Syncope workup: Greater yield in select trauma population
International Journal of Surgery Aug 29, 2017
Harfouche M, et al. – There appeared a great variation in practice regarding the assessment of trauma patients who present with syncope. Authors here aimed at assessing the yield of screening studies (electrocardiogram, echocardiogram, and carotid duplex) and defining characteristics to identify groups that may benefit from these investigations. As per observations, in the general trauma population, the screening studies used in a syncope evaluation had low yield. They suggest not performing carotid duplex routinely. They recommended tailoring cardiac evaluation to individuals with cardiac comorbidities, older age and elevated Injury Severity Scale (ISS). An ECG should be used as initial screening in this patient cohort.
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