Syncope management in the UK and Republic of Ireland.
OBJECTIVE
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.


CONCLUSIONS
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.
Stockley
C J
CJ
University of Edinburgh, College of Medicine and Veterinary Medicine, Edinburgh, UK.
Bonney
M E
ME
Gray
A J
AJ
Reed
M J
MJ
D004636:Emergency Service, Hospital / Q000458:organization & administration*; D019538:Health Care Surveys; D006302:Health Services Research / Q000379:methods; D006801:Humans; D007494:Ireland; D017410:Practice Guidelines as Topic; D013575:Syncope / Q000628:therapy*; D006113:United Kingdom