Joanna Shaw, Alex Ulrich, Rachael T Fothergill, Mark Whitbread
Journal of Paramedic Practice, Vol. 8, Iss. 1, 11 Jan 2016, pp 10 - 17

Introduction: Transient loss of consciousness (T-LOC) is thought to be
underestimated and under-managed in the pre-hospital setting. This clinical
audit aims to assess the compliance of ambulance clinicians against the
National Institute of Clinical Excellence guidance on the management of
patients with T-LOC.
Method: Ninety-four patients' clinical records and electrocardiograms (ECGs)
were reviewed to determine appropriateness of assessment and patient
management.
Results: In this limited sample, findings show standard assessments and history
documented for all patients were equally well recorded for T-LOC patients,
but those specific to T-LOC were not. The number of ECGs conducted and
interpreted correctly was an additional area of concern.
Conclusions: Further assessments and history specific to T-LOC are required in
the pre-hospital setting to ensure any potentially serious causes are recognised
and these patients are taken to hospital.

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