Transient loss of consciousness ('blackouts') in over 16s

Quality statements

Statement 1 People who have had a suspected transient loss of consciousness have an initial assessment to record details of the event, clinical history and physical examination.

Statement 2 People who have had a transient loss of consciousness have a 12-lead electrocardiogram (ECG) during the initial assessment.

Statement 3 People who have had a transient loss of consciousness and 1 or more 'red flag' signs or symptoms identified have an urgent specialist cardiovascular assessment within 24 hours of the initial assessment.

Statement 4 People who have had a transient loss of consciousness are not routinely offered an electroencephalogram (EEG) to investigate the event.

Statement 5 People who have had a transient loss of consciousness are advised not to drive while they are awaiting specialist assessment.

Statement 6 People with a suspected cardiac arrhythmic cause of syncope are offered an ambulatory electrocardiogram (ECG) as a first-line specialist cardiovascular investigation.