ALS transport if any evidence of the following:

• History concerning for life threatening cause of syncope
• EtCO2 ≤ 31
• Hypotension or other abnormal vitals
• Family history of sudden death
• Congenital heart conditions/murmur/aortic stenosis
• History of CHF, CAD, or PE
• Pregnancy

Concerning EKG findings:

• Arrhythmias/BBB/bradycardias
• LVH
• Preexcitation
• Prolonged QT
• Brugada changes *** ADD IMAGE ****
• Signs of prior MI or ischemia
• Pregnancy