Nurse Curriculum
Level 2Symptom Triage

Dizziness / Syncope Triage

Spot high-risk fainting over the phone — the features that mean cardiac until proven otherwise.

Intermediate~13 min

Learning Objectives

  • 1.Differentiate lightheadedness from true syncope.
  • 2.Recognize high-risk syncope features.
  • 3.Route dizziness/syncope calls by urgency.

Purpose

Most fainting is benign (vasovagal), but exertional or warning-less syncope can signal a dangerous heart problem. The history is everything.

What to ask

  • Did they actually pass out, or just feel lightheaded?
  • What were they doing — exertion, standing up, emotional/painful trigger?
  • Any warning (nausea, sweating, tunnel vision) or none at all?
  • Chest pain or palpitations before it?
  • Injury from falling? History of heart disease or family sudden death?

High-risk features — escalate

  • Syncope during exertion or exercise.
  • Syncope with NO warning (sudden, "lights out").
  • Syncope preceded by chest pain or palpitations.
  • Injury from the episode, or recurrent episodes.
  • Known heart disease or family history of sudden death.

Escalate

Exertional or warning-less syncope, or syncope with chest pain/palpitations, is cardiac until proven otherwise — urgent/emergent escalation and provider notification.

Lower-risk pattern

  • Classic vasovagal: clear trigger (pain, standing, heat, emotion), warning symptoms, quick full recovery — still route per protocol.

What to send the provider

  • True LOC vs. lightheaded, activity at onset, presence/absence of warning, associated chest pain/palpitations, injury, history, urgency read.

Patient education script

  • "Because you passed out during exercise with no warning, you need to be seen urgently — don’t drive yourself."

Spanish phrase

Did you faint while exercising, or with no warning at all?

¿Se desmayó mientras hacía ejercicio, o sin ningún aviso?

seh des-mah-YOH mee-EN-tras ah-SEE-ah eh-her-SEE-syoh, oh seen neen-GOON ah-VEE-soh

Mini case

A 55-year-old passed out suddenly while jogging, no warning, brief, then felt normal.

Is this low or high risk?

Show answer

High risk — exertional, warning-less syncope is concerning for a dangerous cardiac cause (arrhythmia or structural). Escalate urgently, advise no driving, and notify the provider; do not treat as benign vasovagal.

Checklist

  • Clarified true syncope vs. lightheadedness.
  • Asked about exertion, warning, and associated symptoms.
  • Escalated high-risk features; advised against driving.

Knowledge Check Quiz

Disclaimer: This content is for educational purposes only. It is not medical advice, does not replace clinical judgment, and is not a substitute for institutional protocols or certified medical interpreters. No patient health information (PHI) should be entered into this application.