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ames might ask why is unexplained syncope aeromedically docHub syncope could be as benign as a simple fainting spell due to dehydration or standing at attention for a prolonged period alternatively if there is a disturbance of consciousness without satisfactory medical explanation the underlying condition must be diagnosed in order to avoid an in-flight occurrence so how should an ame handle a pilot with unexplained syncope the medical history of the event is the most important factor the ame should try to obtain a witness statement ambulance and er reports consultation reports and a current medication list the pilot must have a full neurological examination based on the history the ame may also request an mri or cat scan of the brain a carotid ultrasound and a cardiovascular evaluation with an echocardiogram ecg and a 24-hour holder monitor once test results are obtained the ame should defer to the faa if no explanation is found the faa could ground the pilot for observation for
