Syncope/Dizziness/Vertigo BLS PCS Standard

What potential problems should a paramedic prepare for when treating a syncope/dizziness/vertigo patient?

• cardiac dysrhythmias

• hypotension

• seizures

• decreased level of consciousness

What potential life/limb/function threats should be considered when treating a patient experiencing syncope/dizziness/vertigo?

• hypoglycemia

• cardiac dysrhythmias

• CVA/TIA

• hypovolemia

• toxicological effects

• heat-related illness

• anemia

• renal failure

• sepsis

What is the difference between dizziness and vertigo?

• dizziness: general feeling of being off-balance

• vertigo: specific sensation that feels as though you/your surroundings are moving or spinning and can sometimes include feelings of dizziness

True or false: vertigo is often linked to problems with the inner ear or central nervous system

true

True or false: dizziness and vertigo are different terms for the same thing

false

How should a patient experiencing syncope/dizziness/vertigo be positioned?

recovery position

Which medication classes can cause syncope?

• antihypertensives

  • beta-blockers

  • ACE inhibitors

  • ARBs

  • calcium channel blockers

• diuretics

• vasodilators and nitrates

• alpha-blockers

• antiarrhythmics

• opiod analgesics

• tricyclic antidepressants

• anticonvulsants

• antibiotics