Syncope: to admit or not to admit

Syncope is one element of the broader issue of ‘transient loss of consciousness’, but is nevertheless a very common clinical problem. Emergency department physicians and general practitioners are often the first physicians to evaluate the patient. After ensuring that any serious injury is treated, the most important task is to decide whether to admit patients to hospital. Physicians usually take the ‘safe’ approach and, as a result, admit both high- and intermediaterisk patients to hospital.