EAC TLoC

Question 1

define:

T-LoC

Answer 1

Is a spontaneous loss of consciousness with complete recovery

Question 2

3 main causes of t-LoC

Answer 2

Neurological

Psychological

Cardiovascular

Question 3

Essential history taking for T-LoC

Answer 3

Before Event:
circumstances
posture
prodromal symptoms - sweating, feeling warm

During Event:
appearance - eyes open or shut
colour
movement - limb jerking and duration
tongue biting
injury
duration of T-LoC

During Recovery:
time to recover
confusion
weakness down one side

Question 4

T-LoC Red Flags

Answer 4

Family history of sudden death in people aged younger then 40 and or inherited cardiac condition

> 65yrs experiencing T-LoC without prodromal symptoms

New or unexplained breathlessness

Heart failure

T-LoC during exertion

A heart murmur

Question 5

management of:

T-LoC

Answer 5

Convey pt to ED unless a clear diagnosis of uncomplicated faint or situational syncope is made and there is nothing in the initial assessment to raise clinical or social concern.

Don’t forget ECG

Keep re-assessing

Give copies of ECG and PRF to receiving clinician when care is transferred, and to the person who had T-LoC