Syncope is common. It accounts for approximately 1% of all emergency department visits and 2% of all hospital admissions from the emergency department. Causes include dysrhythmias, pulmonary embolism, subarachnoid haemorrhage, and acute coronary syndrome - to name but a few. So what if anything can we do to ensure that it is diagnosed and managed correctly? To answer this and other important questions, please do have a listen to this podcast interview with Professor Shamai Grossman, Associate Professor of Medicine and Emergency Medicine at Harvard Medical School. Competing interests: none