The evaluation and treatment of patients with a syncopal event is often haphazard and un-stratified. The result is a costly and inappropriate use of diagnostic tests and a high rate of misdiagnosis.

F2 Solutions' Algorithms for Faint and Fall Patients

F2 Solutions was borne out of the need to provide those in the healthcare continuum (patients, doctors, hospitals and payers) with a better framework for the diagnosis, treatment and management of patients who had a Fainting or Falling spell.


Several studies have shown that up to 50% of hospital admissions from patients presenting to the emergency department with Faint, were unwarranted, resulting in unnecessary added costs, and inconvenience to patients. This is an important public health concern due to the amount of hospitalizations, deterioration, premature nursing home admissions, and great expenditure to healthcare and social services.

F2 Solutions' algorithms provide a guideline-based approach to enable the healthcare provider to better assess the short-term risk and need for admissions in these patients, resulting in a reduction in the number of inappropriate admissions.


In the approach to patients with Faint or Fall, there is often under-utilization of inexpensive tests such as orthostatic testing and carotid sinus massage, and over-utilization of more expensive tests including cardiac and neurologic imaging studies.

F2 Solutions provides healthcare providers and payers with an informational reference for their assessment of whether the tests ordered in the management of patients with Faint or Fall are cost-effective and in adherence with the most recent published guidelines.


In non-standardized clinical practice settings, the rate of unexplained Faint ranges between 42%-54%, which is far greater than the 17%-24% rates reported following the adoption of specialized Syncope facilities, and the 2%-5% rates reported following the adoption of structured algorithms. Similar studies have shown inconsistencies in the approach to patients with Fall, resulting in low diagnostic yield and a high recurrence rate. These findings highlight the importance of adopting standardized diagnostic protocols and algorithms in the approach to patients with Faint and Fall.

F2 Solutions' algorithms provide the healthcare provider with a guidelines-based comprehensive framework for patients with Faint and Fall. By utilizing a guideline-based framework, an increase in the yield to diagnosis as well as lower rates for inappropriate admissions and discharges can be achieved. The central theme of F2 Solutions, is better patient care at lower cost.