Episode 25: Pediatric Syncope and Adult Syncope

Emergency Medicine Cases

Dr. Anton Helman

Education, Health & Fitness, Courses, Medicine, Science

4.7 • 602 Ratings

🗓️ 17 July 2012

⏱️ 130 minutes

🔗️ Recording | iTunes | RSS

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Summary

In this episode on Pediatric Syncope & Adult Syncope, Dr. Eric Letovksy & Dr. Anna Jarvis run through the key clinical pearls of the history, the physical, interpretation of the ECG and the value of clinical decision rules such as the ROSE rule and the San Francisco Syncope Rule in working up these patients. We discuss how to differentiate syncope from seizure, cardiac causes of syncope such as Arrhthmogenic Right Ventricular Cardiomyopthy & Prolonged QT Syndrome, and the indications for Holter monitoring, Echocardiograms and stress testing in patients with Syncope. Dr. Letvosky & Dr. Jarvis answer such questions as: How can we diagnose Hypertrophic Cardiomyopathy in the ED? What is the value of Troponin and BNP in the work-up of syncope? In what ways are patients with Down Syndrome at high risk for serious causes of syncope? In what ways are patients with alcohol dependence at risk for serious causes of syncope? Why is 'Benign' early repolarization not a benign condition in patients with syncope? Which children with syncope should be admitted? and many more....

Transcript

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0:00.0	Welcome to Emergency Medicine Cases.com. I'm your host, Dr. Anton Hellman, bringing you Canada's
0:06.6	brightest minds in emergency medicine from EMC Studios in Toronto.
0:15.1	In this episode number 25 on pediatric and adult syncope, we have with us Dr. Eric Latofsky and Dr. Anna Jarvis.
0:24.1	Dr. Latovsky is an emergency physician at the Credit Valley Hospital in Mississauga, Ontario, where he is the chief of the emergency department.
0:30.8	He's the director of the Division of Emergency Medicine and the Department of Family Medicine at the University of Toronto, where he's a full professor in the Faculty of Medicine. Dr. Anna Jarvis was an emergency physician at the hospital for sick
0:42.0	children in Toronto from 1997 to 2010. She's a full professor at the University of Toronto and
0:47.8	the Associate Dean of the Office of Health Professions Student Affairs. She also created,
0:53.8	implemented, and supervised the Department of Pediatrics
0:56.3	Clinical Fellowship Program in Pediatric Emergency Medicine for 13 years.
1:01.5	Before we get into the episode, I have a very important announcement about CME credits,
1:07.0	or in Canada, the main pro credits.
1:09.7	If you're a CCFP or a CCFPM, that's the vast majority of docs in Canada who practice emergency medicine, starting in January 2013, all main pro participants will be required to report a minimum of 25 credits per year during their five-year main pro cycle.
1:28.9	Now, this is the important part.
1:30.4	The annual minimum may be comprised of any combination of main pro M1, main pro M2, or main pro C credits.
1:40.5	So whereas before you had to claim a certain amount of each, now you can do any combination of the above as long as you have 25 credits per year.
1:50.5	So what does that mean in terms of emergency medicine cases?
1:53.7	Well, we have about 25 hours per year of emergency medicine cases podcasts.
1:59.0	So if you listen to your Emergency Medicine Cases podcast,
2:03.3	you can claim your entire requirement of the year
2:07.0	by just listening to Emergency Medicine Cases
2:09.5	and claiming those credits as M1 credits.
2:12.8	Now, if you're American and a member of the AAPP,
	...

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