{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T06:58:49Z","timestamp":1777877929603,"version":"3.51.4"},"reference-count":10,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2018,3,14]],"date-time":"2018-03-14T00:00:00Z","timestamp":1520985600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["NASN School Nurse"],"published-print":{"date-parts":[[2018,7]]},"abstract":"<jats:p>Students presenting with syncope and\/or seizure occur occasionally in the school setting. Several studies have shown that seizures as well as respiratory distress are the most common medical emergencies that prompt school nurses and staff to contact emergency medical services (EMS) to transport students to the closest emergency department (Knight 1999, Olympia 2005). It is important to develop a differential diagnosis for syncope, to initiate stabilization of the student with life-threatening symptoms, and to triage these students to an appropriate level of care (back to the classroom, home with their guardian with follow-up at their primary health care provider\u2019s office, or directly to the closest emergency department via EMS). This article describes the initial assessment and management of two students presenting after syncopal events.<\/jats:p>","DOI":"10.1177\/1942602x18762091","type":"journal-article","created":{"date-parts":[[2018,3,14]],"date-time":"2018-03-14T14:13:52Z","timestamp":1521036832000},"page":"222-227","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":4,"title":["School Nurses on the Front Lines of Medicine: The Approach to a Student After a Syncopal Event: Don\u2019t \u201cPASS OUT\u201d"],"prefix":"10.1177","volume":"33","author":[{"given":"Gretchen","family":"Hackett","sequence":"first","affiliation":[{"name":"General Pediatrics Resident Physician, Penn State Hershey Children\u2019s Hospital, Hershey, PA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jodi","family":"Brady","sequence":"additional","affiliation":[{"name":"Attending Physician, Division of Adolescent Medicine, Department of Pediatrics, Penn State Hershey Children\u2019s Hospital, Hershey, PA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Robert P.","family":"Olympia","sequence":"additional","affiliation":[{"name":"Professor, Departments of Emergency Medicine and Pediatrics, Penn State College of Medicine, Attending Pediatric Emergency Medicine Physician, Penn State Hershey Medical Center, Hershey, PA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2018,3,14]]},"reference":[{"key":"bibr1-1942602X18762091","doi-asserted-by":"publisher","DOI":"10.15585\/mmwr.mm6443a2"},{"issue":"3","key":"bibr2-1942602X18762091","first-page":"692","volume":"26","author":"Kanjwal K.","year":"2015","journal-title":"Adolescent Medicine: State of the Art Reviews"},{"key":"bibr3-1942602X18762091","doi-asserted-by":"publisher","DOI":"10.1542\/peds.103.6.e81"},{"key":"bibr4-1942602X18762091","doi-asserted-by":"publisher","DOI":"10.1177\/1942602X17740142"},{"key":"bibr5-1942602X18762091","doi-asserted-by":"publisher","DOI":"10.1016\/j.jemermed.2017.05.001"},{"key":"bibr6-1942602X18762091","doi-asserted-by":"publisher","DOI":"10.1177\/1942602X16665219"},{"key":"bibr7-1942602X18762091","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2005-1474"},{"key":"bibr8-1942602X18762091","doi-asserted-by":"publisher","DOI":"10.1177\/1942602X17706380"},{"key":"bibr9-1942602X18762091","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2012-2610"},{"key":"bibr10-1942602X18762091","doi-asserted-by":"publisher","DOI":"10.1017\/S1047951116002559"}],"container-title":["NASN School Nurse"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1942602X18762091","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1942602X18762091","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T23:06:30Z","timestamp":1777590390000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/1942602X18762091"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,3,14]]},"references-count":10,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2018,7]]}},"alternative-id":["10.1177\/1942602X18762091"],"URL":"https:\/\/doi.org\/10.1177\/1942602x18762091","relation":{},"ISSN":["1942-602X","1942-6038"],"issn-type":[{"value":"1942-602X","type":"print"},{"value":"1942-6038","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,3,14]]}}}