Fainting occurs when there's a sudden loss of consciousness, typically followed by a swift return to normal wakefulness. Medically termed syncope, it happens due to a temporary drop in blood pressure, leading to inadequate blood supply to the brain. Most individuals regain consciousness within a minute or two after fainting. Causes range from dehydration to abruptly standing after prolonged sitting to severe heart conditions. But what actions should one take when witnessing or experiencing a fainting episode?
Steps to Take
Assisting Someone Who's Fainted

Guide them to the ground. If you notice someone beginning to faint, attempt to support them and gently ease them to the floor. Fainters are usually unable to protect themselves from impact when collapsing. While fainting incidents typically don't result in serious harm, preventing impact with the ground is crucial for their safety. However, exercise caution and assess the situation for your own safety—avoid attempting this if the person fainting is much larger, which could pose a risk to you.

Position the individual on their back. Gently tap or shake them to assess consciousness. Typically, consciousness returns swiftly after fainting, usually within 20 seconds to 2 minutes.
- As individuals faint, they naturally fall, aligning the head with the heart, facilitating improved blood flow to the brain. Hence, recovery can be as abrupt as the fainting episode itself.
- If consciousness returns, inquire about any preceding symptoms or underlying conditions that might have triggered the fainting spell. Symptoms such as headaches, seizures, numbness or tingling, chest discomfort, or breathing difficulties warrant immediate concern. In such instances, contact emergency services (EMS) without delay.

Assist the individual in resting upon regaining consciousness. Loosen any restrictive clothing (such as ties or collars) to enhance comfort.
- Allow the individual to recline on a flat surface and rest for approximately 15-20 minutes, permitting sufficient time for blood circulation to normalize.
- Ensure adequate breathing space and provide ventilation with fresh air. In public settings, where fainting draws attention, request bystanders to create space unless they are actively assisting.
- Offer water and/or food once the individual is conscious and stable; replenishing fluids and nutrients aids in recovery. Dehydration and low blood sugar levels are common triggers for fainting.
- Advise against rapid movement. Encourage the individual to remain lying down for a few minutes to allow complete restoration of blood flow to the brain. Premature attempts to stand post-fainting might precipitate a recurrence of fainting. Individuals often underestimate the severity by attempting to resume normal activities promptly after regaining consciousness.
- If the individual sustains a head injury, exhibits additional symptoms (such as breathing difficulties, chest pain, severe headaches, etc.), or has preexisting medical conditions (e.g., pregnancy, heart ailments), prompt medical evaluation is essential.

Verify pulse if consciousness is not promptly regained. Summon emergency medical assistance (EMS) immediately, or delegate the task to another person. Simultaneously, explore the vicinity for an Automatic External Defibrillator (AED). Assess the pulse at the individual's neck, where it is most palpable. Place your index and third fingers on the side of the neck, adjacent to the windpipe, to detect the pulse.
- Evaluate the pulse on one side of the neck at a time to avoid compromising blood supply to the brain.
- If a pulse is discernible, elevate the individual's legs several feet above ground level to facilitate blood return to the brain.

- Kneel beside the individual.
- Position the heel of one hand at the center of the individual's chest.
- Place the other hand atop the first hand.
- Maintain straight elbows throughout.
- Utilize your upper body weight to administer compressions directly over the individual's chest.
- Apply sufficient force to compress the chest by at least 2 inches.
- Administer chest compressions at a rate of approximately 100 compressions per minute.
- Continue chest compressions until the arrival of EMS personnel, who will assume control of the situation.

Maintain composure and reassure the individual. Remaining calm and providing reassurance can significantly impact the situation's outcome.
Managing Your Own Fainting Spells

Be vigilant in recognizing the warning signs of an impending fainting episode. Understanding these signs is crucial for individuals prone to fainting. Maintaining a symptom log can be helpful in anticipating fainting episodes, enabling proactive safety measures to prevent serious injuries. Warning signs include:
- Feelings of nausea, dizziness, or lightheadedness
- Visual disturbances such as seeing white or black spots, or experiencing blurry or tunnel vision
- Sudden onset of heat or excessive sweating
- Gastrointestinal discomfort

Identify a suitable resting place if you sense an impending fainting episode. Elevate your legs to enhance blood flow to the brain.
- If lying down isn't feasible, sit and position your head between your knees.
- Rest for approximately 10-15 minutes.

Practice deep breathing techniques. Inhale deeply through your nose and exhale through your mouth. This can induce a calming effect.

Seek assistance promptly. Alerting others to your condition is advisable as it ensures timely aid. A companion can assist in preventing falls, placing you in a safe position, and contacting medical assistance if required.

Take precautions to ensure safety during a fainting episode. Recognizing an impending faint and removing oneself from potential hazards is paramount. Additionally, minimizing the impact of the faint is crucial.
- For instance, try positioning your body to avoid sharp objects upon falling.

Implement preventive measures to mitigate future fainting episodes. In certain instances, taking proactive steps and avoiding triggers can prevent fainting spells. Key preventive measures include:
- Maintaining hydration and regular meals: Ensure adequate fluid intake, especially in warm weather. Consistent, nutritious meals can alleviate dizziness and weakness associated with hunger.
- Avoiding stressful situations: Stressful or anxiety-inducing circumstances can trigger fainting in some individuals. Therefore, strive to maintain a calm demeanor by minimizing exposure to such scenarios.
- Avoiding substances like drugs, alcohol, and cigarettes: These substances contain toxins that may induce fainting in susceptible individuals.
- Minimizing sudden positional changes: Rapid movements, such as standing abruptly after prolonged sitting or lying down, can trigger fainting. Practice standing up gradually and utilize stable support for balance, if available.

Seek medical advice for persistent fainting episodes. Regular or recurring fainting spells warrant consultation with a healthcare professional. Fainting could indicate an underlying medical condition, such as cardiac issues or orthostatic hypotension.
- If fainting recurs frequently or if specific conditions are present (e.g., pregnancy, diabetes, heart conditions), prompt medical evaluation is imperative. Symptoms like chest pain, confusion, or shortness of breath should also prompt medical attention.
- Your doctor will conduct a comprehensive evaluation, including a review of your medical history. Further diagnostic tests, such as an electrocardiogram (EKG) and blood work, may be recommended.
Important Notes
- Fainting can be prevalent during pregnancy due to hormonal shifts. In later stages, the expanding uterus can compress blood vessels, hindering blood flow to the heart and leading to faintness.
- Fainting is more prevalent among women and individuals over 75 years of age.
Useful Pointers
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Determine the underlying cause of the fainting spell. Is it stress-related or perhaps prolonged standing?