This descriptive study aims to determine current clinical practice in an emergency department when assessing @entity1 presenting with @entity1163 and then to compare this with recent guidelines from the American College of Physicians. Key points on history, examination, investigation and disposition of @entity1 from the department were measured. Of 100 @entity1 recruited, few had relevant symptoms documented. Seventy-five @entity1 had an electrocardiogram performed, in which 18 were defined as abnormal. 40% of those with a history of @entity299 were sent home. 28% of those with an abnormal electrocardiogram were discharged. 44% of those aged over 70 were discharged. A total of 45 @entity1 were admitted. An extra 17 to 26 @entity1 may have been admitted if the American guidelines had been adhered to. This study highlights deficiencies in assessment and a difference in current practice when compared with the recommendations from the American College of Physicians. Further research is required to produce guidelines on disposition applicable to emergency departments in the United Kingdom.

The management of XXXX in a British emergency department compared to recent American guidelines.

@entity1 :: ('9606', 'Species') :: ['patients'] @entity1163 :: ('MESH:D013575', 'Disease') :: ['syncope'] @entity299 :: ('MESH:D006331', 'Disease') :: ['organic heart disease']
@entity1163 :: (MESH:D013575,Disease) :: ['syncope']
