Syncope

Availability

North South North West Statewide

Pre-referral work-up

History

In isolation this is rarely due to a neurological cause (only 5-15% of patients with syncope have an identifiable neurological cause).

TIA very rarely causes collapse in isolation with no other neurological symptoms or signs of posterior circulation ischemia.

History should include:

  • Pattern of syncope and associated symptoms
  • Co-morbidities
  • Cardiac history

Tests

  • ECG
  • BSL
  • UEC
  • Neurological investigations (such as EEG and carotid duplex ultrasound) are not routinely required

Interim/GP management

To refer a patient with this condition, please see the Neurology clinic page for the full referral process and templates.

Consider referral to General Medicine or Cardiology Clinic

For more information please see the Tasmanian Health Pathways website.

Emergency

Symptoms or signs suggestive of a posterior circulation TIA or stroke (cranial nerve signs, vertigo, diplopia, nausea etc.)

Urgent / category 1

Recurrent syncope with symptoms or signs suggestive of posterior fossa pathology (cranial nerve signs, vertigo, diplopia)

Red flags are clinical indicators of possible serious underlying conditions requiring further medical intervention. They may or may not indicate an emergency.

Emergency:

Proceed to Emergency Department (ED). Please contact ED Medical Officer in Charge:
LGH ED
– Phone: (03) 6777 6405  Fax: (03) 6348 7382
MCH ED
– Phone: (03) 6478 5120  Fax: (03) 6441 5923
NWRH ED
– Phone: (03) 6493 6340 Fax: (03) 6464 1926
RHH ED
– Phone: (03) 6166 6100  Fax: (03) 6173 0489

Urgent:

We will endeavour to see these patients within two weeks.

Urgent referrals should be accompanied by a phone call, as per below:

  • Contact the Neurology Registrar directly within hours via the RHH switchboard Phone: (03) 6166 8308
Semi-urgent:
Routine:

Next available appointment