About

main in hospital

The Faint & Fall Clinic was established as a one-stop resource for patients who want to pinpoint a cause for their faint or fall as soon as possible. The only clinic of its kind, it brings together a multidisciplinary team of health care professionals who specialize in faints and falls to quickly diagnose the cause of your problem.

If you’ve had an episode of unexplained fainting or falling, you might be concerned that it could happen again at any moment. There are many possible reasons for fainting and falling, including cardiac conditions, neurological causes, metabolic disorders, and even stress. With so many potential causes, the majority of people who faint or fall end up seeing multiple doctors over an extended period of time before a diagnosis can be made. Unfortunately, even with the current evaluation process, a high percentage of faints and falls still go unexplained because it can be difficult to address all the possible causes.

Have You Experienced a Faint or Fall?

Fainting is a brief loss of consciousness, usually leading to a fall. Sometimes referred to as a dizzy spell, blacking out, or passing out, fainting is a common problem that may cause anxiety, injury, or the need for medical treatment. Fainting is also the sixth leading cause of hospitalization for people older than 65 years. Falls are common, too, especially among older adults. Sometimes a fall is actually a faint in disguise because you don’t even remember losing consciousness, particularly in the absence of witnesses.

Both faints and falls can cause significant injury, disability, or worse. Fainting causes approximately 10 percent of falls in older adults. People who have a history of falling are likely to fall again in the next year, and falls account for two-thirds of deaths from unintentional injuries. So, if you’ve experienced a faint or fall, it’s important for you to seek medical attention.

woman speaking with doctor

What To Expect From Your Visit

Seeing multiple physicians over an extended period of time can cause anxiety, unnecessary tests, and risks of injury or hospitalization while you wait for proper treatment. At the Faint & Fall Clinic, you can see the right doctor and get all of the right tests in one place. If you request an appointment online, you will be contacted within 24–48 hours in order to schedule an appointment with a doctor who is an expert in evaluating faints and falls. You can also schedule the appointment via phone. The specialists you need to see will come to you at the clinic, rather than you visiting multiple locations. These specialists include cardiologists, geriatricians, and neurologists, who will all be available to provide you with the comprehensive evaluation you deserve.

The faint and fall specialists use recommended guidelines to order only the most appropriate tests for you, resulting in fewer unnecessary procedures, a much shorter time to diagnosis, and increased peace of mind. In addition, all the tests you need will be performed within 24 hours, reducing delays in diagnosis and the number of future doctors’ visits.

Our comprehensive approach to the evaluation and treatment of faint and fall helps to reduce your risk of a faint- or fall-related injury and prevent expensive inpatient hospital stays.

 

FAQs

1. How long will I need to wait for an appointment at the Faint & Fall Clinic?
You will be seen within 24–48 hours of a referral to the clinic.

2. Why is it important to be seen by a specialist for an episode of fainting or falling?
There are many possible reasons for both fainting and falling. At our clinic, you will be seen by a faint and fall specialist who will ensure that all the possible causes of your faint or fall are addressed in as little time as possible. The specialists you need to see will come to you, and you will only undergo the most appropriate tests or procedures needed to diagnose or treat the cause of your faint or fall.

3. Does my health plan, Medicare or Medicaid cover care at the clinic?
Most health plans cover the care we provide. However, we recommend you check with your health plan administrator for details of your coverage.

Preventing Falls

The importance of fall safety

According to the CDC, about 2.8 million emergency room visits each year are related to childhood falls, while about 2.2 million adults ages 65 and over sustain injuries in falls each year. Most falls are not age-related and can often be prevented; however, age does tend to play a role in the type of fall. For instance, infants are more likely to fall from furniture, while older adults tend to fall more often due to tripping. Consider the following facts:

  • Falls are also the most common cause of injury visits to the emergency department for young children and older adults.

  • Falls are responsible for more open wounds, fractures, and brain injuries than any other cause of injury.

  • In the United States, one out of every three adults over age 65 falls each year, and falls are the leading cause of injury-related deaths among people in this age group. Because most people also lose bone density as they age, the risk of suffering broken bones from fall-induced injuries becomes an even greater concern.

Reducing the risk of falling

As a person ages, the risk of falling becomes greater. Changes in vision and balance, coupled with other medical and physical conditions contribute to the increased risk. Certain safeguards should be taken to minimize the risk of falling, including:

  • Have your vision and hearing checked regularly.

  • Know the side effects of medications that could lead to loss of balance and coordination.

  • Limit the amount of alcohol you drink.

