MICA · General Practice & Urgent Care
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FICTIONAL CASE · SELF-REFLECTION WITHOUT A SCORE
A 46-year-old man briefly loses consciousness while running. He recovers quickly and wants to leave. He reports no preceding nausea; a brother died suddenly at a young age.
Does rapid recovery justify simple reassurance?
No. Exertion and family history are red flags even when examination appears normal. Document the episode, obtain an ECG and organise urgent cardiovascular assessment. Fatigue alone would be an inadequate explanation. Discuss activities that could make recurrence dangerous with the team assessing him.