit intervals and were included in the intention-to-treat analysis.Outpatient visits were scheduled at 1 month and 3 months following discharge from the index hospitalization and every 3 months thereafter until study close. Monitoring of renal function and electrolytes was done at the discretion of study investigators based on their normal practice. During follow up patients could be started on any medication with exception of an ACEi.Endpoints The primary study endpoint was all-cause mortality. The secondary endpoint was time to first event including (death, progression to NYHA class 4 heart failure, reinfarction or stroke).The investigators estimated they would need a sample size of 2,000 patients to detect a 25% relative reduction in the risk of death with 80% power and 2-sided alpha of 5%. This was based on an estimated death rate of 20% at 15 months in the placebo group and 15% in the Ramipril group.Results 2,006 patients were recruited from 144 centers in 14 countries. However, 20 patients from 1 center were excluded from the final analysis due to inconsistencies in the data. According to investigators the exclusion of these patients did not meaningfully change the final results. The final analysis included 1,986 patients; 1004 in the Ramipril group and 982 in the placebo group.90% of study participants were discharged from the hospital on study drug. In the Ramipril group, 77% were on the 5 mg dose, 14% were on the 2.5 mg dose and 9% were on no therapy. In the placebo group, 86% were on the 5 mg dose, 7% on the 2.5 mg dose and 7% on no therapy.Patients were followed for an average of 15 months and only 1 was lost to follow-up. Compared to placebo, Ramipril significantly reduced all cause death by 27% (17% vs 23%; p = 0.002). Ramipril also significantly reduced the secondary composite endpoint of time to first validated event (including death, progression to severe heart failure, reinfarction or stroke) by 19% (28% vs 34%; p = 0.008). Differences in this composite endpoint were mainly driven by death and progression to severe heart failure.Examination of subgroups showed no evidence of treatment effect heterogeneity but again, similar to the SAVE trial, the size of the trial limits subgroup testing.Premature withdrawals from study drug, not including death, occurred in 352 patients in the Ramipril group compared to 318 in the placebo group. Intolerance to the drug was cited as a factor in 126 of the Ramipril withdrawals and 68 of the placebo withdrawals whereas progression to severe heart failure was cited in 58 Ramipril withdrawals and 92 placebo. Syncope was more common in Ramipril treated patients compared to placebo (2.4% vs 1.7%) and so was hypotension (4.2% vs 2.3%) but not renal failure (1.5% vs 1.2%).Conclusions In patients with AMI complicated by clinical congestive heart failure, Ramipril significantly reduced death over 1.3 years of follow-up with a number needed to treat of approximately 17 patients. Ramipril also significantly reduced a composite of events, which were mainly driven by death and progression to severe heart failure. Unlike the SAVE trial, which did not estimate a particular sample size for hypothesis testing, AIRE was specifically designed to test whether Ramipril would reduce death by 25% over 15 months and indeed, it did! Thus, results from AIRE not only support but add legitimacy to findings from SAVE.One perceived limitation of AIRE, particularly when viewed through a contemporary lens, is its lack of ejection fraction estimation. There should be no doubt that these were sick patients in whom, significant LV dysfunction would have been present in most. We base this claim on the observation that the death rate in AIRE at 1.3 years in the placebo group was nearly equal to SAVE at 3.5 years (23% vs 25%). This highlights that development of clinical heart failure (regardless of LV function) confers a worse prognosis than LV dysfunction without heart failure.In our opinion, the external validity of AIRE is high for a trial performed 30 years ago. The average start date for treatment was 5 days post MI complicated by clinical heart failure. This is longer than we would anticipate in contemporary practice by 2 or 3 days but not unreasonable, especially for post-MI patients with tenuous hemodynamics requiring intravenous diuretic therapy. Furthermore, the dose titration parameters and follow up schedule in AIRE can be approximated in clinical practice. Also, no obvious treatment effect heterogeneity was noted across important subgroups (e.g., age > vs < 65 years) but these analyses are limited due to the overall sample size. Finally, no strict limits were placed on blood pressure and heart rate at study entry.Thank you for reading Cardiology Trial's Substack. This post is public so feel free to share it. Get full access to Cardiology Trial's Substack at cardiologytrials.substack.com/subscribe

Syncope (fainting) is explored in detail as we sit down with Dr. Trey Baucum to unravel the condition's causes and impacts on heart health. Learn valuable insights on managing syncope, recognizing symptoms and adopting strategies for prevention. The post Neurocardiogenic syncope first appeared on Advanced Cardiovascular Specialists.

