Periodicidad semestral: flujo continuo.
ISSN - Electrónico: 2661-6947 / DOI: 10.36015 • LILACS BIREME (19784); LATINDEX (20666)
Syncope in pediatric emergencies constitutes a diagnostic and therapeutic challenge, due to potential benign and potentially serious etiologies, requiring a systematic and multidisciplinary approach to ensure early detection and appropriate management. The objective of this study was to determine the diagnostic and therapeutic management of syncope in pediatric emergencies based on scientific evidence. A systematic narrative review of the literature on syncope in pediatric emergencies was conducted from 2019 to 2025, in accordance with the PRISMA declaration guidelines. The literature search was conducted in the following databases: PubMed, Cochrane Library, EMBASE, and Scielo. Outcomes of interest included the unification of definitions, etiology, diagnostic and therapeutic criteria, and complementary tests for the management of syncope in pediatric emergency departments. The following studies were included (9 systematic reviews, 3 meta-analyses, 1 controlled clinical trial, 3 clinical practice guidelines, 2 protocols, 13 narrative reviews, and 10 scientific articles). Diagnostic and therapeutic criteria for the management of syncope in pediatric emergencies were consolidated. In conclusion, the management of syncope in pediatric emergencies requires a systematic diagnostic approach focused on a detailed clinical history and a thorough physical examination, taking into consideration warning signs and associated comorbidities. It is essential to prioritize adequate hydration and increased salt intake, in addition to providing health education to the patient and their family.
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