1.A teenager faints a minute after you give a vaccine. What do you do?
Why they ask
Syncope after injections happens in every clinic that vaccinates. They want calm, ordered steps and the difference between a faint and anaphylaxis, because you may be the one deciding which it is.
How to answer
- Get the patient safely down, protect the head, and call for help from the MA or provider
- Check airway, breathing and pulse, and look for hives, wheezing or swelling that would point to anaphylaxis instead
- If it's anaphylaxis, follow the clinic's protocol for epinephrine and call emergency services; if it's a faint, keep them lying down and watch them recover
- Document the event and report it through the clinic's process, including the vaccine adverse event report when your clinic's policy calls for it

