How to manage a Patient complaining of Syncope ?

You are in an Emergency Room and Have a patient complaining of Syncope what do you have to do

 1st of all you have to apply ECG 

 if ECG is normal and in young patient with Vasovagal Situation , Orthostatic and no comorbidities  

Discharge with Primary Care follow UP 

 , If Abnormal ECG or age more than 60 or History of Cardiac Disease or CHF or Exeretional syncope ,  Chest Pain or Dysponea 

 you have to apply C.T scan Doppler and lab tests