The Curbsiders Internal Medicine Podcast #442 Syncope: Live from SHM #Converge24 with Dr. Dan Dressler
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Jun 3, 2024 
Dr. Dan Dressler from Emory University shares insights on managing syncope cases. Topics covered include categorizing syncope, initial workup, risk scores, cardiac evaluation, and take-home points for safely discharging low-risk patients. The podcast delves into a framework for understanding different syncope types, strategies for high-risk cases, and the link between syncope and pulmonary embolism.
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Mentor Advice Shapes His Career
- Dr. Dressler credits a mentor: 'you can accomplish anything if you don't care who gets credit.'
- He uses this advice to collaborate without seeking limelight.
Don't Chase EEGs For Brief Jerks
- Don’t overinterpret brief jerking after syncope; myoclonic jerks are common and brief.
- Reserve EEG/imaging for prolonged post-ictal states, lateral tongue bite, or prolonged tonic-clonic activity.
Calculate Canadian Syncope Risk
- Use the Canadian Syncope Risk Score (app or online) to stratify low, moderate, and high risk.
- Apply it when you lack confidence from history/exam to guide admission and testing decisions.