Читать книгу Emergency Medical Services - Группа авторов - Страница 377

For most cases of true syncope in the prehospital environment, needed immediate treatment is minimal. Unless witnessed by EMS personnel, the event is typically resolving, if not already resolved, by the time of their arrival. Patients should receive cardiac monitoring to evaluate for dysrhythmia. The value of IV access is debatable. However, it is certainly advised if there is a suspicion for a cardiac dysrhythmia, which may recur and require IV medication. In cases when syncope was precipitated by orthostatic changes, particularly due to hypovolemia or dehydration, initiating an isotonic IV fluid bolus may be helpful. Glucose testing is indicated. Although myocardial ischemia is an infrequent cause of syncope, its significance conveys importance to obtaining a prehospital 12‐lead ECG if the capability exists.