Red flags & when to go in person for Fainting (Syncope) - Triage

Audience: pediatric

Fainting, also called syncope, is a sudden, brief loss of consciousness usually caused by a temporary drop in blood flow to the brain. In children, fainting can be frightening but often is not serious. However, some fainting episodes may signal a more serious health problem. Telemedicine can help assess many cases by reviewing symptoms and medical history. It is important to know when to seek urgent in-person care. Red flags include fainting with injury, ongoing confusion, chest pain, or fainting during exercise. If your child has repeated fainting episodes or other concerning signs, a healthcare provider should evaluate them in person. Telemedicine visits can guide you on next steps and help decide if emergency care is needed. Always prioritize safety and seek immediate care if your child has severe symptoms or does not wake up quickly after fainting.

Red flags — go in person / ER

• Fainting during physical activity or exercise — seek emergency care immediately.
• Prolonged unconsciousness or confusion after fainting — go to the nearest emergency department.
• Fainting accompanied by chest pain, palpitations, or difficulty breathing — urgent in-person evaluation needed.

What telemedicine can do

• Initial assessment of fainting episodes without red flags.
• Reviewing medical history and symptoms related to fainting.
• Providing guidance on monitoring and safety at home.
• Determining if further in-person evaluation is needed.

What telemedicine cannot do

• Emergency situations with severe symptoms or prolonged unconsciousness.
• Fainting with suspected injury requiring physical examination.
• Diagnosing or managing complex cardiac or neurological conditions in person.
• Performing physical exams or diagnostic tests such as ECG or blood tests.

What is Fainting (Syncope)?

Fainting is a brief loss of consciousness caused by a temporary drop in blood flow to the brain. It usually lasts a few seconds to a minute. Children may faint due to dehydration, standing up too quickly, or emotional distress. Most fainting episodes are not dangerous but should be evaluated to rule out serious causes.

Common Causes in Children

Common reasons for fainting include low blood sugar, dehydration, overheating, or standing for a long time. Sometimes fainting happens after pain or fear. Less commonly, fainting may be due to heart problems or neurological issues, which require prompt medical attention.

When to Use Telemedicine for Fainting

Telemedicine can help assess your child's symptoms, medical history, and risk factors. It is useful for mild or first-time fainting without worrying signs. A healthcare provider can guide you on monitoring and care at home or advise if an in-person visit or emergency care is needed.

Red Flags That Need In-Person Care

Seek immediate in-person care if your child:

Preparing for a Telemedicine Visit

Before your telemedicine visit, have ready:

After the Telemedicine Visit

Follow the healthcare provider's advice carefully. They may recommend:

How to prepare for your tele-visit

• Note the exact time and circumstances of the fainting episode.
• Observe and record any symptoms before, during, and after fainting.
• Prepare a list of current medications and medical history.
• Ensure a quiet, well-lit area for the telemedicine visit.
• Have a responsible adult present to assist during the visit if possible.

After your tele-visit

• Follow the healthcare provider's instructions carefully.
• Monitor your child for any new or worsening symptoms.
• Schedule recommended follow-up visits or tests.
• Keep a record of any future fainting episodes or related symptoms.
• Seek emergency care immediately if red flags develop.

FAQs

What causes fainting in children?

Fainting in children is often caused by a temporary drop in blood flow to the brain due to dehydration, standing up too quickly, or emotional stress. Sometimes, it can be related to heart or neurological problems, which need medical evaluation.

When should I take my child to the emergency room after fainting?

Go to the emergency room if your child faints during exercise, has chest pain, does not wake up quickly, is confused after fainting, or if the fainting caused an injury. These are signs that urgent care is needed.

Can telemedicine help if my child faints?

Yes, telemedicine can help assess your child's symptoms and medical history to decide if urgent in-person care is needed or if safe monitoring at home is appropriate.

How can I prevent my child from fainting?

Encourage your child to stay hydrated, avoid standing for long periods, and manage stress. If fainting episodes continue, consult a healthcare provider for evaluation.

Is fainting always serious?

Most fainting episodes in children are not serious and resolve quickly. However, some fainting may indicate underlying health issues, so it is important to seek medical advice to be sure.

Sources

1. Syncope in Children and Adolescents — American Academy of Pediatrics.
2. Fainting (Syncope) — MedlinePlus, U.S. National Library of Medicine.
3. Syncope (Fainting) — Mayo Clinic.
4. Syncope: Evaluation and Management — National Library of Medicine.

This telemedicine guidance is for educational and triage purposes only and is not a substitute for in-person medical care. If your child experiences severe symptoms or red flags, seek immediate medical attention.