1. Collapse (non-epileptic) Stephen Foulks

2. 10 minute consultation History 1.Why did they collapse 2.Any injuries/deficit Examination – Vitals Pulse, BP (lying/standing), temp – Cardio Chest/HS, pulses – Neuro FAST, CNs, PNS – Other focused exam RS, GU, GI, etc…

3. Demographic PMH Situation

4. Essential elements in hx LOC or not? Any symptoms before or after? What were you doing? Any injuries sustained? Any cardiac red flags? Other or similar episodes? Drug history? Family history? ICE?

5. Additional tips TIA/Stroke DON’T* cause LOC Tongue biting practically pathognomonic of seizure Vitals are VITAL LOC without warning more likely to be cardiac Twitching and loss of continence often occur in vasovagal syncope Gomers go to ground

6. Stuck? Vascular Infective Neoplastic Traumatic Autoimmune Metabolic Environmental Degenerative Inflammatory Congenital 1.Cardiac 2.Neuro 3.Environmental 4.Something else

7. HOCM NEAD Sepsis CVAVestibular neuronitis Arthritis Febrile convulsions Vasovagal Simple fall Hypoglycaemia Sick sinus syndrome Orthostatic hypotension MS Recreational drugs Panic attack Epilepsy TIA Alcohol Myocardial infarction Tension pneumothorax Metabolic disturbance Cardiac tamponade VTE Hypovolaemia Hypothermia Prescription drugs AAA HONK/HHS Addisonian crisis DKA