Clinical trial Recruiting at 1 site Interventional Ages 6 to 18

Assessing counterpressure maneuvers for preventing fainting in children

Official title: Determining the Effectiveness of Counterpressure Maneuvers in Pediatric Patients Presenting With Syncope to the Emergency Department

Run by Simon Fraser University · NCT05555771 · Data updated 2026-11-12

This study is testing if teaching children techniques to prevent fainting can help them avoid losing consciousness when they visit the emergency room.

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Quick facts

Study typeInterventional
Ages6 Years to 18 Years
SexAll
Enrollment300 (estimated)
SponsorSimon Fraser University
Academic / other
Locations1 site (Vancouver, British Columbia)
StatusRecruiting
StartedSeptember 3, 2022
Main results expectedSeptember 30, 2027
Study endsSeptember 30, 2027
Registry record updatedApril 23, 2026
Trial IDNCT05555771 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates are pediatric patients aged 6-18 who have experienced a transient loss of consciousness within the past week.

Probably not a fit

Patients with known cardiac arrhythmias, traumatic head injuries, or other specified exclusions may not benefit from this study.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This study evaluates the effectiveness of counterpressure maneuvers (CPM) in preventing syncope among pediatric patients who present to the emergency department with transient loss of consciousness. Participants aged 6-18 will first complete a survey about their syncopal episodes and then be randomly assigned to either receive usual care or training in CPM techniques alongside usual care. The study will follow participants for one year, collecting monthly surveys on their syncopal and presyncopal occurrences, while also reviewing medical records for any changes in diagnosis. The goal is to better understand pediatric syncope and improve management strategies.

Why it matters

Potential benefit: If successful, this study could provide effective techniques for preventing fainting episodes in children, improving their quality of life and safety.

How similar studies have gone: While research on pediatric syncope is limited, studies in adults have shown that counterpressure maneuvers can be effective, suggesting potential for success in this pediatric population.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

1. Those between the ages of 6-18 years (inclusive)
2. Presenting to the ED daily 1000-2200 with resolved transient loss of consciousness that has occurred within the last week
3. Able to complete the survey in English
4. Willing and able to provide consent and assent

Exclusion Criteria:

1. Those with a known history of any of the following:

   * Suspected or confirmed cardiac arrhythmia diagnosis (e.g., Wolff-Parkinson-White, long QT)
   * Traumatic head injury
   * New presentation of seizure disorder
   * Epilepsy recurrence
   * Overdose, intoxication
   * Structural heart disease
2. Patients with hypoglycaemia and who are psychogenic with vasovagal syncope who do not present with prodromal symptoms
3. Previously enrolled in this study

Where it's running

  • BC Children's Hospital
    Vancouver, British Columbia, Canada
    Recruiting

Study contacts

  • Principal investigator: Shubhayan Sanatani, MD — University of British Columbia
  • Study coordinator: Erin L Williams, BSc
  • Email: erin_williams_2@sfu.ca
  • Phone: 6048976372

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

  • Improving blood pressure control in children who faint

    This study is testing if certain movements can help children aged 6-18 who faint feel better by improving their blood pressure and heart function compared to regular advice.

    Recruiting Simon Fraser University · Burnaby, British Columbia · NCT05633693

  • Focal Cryoablation vs. Radiofrequency Cardioneuroablation for Bradyarrhythmias

    This study tests whether focal cryoablation can treat vagally driven slow heart rhythms as well as traditional radiofrequency ablation in adults with bradycardia or related syncope.

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    This study will try a minimally invasive catheter procedure to open narrowed supracardiac veins and see if that improves dizziness, fainting, or low blood pressure in adults with orthostatic hypotension or orthostatic intolerance that hasn't improved with standard treatments.

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  • How age, sex, and a handgrip affect heart–vessel communication during low blood pressure

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  • New method for treating reflex syncope using cardioneuroablation

    This study is testing a new heart treatment called cardioneuroablation to see which of three methods works best for finding the right spots in the heart to help people with severe fainting spells.

    Recruiting Centre of Postgraduate Medical Education · Warsaw, Masovian Voivodeship · NCT06472102

  • Treatment for reflex syncope using cardioneuroablation

    This study is testing if a new procedure called cardioneuroablation can help people with severe reflex syncope by improving their heart function and reducing fainting episodes.

    Recruiting Centre of Postgraduate Medical Education · Warsaw · NCT06458140

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.