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.
Statistics from Altmetric.com
Competing interests: None.
Funding: MR is receiving funding from a chief scientist office research fellowship (CSO/CAF/06/01).
▸ The appendix is published online only at http://emj.bmj.com/content/vol26/issue5
If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.