On Demand: Enhancing Care Continuity From the ED: Post-Discharge Monitoring and Care Delivery Insights-Webinar Recording

Video Transcription

Video Summary

This webinar explored how emergency departments can improve care continuity for patients discharged with unexplained syncope or palpitations by using ambulatory cardiac monitoring. Moderator Nicole Dulles introduced a MedAxiom white paper, supported by Philips, outlining best practices for building ED-to-home monitoring pathways, including order sets, staff education, EHR integration, closed-loop communication, and timely cardiology follow-up.<br /><br />Dr. Andrew Moore explained that traditional hospital admissions for syncope often have low diagnostic yield and are costly. He described using the Canadian Syncope Risk Score to identify appropriate patients—especially those over 60—and sending medium- and high-risk patients home with wearable cardiac monitors, sometimes after brief observation. He emphasized that these devices can capture serious arrhythmias quickly, often within hours of discharge, helping prevent patients from being lost to follow-up and accelerating diagnosis and treatment.<br /><br />He also shared implementation lessons: successful programs require multidisciplinary champions, standardized protocols, and flexible workflows for urgent findings, whether managed by emergency medicine, cardiology, or a transfer center. Overall, the discussion highlighted that remote monitoring can improve patient-centered care, support equitable access, and reduce unnecessary admissions while keeping patients safely connected to care.

Keywords

ambulatory cardiac monitoring

emergency department

syncope

palpitations

care continuity

Canadian Syncope Risk Score

wearable cardiac monitors

cardiology follow-up