We review a general approach to syncope in children. Hosts: Brian Gilberti, MD Ellen Duncan, MD https://media.blubrry.com/coreem/content.blubrry.com/coreem/Syncope_in_Children.mp3 Download Leave a Comment Tags: Cardiology, Pediatrics Show Notes Initial Evaluation and Management: Similar initial workup for children and adults: checking glucose levels for hypoglycemia and conducting an EKG. The history and physical exam are crucial. Dextrose Administration in Children: Explanation of the ‘rule of 50s' for determining the appropriate dextrose solution and dosage for children. ECG Analysis: Importance of ECG in diagnosing dysrhythmias like long QT syndrome, Brugada syndrome, catecholamine polymorphic V tach, ARVD, ALCAPA, and Wolff-Parkinson-White syndrome. Younger children's dependency on heart rate for cardiac output and the risk of arrhythmias in kids with congenital heart disease. Condition Characteristic ECG Findings Congenital/Acquired Long QT Syndrome (LQTS) Prolonged QT interval Congenital/Acquired Wolff-Parkinson-White Syndrome (WPW) Short PR interval, Delta wave Congenital Brugada Syndrome ST elevation in V1-V3, Right bundle branch block Congenital Atrioventricular Block (AV Block) PR interval prolongation (1st degree), Missing QRS complexes (2nd & 3rd degree) Congenital/Acquired

CardioNerds meet with fellows from The Christ Hospital, Drs. Hanad Bashir, Hyunsoo Chung, and Dalia Aziz to discuss the following case that highlights angioleiomyoma: A 60-year-old woman with a past medical history significant for breast cancer (on tamoxifen) presented as a transfer to our facility for a clot-in-transit. She had initially presented to the outside hospital after progressive dyspnea on exertion and recent syncope. She was found on an echocardiogram to have a right atrial mass spanning into the right ventricle. CTA of the chest and abdomen/pelvis demonstrated extensive thrombus burden spanning from the IVC into the right ventricle. She was transferred to our facility for intervention. Endovascular attempts were unsuccessful, at which point she underwent surgical thrombectomy. Gross examination of the mass revealed a cylindrical shape, homogeneous tan color, rubbery soft tissue, measuring 25.5 cm in length and 2.3 cm in diameter. Histology confirmed the presence of angioleiomyoma. A second, smaller mass (5.2cm long and 4mm in diameter) was removed from under the tricuspid valve, with histology consistent with leiomyoma. Estrogen receptor and progesterone receptor staining were strongly positive, leading to the discontinuation of tamoxifen. Given the presence of uterine fibroids identified on the CT scan, there was concern about a uterine origin. A hysterectomy is planned for her in the near future. Expert commentary is provided by Dr. Wojciech Mazur. Episode audio was edited by student Dr. Adriana Mares. US Cardiology Review is now the official journal of CardioNerds! Submit your manuscript here. CardioNerds Case Reports PageCardioNerds Episode PageCardioNerds AcademyCardionerds Healy Honor Roll CardioNerds Journal ClubSubscribe to The Heartbeat Newsletter!Check out CardioNerds SWAG!Become a CardioNerds Patron! Case Media - The Tall Tail Heart: Angioleiomyoma – The Christ Hospital Pearls - The Tall Tail Heart: Angioleiomyoma – The Christ Hospital Although evaluation of cardiac mass by echocardiography can provide information such as size, location, and morphology, adjunctive cross-sectional imaging may be used depending on the need for further temporal resolution (CT) or tissue characterization via cardiac MRI (CMR). If suspicious for elevated metabolic activity, there should be consideration of FDG-PET. Tamoxifen (a selective estrogen receptor modulator) is an agent used for breast cancer therapy. However, its use has been associated with endometrial hyperplasia, uterine fibroids, endometrial and uterine malignancy. Increased risk of malignancy has been seen more often in post-menopausal women and is dose and time-dependent. Clot in transient is a mobile thrombus, typically within the right heart structures. It is estimated to occur in 4-18% of patients with pulmonary embolism and is associated with elevated morbidity and mortality. Treatment includes surgical embolectomy, endovascular embolectomy, systemic thrombolysis, catheter-directed thrombolysis, or systemic anticoagulation. Angioleiomyoma is a rare benign pericystic tumor that most commonly affects the extremities. There are case reports of other affected sites, including the uterus. Invasion into the cardiac structures is exceedingly rare. The only established treatment for angioleiomyoma is surgical resection. Show Notes - The Tall Tail Heart: Angioleiomyoma – The Christ Hospital Syncope Syncope is a transient loss of consciousness secondary to reduced blood flow to the brain. Often, certain presentations are mislabeled as syncope, such as seizure disorders, posttraumatic loss of consciousness, and cataplexy. An organized diagnostic approach should be used to reduce hospital admissions and medical costs and increase diagnostic accuracy. Syncope can be divided into five general subgroups. 1) Neurally mediated reflex syncope (carotid sinus syndro...

