Management in the ED for patients who have presented with syncope is naturally limited by the fact that, by definition, they have made a full recovery from their index event. Intervention in the ED is essentially geared towards achieving robust risk stratification (as described previously) and confidently discharging patients at low risk with no follow-up (ie. normal examination, no risk factors), whilst identifying those who require either admission for urgent investigation or further outpatient investigation.

Clear guidance should also be provided for patients about their driving status and obligation to inform the DVLA dependent on their suspected underlying pathology and/or diagnosis.

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