Syncope management in the UK and Republic of Ireland

C. J. Stockley, M. E. Bonney, A. J. Gray, M. J. Reed

Research output: Contribution to journalArticlepeer-review

Abstract

Aims: To establish the current practice of emergency department (ED) management of syncope in the UK and Republic of Ireland. Methods: A survey of "major" or "intermediate" size ED in the UK and Republic of Ireland conducted by postal and telephone questionnaire. Results: 177 (70%) ED responded. 32 (18%) ED have syncope guidelines, which are based on a range of existing guidelines. 97 ED (55%) have an observation ward or clinical decision unit and 48 (49%) of these admit syncope patients to these units. 32 ED (18%) have access to a specialist syncope outpatient clinic. This is most likely to be run by general practitioner specialists (43%) or general physicians (24%). 81% of ED felt that improved research-based guidelines would be useful when managing syncope patients. Conclusion: The ED management of syncope patients in the UK and Republic of Ireland is varied. Only 18% of ED have specific guidelines for managing this difficult condition and only 18% have access to a specialist syncope clinic. A robust consensus UK syncope guideline is clearly required.

Original languageEnglish
Pages (from-to)331-333
Number of pages3
JournalEmergency Medicine Journal
Volume26
Issue number5
DOIs
Publication statusPublished - May 2009

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