Syncope Trendelenburg Position — NDEB AFK MCQ

Correct answer: D — Supine with legs elevated (Trendelenburg position)

Vasovagal syncope is managed by placing the patient supine with legs elevated above the level of the heart (Trendelenburg position). This promotes venous return, increases cardiac output, and restores cerebral perfusion. Additionally: loosen restrictive clothing, ensure a patent airway, apply cool damp cloth to the forehead, and administer oxygen if available. Consciousness typically returns within seconds to minutes. Once recovered, the patient should sit up gradually to prevent recurrence. If recovery does not occur promptly, consider other diagnoses (cardiac arrhythmia, hypoglycaemia, seizure).

Reference: Malamed – Medical Emergencies in the Dental Office, 8th ed., 2022