MedLink Neurology Podcast is delighted to feature selected episodes from BrainWaves, courtesy of James E Siegler MD, its originator and host. BrainWaves is an academic audio podcast whose mission is to educate medical providers through clinical cases and topical reviews in neurology, medicine, and the humanities, and episodes originally aired from 2016 to 2021. Originally released: August 24, 2017 Fainting spells are surprisingly common--even among United States Marines. This week, we explore the mechanisms underlying loss of consciousness in your everyday patient. And your everyday soldier. Produced by James E Siegler. Music by Jason Shaw, Andy Cohen, Kai Engel, and Josh Woodward. BrainWaves' podcasts and online content are intended for medical education only and should not be used for clinical decision-making. REFERENCES Freeman R. Clinical practice. Neurogenic orthostatic hypotension. N Engl J Med 2008;358(6):615-24. PMID 18256396Grubb BP. Neurocardiogenic syncope and related disorders of orthostatic intolerance. Circulation 2005;111(22):2997-3006. PMID 15939833Sonnesyn H, Nilsen DW, Rongve A, et al. High prevalence of orthostatic hypotension in mild dementia. Dement Geriatr Cogn Disord 2009;28(4):307-13. PMID 19828952Wolters FJ, Mattace-Raso FU, Koudstaal PJ, Hofman A, Ikram MA; Heart Brain Connection Collaborative Research Group. Orthostatic hypotension and the long-term risk of dementia: a population-based study. PLoS Med 2016;13(10):e1002143. PMID 27727284  We believe that the principles expressed or implied in the podcast remain valid, but certain details may be superseded by evolving knowledge since the episode's original release date.

Syncope (1:40), testosterone therapy and adverse effects (7:40), baricitinib for alopecia areata (9:30), intestinal parasites (13:10), antiarrhythmics in atrial fibrillation (19:20), and AFP Clinical Answers (21:40).

Syncope = a brief loss of consciousness and postural tone that resolves spontaneously with a return to baseline neurological function within seconds or a few minutes. Presyncope = near LOC. Should be worked up the same as we know it portends a similar risk of downstream badness as syncope. presyncope is “I almost lost consciousness and then recovered” → more of acute thing. The final common pathway of syncope is the same regardless of the underlying cause. In general, 10 seconds of interrupted blood flow to the brain.

