title: Syncope In Pediatric Patients: A Practical Approach To Differential Diagnosis And Management In The Emergency Department.
abstract: Syncope is a condition that is often seen in the emergency department. Most syncope is benign, but it can be a symptom of a life-threatening condition. While syncope often requires an extensive workup in adults, in the pediatric population, critical questioning and simple, noninvasive testing is usually sufficient to exclude significant or life-threatening causes. For low-risk patients, resource-intensive workups are rarely diagnostic, and add significant cost to medical care. This issue will highlight critical diseases that cause syncope, identify high-risk "red flags," and enable the emergency clinician to develop a cost-effective, minimally invasive algorithm for the diagnosis and treatment of pediatric syncope.
authors.affiliation: Department of Emergency Medicine, Ann and Robert H. Lurie Children's Hospital of Chicago, Chicago, IL.
authors.forename: Collen
authors.initials: C
authors.lastname: Fant
authors.affiliation: Chief of Pediatric Emergency Medicine Services, Massachusetts General Hospital; Instructor in Pediatrics, Harvard Medical School, Boston, MA.
authors.forename: Arl
authors.initials: A
authors.lastname: Cohen
mesh_terms: D000293:Adolescent; D000465:Algorithms; D001145:Arrhythmias, Cardiac / Q000150:complications / Q000175:diagnosis; D001921:Brain / Q000000981:diagnostic imaging; D062485:Breath Holding; D002312:Cardiomyopathy, Hypertrophic / Q000150:complications / Q000175:diagnosis; D002648:Child; D002675:Child, Preschool; D003937:Diagnosis, Differential; D004562:Electrocardiography; D004569:Electroencephalography; D004636:Emergency Service, Hospital; D005260:Female; D006801:Humans; D007003:Hypoglycemia / Q000150:complications / Q000175:diagnosis; D000070316:Pediatric Emergency Medicine; D054972:Postural Orthostatic Tachycardia Syndrome / Q000150:complications / Q000175:diagnosis; D011247:Pregnancy; D011271:Pregnancy, Ectopic / Q000175:diagnosis; D012640:Seizures / Q000150:complications / Q000175:diagnosis; D013575:Syncope / Q000175:diagnosis* / Q000209:etiology; D019462:Syncope, Vasovagal / Q000150:complications / Q000175:diagnosis; D018667:Tilt-Table Test; D014057:Tomography, X-Ray Computed