General Approach to All Patients

Syncope

Basic Life Support

  • Supplemental oxygen

Advanced Life Support

  • Full ALS Assessment and Treatment
  • For hypotension (systolic BP < 90 mmHg) not improved by fluid boluses, or when fluid boluses are contraindicated
    • Dopamine infusion at 5-20 mcg/kg/min titrated to maintain systolic BP > 90 mm Hg
  • Check blood glucose level
    • If < 70 mg/dL, treat per Altered Mental Status/Hypoglycemia Protocol
  • If ECG rhythm is bradycardia, heart block, or dysrhythmia, see specific protocol
  • If Altered Mental Status persists, or if Acute Stroke suspected refer to appropriate protocol