Did you know around 15 to 25% of children will have at least one syncopal episode before adulthood? Join medical students Sanya Dudani and Caleb Robertson, along with Pediatric Cardiologist Dr. John Plowden, as they discuss the evaluation and management of syncope in the pediatric patient.  Specifically, they will: Discuss the definition of syncope and its underlying pathophysiology Recall the incidence and risk factors of syncope in the pediatric population Describe the various etiologies and their distinguishing factors Understand the proper approach to taking a history for a pediatric patient with a chief complaint of syncope Recognize findings on the physical exam that help narrow the differential diagnosis Understand the appropriate lab tests and imaging needed Discuss when it's appropriate to refer patients to specialists Special thanks to Dr. Rebecca Yang and Dr. Melissa Lefebvre for peer reviewing this episode! CME Credit (requires free sign up): Link Coming Soon! References: Arthur W, Kaye GC  The pathophysiology of common causes of syncope  Postgraduate Medical Journal 2000;76:750-753. Cipolla MJ. The Cerebral Circulation. San Rafael (CA): Morgan & Claypool Life Sciences; 2009. Chapter 5, Control of Cerebral Blood Flow. Available from: https://www.ncbi.nlm.nih.gov/books/NBK53082/ Clark, BC, Hayman, JM, Berul, CI, Burns, KM, and Kaltman, JR. Selective use of the electrocardiogram in pediatric preparticipation athletic examinations among pediatric primary care providers. Ann Noninvasive Electrocardiol. 2017; 22:e12446. https://doi.org/10.1111/anec.12446] De, A. and Davidson Ward, S.L. (2014), Syncope at altitude: An enigmatic case. Pediatr Pulmonol., 49: E144-E146. https://doi.org/10.1002/ppul.23062 Gupta A, Menoch M, Levasseur K, Gonzalez IE. Screening Pediatric Patients in New-Onset Syncope (SPINS) Study. Clinical Pediatrics. 2020;59(2):127-133. doi:10.1177/0009922819885660 Hainsworth, R. Pathophysiology of syncope. Clin Auton Res 14 (Suppl 1), i18–i24 (2004). https://doi.org/10.1007/s10286-004-1004-2 Phillip A. Low, Paola Sandroni, Chapter 106 - Postural Tachycardia Syndrome (POTS), Editor(s): David Robertson, Italo Biaggioni, Geoffrey Burnstock, Phillip A. Low, Julian F.R. Paton, Primer on the Autonomic Nervous System (Third Edition), Academic Press, 2012, Pages 517-519, ISBN 9780123865250, https://doi.org/10.1016/B978-0-12-386525-0.00106-2 Zavala, Rennette MD∗; Metais, Benjamin MD†; Tuckfield, Lynnia BS‡; DelVecchio, Michael MD‡; Aronoff, Stephen MD, MBA‡. Pediatric Syncope: A Systematic Review. Pediatric Emergency Care: September 2020 - Volume 36 - Issue 9 - p 442-445 doi: 10.1097/PEC.0000000000002149 

QD245 - Patients Don't Read Textbooks   https://youtu.be/gK18TgDTGyg QD246 - Neighbor Consults   https://youtu.be/D3ffK3l_gbU QD247 - Habitually Noncompliant    https://youtu.be/Vpwue51878c QD248 - OA and Syncope   https://youtu.be/O4v03KL_gOg QD249 - Hemoptysis  https://youtu.be/WbRSPBsfec8

Welcome to my podcast. I am Doctor Warrick Bishop, and I want to help you to live as well as possible for as long as possible. I'm a practising cardiologist, best-selling author, keynote speaker, and the creator of The Healthy Heart Network. I have over 20 years as a specialist cardiologist and a private practice of over 10,000 patients. The episode discusses different causes of non-traumatic loss of consciousness or syncope, including cardiac, epileptic, and psychogenic reasons. Cardiac causes could be things like structural heart issues, arrhythmia, or orthostatic hypotension from standing up. Doctor Warrick highlights how an epileptic seizure may involve jerking at the onset of loss of consciousness unlike cardiac syncope. Taking a thorough history from witnesses is important to determine the likely cause. One interesting point was how tongue biting on the sides suggests epilepsy while biting the tip suggests falling during cardiac syncope. Distinguishing the etiology helps guide appropriate workup and management.

Can you die from passing out or syncope? Cardiologist explains this mysterious condition. https://dralo.net/links

Podcast summary of articles from the July 2023 edition of the Journal of Emergency Medicine from the American Academy of Emergency Medicine.  Topics include pediatric missed diagnoses, resistant urinary tract infections, syncope, tidal volume calculations, difficult IV access, and hyperglycemia.  Guest speaker is Dr. James O'Hora.

