Emergency Cases Northwest Group

013 Bad Posture

Situation

A man had a syncope, large postural drop at scene. But it was just a vasovagal syncope.

Background

A 55 year old man had classic symptoms a vasovagal syncope [the 3 Ps]. Paramedics recorded a 40 point drop between lying and standing blood pressure at home. In ED he was fully recovered, no concerning features in the history or exam. There was no longer any postural hypotension.

Assessment

He had a vasovagal syncope which, during the acute phase, can manifest as postural hypotension. Once recovered there was no longer any postural hypotension and he was discharged.

Recommendation

Know that postural hypotension can occur during a vasovagal episode and if recovered, there is no need to investigate for or admit to hospital.


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Emergency Cases Northwest Group