ED management of pediatric syncope: searching for a rationale

A relatively high number of our subjects were admitted (10%), most often because of questions raised by the ECG. Although an ECG is widely recommended for pediatric syncope presenting to the ED, this suggests that ECG interpretation by a pediatric cardiologist would be helpful before the decision to admit is made. In addition, 58% of our subjects had a head CT in the ED; all CT results were negative. This high percentage of head CTs for pediatric syncope has not been previously reported.