When all you hope is that a simple syncopal episode is just that SIMPLE, and it turns out it never is. However these providers today are fans of the show and take an idea we showcased to help determine what really is causing the issues with their patient. This is one of the cooler episodes that hits close to all of us! Hear from Mike (NY AEMT-P, CIC), Maha Butchie (NY AEMT-P), & Gerard (NC AEMT-P).Concepts In Trauma Conference: https://bit.ly/44X5lgRVital Signs Conference: https://bit.ly/4456EcjJoin our Discord Community: https://discord.gg/8v4smgMEKeGet CE credit here: https://medicmaterialscmeacademy.thinkific.com/BECOME A VIP PROVIDER by joining our PATREON PAGE & receive instant access to our THIRD Monthly Podcast episode! Sign Up HERE: http://patreon.com/medicmaterials Buy us a Cup Of Coffee to help support the show: https://www.buymeacoffee.com/medicmaterials Podcast Links: LISTEN on your FAVORITE platform, just choose your LINK...https://linktr.ee/MedicMaterialsPodcast Do you have a great call you want us to review on a future episode? Email it to us: info.medicmaterials@gmail.com Grab some SWAG: https://bit.ly/3AtWg2TSend the show an email: info.medicmaterials@gmail.com Visit our Website: https://www.Medic-Materials.com/ See ALL our Links on our LINKTREE: https://linktr.ee/MedicMaterials Want your own custom wooden American Flag? Contact US Military Veteran Jared for more information. Instagram @Ledslinger85 DISCLAIMER: This audio is for Demonstration purposes only. The information provided in this audio is no replacement for proper EMT/Paramedic training, education, and or practice. The skills, techniques, ideas, and theories offered in this audio represent the individual participants featured in this audio and are not intended to showcase the only method of performing these skills. Please continue to consult with your local EMS system, Agency Standard Operating Procedures/Medical Director, Your Local and State Protocols, and your EMS educator for clarification and further proper EMT/Paramedic training.Intro Music: http://bit.ly/3wIaSbAOutro Music: https://rb.gy/tais0a Rig Check Music: http://bit.ly/3jlEVTrMicrophone Used: Rode Podmic Software Used In Production: Canva, Vegas 20, Rodecaster Pro

Claire Goldwitz is the Co-Founder and CEO of Square Fare, a tailored, individualized service that delivers the food you need and crave while fitting into your busy life. Designed to help professionals hit their health and fitness goals, SquareFare eliminates the guesswork and legwork by simply allowing users to reply "lunch" or "dinner" and have their food come to them. Prior to founding Square Fare, Claire has been a Senior Leader in various roles across the marketing industry.   As a young professional working in corporate roles, Claire enjoyed the hustle and drive that her work provided her with. However, keeping busy and working over eventually led Claire to neglect her nutrition and wellbeing. She soon hit a breaking point that changed the course of her health and career. Find out what Claire did with this moment today on the One Away Show.   Read the show notes on Arcbound's Podcast Page: https://arcbound.com/podcasts/    Find Arcbound here: Homepage: Arcbound.com Services/Work with Us: https://arcbound.com/work-with-us/ About: https://arcbound.com/about/ Founders Corner: https://arcbound.com/category/founders-corner/ Connect: https://arcbound.com/connect/  

