Syncope is a common presenting symptom in the emergency department (ED), [1,2] the management of which poses inherent challenges, starting from recognition. Crucial information is collected during the triage and history taking process [3]. However, the absence of witnesses or the patient's unreliable recollection of the episode frequently complicates the differentiation of syncope from alternative etiologies of transient loss of consciousness. Although benign conditions account for most syncope episodes, their misidentification carries the risk of precipitating catastrophic outcomes [1].