Episode 102 of Ask Dr Jessica with Dr Michael Silka MD, electrophysiologist and pediatric cardiologist.  On this episode we discuss fainting! (also known as syncope).  We talk about reassuring signs of fainting (often known as vasovagal syncope) and how to distinguish it from times when losing consciousness may be more concerning (for example, how to know when it's cardiac (the heart)?  Dr. Silka is an innovator in the fields of pediatric cardiology and electrophysiology and has pioneered the development of guidelines for the use of implantable cardiac rhythm devices. He previously served in the role of chief of Cardiology and co-director of the Heart Institute from 2000 to 2014.Dr. Silka has published over 200 peer-reviewed articles and book chapters and served as lead investigator for multiple NIH-funded studies as well as multi-center collaborative research efforts.Dr. Silka has held posts in several national organizations committed to advancing the care of children, most notably as past president of the Pediatric Electrophysiology Society.   Dr Silka currently practices medicine at Children's Hospital of Los Angeles.Get matched with a therapist by using Better Help! Give it a try---invest in your mental health: https://betterhelp.com/askdrjessica for 10% off your first month of therapy. Thank you to Better Help for supporting the Ask Dr Jessica podcast.Dr Jessica Hochman is a board certified pediatrician, mom to three children, and she is very passionate about the health and well being of children. Most of her educational videos are targeted towards general pediatric topics and presented in an easy to understand manner. Do you have a future topic you'd like Dr Jessica Hochman to discuss? Email Dr Jessica Hochman askdrjessicamd@gmail.com. Dr Jessica Hochman is also on social media:Follow her on Instagram: @AskDrJessicaSubscribe to her YouTube channel! Ask Dr JessicaSubscribe to this podcast: Ask Dr JessicaSubscribe to her mailing list: www.askdrjessicamd.comThe information presented in Ask Dr Jessica is for general educational purposes only. She does not diagnose medical conditions or formulate treatment plans for specific individuals. If you have a concern about your child's health, be sure to call your child's health care provider.

Thank you for listening to this episode of "Health and Fitness" from the Nezpod Studios! Enjoy your night or the start of your day, spiced by our top-notch health and fitness/wellness updates coined from the best sources around the globe: made only for your utmost enjoyment and enlightenment… Click on subscribe to get more spicy episodes for free! See you again soon on the next episode of Health and fitness updates! Learn more about your ad choices. Visit megaphone.fm/adchoices

Jessica shares all of the highlights from her housewarming party, previews Game 5 of the NBA Finals, discusses King's Guardsmen passing out and more. start Jessica is too old to party all weekend:11 Moxy review:24 Farewell Darjo Rajakovic:30 Game 5 Finals preview:48 HOT MESS EXPRESS:48 Lang's cookies:50 Sue Bird/Sylvia Fowles jersey retirments:51 Phoenix Mercury airport situation:57 Security tackles Adam Hadwin:58 End of Stanley Cup Finals Game 51:00 Paul Pierce stay wildin'1:02 McGregor knocks out mascot1:05 Member of the King's Guard faints1:13 More on King's Guard fainting1:19 MEMPHIS MONDAY1:20 Showboats playoff chase1:22 Flava Flav is a Swifty1:24 Stephen Schoch interview1:27 Andy Reid breaks down White House food1:29 Baseball announcers are different1:31 Lil Wayne likes Jokic

Light Rounds 2: Syncope

In this episode, host Alyssa Watson, DVM, welcomes back Heidi Barnes Heller, DVM, DACVIM, to talk about her recent Clinician's Brief article, “Top 5 Ways to Differentiate Syncope & Seizures.” Dr. Barnes offers an in-depth neurologic perspective on how to differentiate a fainting episode (syncope) from a proper seizure. She reviews relevant observations and examination findings. Dr. Barnes emphasizes that what happens during and after an episode is important, but the details of what happened right before the episode are most likely more useful.Resource:https://www.cliniciansbrief.com/article/top-5-ways-differentiate-syncope-seizuresContact us:Podcast@briefmedia.comWhere to find us:Youtube.com/@clinicians_briefCliniciansbrief.com/podcastsFacebook.com/clinciansbriefTwitter: @cliniciansbriefInstagram: @clinicians.briefThe Team:Alyssa Watson, DVM - HostAlexis Ussery - Producer & Multimedia Specialist

This week we will discuss a debilitating neurological disorders of COVID-19 syndrome in survivors, the scope of SARS-CoV-2-induced dysautonomia (DNS) is yet to be understood, though the implications are enormous. Our guest today ended up with POTs (a form of dysautonomia) after receiving the first dose of the Pfizer vaccine.  Chelsea, a 21 yr old former nursing student was diagnosed after having so many symptoms she couldn't complete her studies.  Studies are just now surfacing that give credence to her claims it was the vaccine that made her ill.  Since the vaccine is very safe for the majority of individuals we would NEVER SUGGEST TO OPT OUT of the vaccine.  But knowledge is power, and researchers will find out more about this possible link thanks to stories like hers getting into the mainstream media.   Postural Orthostatic Tachycardia Syndrome or POTs is a debilitating condition  affecting the autonomic nervous system.    With neurocognitive impairments or “brain fog”; problems with body temperature regulation; gastroenterological symptoms like nausea, abdominal pain, diarrhea, or constipation; and dark red-blue discoloration of the legs being the most common symptoms. Some people with POTS also may have one or more associated conditions, including migraine, irritable bowel syndrome, and joint hypermobility syndrome.  Some people with POTs can have pre-syncope or syncope episodes where they feel like they might pass out or actually do pass out.  It's a serious condition that needs proper testing and follow up with a physician.

The most concerning type of syncope!  When a patient suddenly passes out from either an arrhythmia or a structural abnormality of the heart... this needs to be investigated and treated... next time they might not wake up from it!If you love learning from other people's mistakes, you will love this episode of when I didn't realize my patient was in V-tach and walked him back to his room!We discuss all of the reasons the heart might cause you to pass out and a little about the challenges of being an ER Triage Nurse in this final episode of the year and the last episode in a 4 part series on syncope.  So make sure you also check out episode #32, #33, and #34 to learn seizure vs syncope, reflex syncope, and orthostatic syncope. If you would like to check out the 1hr, 1 CE course, go to:www.rapidresponseandrescue.comyou can use coupon code: PODCAST22To get $22 off the cost of the course now until the end of 2022

Contributor: Meghan Hurley, MD Educational Pearls: Syncope is defined as a loss of consciousness with an immediate return to baseline Differential is broad Cardiogenic Structural (aortic stenosis, HOCUM, etc.) Electrical (long QT syndrome, Brugada, etc.) Neurogenic/neurovascular (brain bleed, etc.) Seizure Everything else Hypoglycemia, anemia, and bleeding into the abdominal cavity are some potential causes to rule out Vasovagal Diagnosis of exclusion Work Up EKG Good H&P Labs especially Hb and glucose References Morris J. Emergency department management of syncope. Emerg Med Pract. Jun 2021;23(6):1-24. Reed MJ. Approach to syncope in the emergency department. Emerg Med J. Feb 2019;36(2):108-116. doi:10.1136/emermed-2018-207767   Summarized by Mark O'Brien, MS4 | Edited by John Spartz, MD, & Erik Verzemnieks, MD In an effort to promote diversity, equity, and inclusion in Emergency Medicine, The Emergency Medical Minute is proud to present our 2nd annual Diversity and Inclusion Award. We support increasing the representation of underrepresented groups in medicine and extend this award to individuals applying to emergency medicine residencies during the 2022-2023 cycle. For information on award eligibility and the application process, visit https://emergencymedicalminute.com/edi-award/ Donate to EMM today!

If this episode makes you faint, it would just be from silliness. We may have had to look up “near-syncope,” but Lulu figured out how to spend an imaginary 10K inspired by “almost passing out”! You'll never guess where we end up, and don't worry, there's still a little luxury travel involved…! This week's magic jumping-off word was provided by Jen H. from New York! Wanna get in on the fun? Go to our website www.10kdollarday.com to submit your word for a future episode!Our new segment, 10K Roleplay, continues! Listen all the way to the end of the episode to hear us put our improv skills to the test…Don't forget to get on the list that counts — our newsletter mailing list. Sign up at www.10kdollarday.com for show notes, resources, and words from our producer, Andrea!Find us on Twitter and Instagram!Support the show: www.patreon.com/10kdollardayLove 10K? How about 10 minutes a day? Join us at our other podcast, The Daily Happy, for ten minutes of community and news, every day! Want to support us without a subscription? You can buy us a coffee! https://www.buymeacoffee.com/thedailyhappySupport the show

Episode description Reza discussed a mind-blowing case presented by Rabih   rlrCPSOLVERS.COM RLR have transitioned from Patreon to have their website rlrCPSolvers.com Check out this virtual classroom full of bonus schemas, illness scripts, teaching videos and case challenges. Rlrcpsolvers.com