  • Wear rubber-soled and low-heeled shoes that fit properly and support your feet. Do not wear loose-fitting slippers that could cause you to trip.

  • Be careful on wet or icy sidewalks.

  • Exercise regularly to maintain bone strength and flexibility.

Helping older adults to prevent falls

About 75 percent of all falls occur at home. Taking certain precautions and exercising to stay physically strong can prevent many falls. Precautions to take in the home include the following:

  • Remove small rugs or use double-sided tape under small rugs to prevent slipping.

  • Minimize clutter and remove things from walking areas that a person can trip over.

  • Keep the temperature in your home at a comfortable level to keep from becoming too dizzy from extreme cold or heat.

  • Keep frequently used items in reach, so you don't have to rely on a step stool.

  • Install handle bars next to toilets and bathtubs or showers.

  • Use nonslip mats in bathtubs and showers.

  • Improve the lighting in your home.

  • Remove electrical cords from the floor in walking areas.

  • Install handrails and lights on all staircases.

Helping children to prevent falls

Consider the following safety measures to reduce your child's risk of falling:

  • Furniture:

    • Babies who are left unsupervised on top of beds, changing tables, and even couches, can roll off unexpectedly.

    • Never leave babies alone on any furniture--beds, tables, sofas, cribs with the guardrails down, or changing tables--even if they have never rolled over.

    • Choose baby products that meet required safety standards.

    • Utilize all safety straps and features.

    • Look for special safety features on high chairs, cribs, and other equipment.

    • Install padding on sharp corners.

  • Windows. Young children are naturally curious and will explore an open window. Windows that are open just five inches pose a danger to children under the age of 10. Falls from windows tend to be the most severe and/or fatal. In addition, even a closed window can be dangerous if the child can get near it--falling through glass can cause serious and often fatal injuries. To prevent falls from windows:

    • Install window guards on all windows above the first floor.

    • If you must open windows for ventilation, make sure your child cannot reach the open window.

    • Set rules with your child about playing near windows.

    • Remove furniture near windows that children can climb on.

    • Do not rely on insect screens to keep children from falling out of windows.

  • Stairs. Infants and toddlers do not realize the danger of falling down stairs. In addition, older children who are running up and down the stairs can trip and injure themselves. Clutter on stairs poses an increased risk of falling and should be removed. Use safety gates to prevent infants and toddlers from falling down stairs. Do not use accordion gates with large openings, as children can get trapped.

  • Floor surfaces. Area rugs that are not secure, especially on bare floors, can cause a child to fall. Mats that are not slip-resistant and tubs without slip-resistant stickers can increase the risk of falling. Modify slippery surfaces and remove hazards on floors wherever possible. Secure area rugs with foam carpet backing, double-sided tape, or a rubber pad.

  • Playgrounds. Although playgrounds can provide children with exercise and an enjoyment of the outdoors, they also pose safety hazards. Faulty playground equipment, not using proper equipment for different sporting activities, and careless behavior leads to fatalities in children ages 14 and under each year. To prevent playground falls:

    • Adults should always supervise children during trips to the playground.

    • Make sure playground equipment is age-appropriate. Most equipment manufactured today is made for one of two age groups: children from 2 to 5 years old, and children from 5 to 12 years old. Since 1994, manufacturers are required to have a sticker placed on each piece of equipment indicating the appropriate age group it is designed for.

    • Play areas for younger children should be separate from those of older children. To reduce the risk of injury, children under the age of 5 should not play on equipment taller than four feet. Equipment for 5- to 12-year-olds should not be taller than eight feet.

    • Surfaces under playground equipment should be soft enough to absorb falls. Recommended surfaces include wood chips or mulch, sand, pea gravel, rubber, and rubber-like materials that are maintained at a depth of 12 inches. Other safe alternatives include rubber mats, synthetic turf, or other artificial materials. Concrete, grass, blacktop, and packed surfaces are considered unsafe.

    • Surface materials should cover "fall zones" surrounding equipment. This usually requires a minimum of six feet in all directions from the equipment.

    • Playground equipment should be adequately spaced apart from one another to prevent overcrowding.

    • Swings, seesaws, and other equipment with moving parts should be located in areas that are separate from the rest of the playground in order to prevent children from having to cross directly in front of or behind swings to reach them.

    • Make sure equipment has been specifically designed for playground use.

A warning about baby walkers

Baby walker-related injuries kill two children a year. More than 3,000 children a year are treated for baby-walker related injuries. Consider these statistics:

  • Baby walkers cause more injuries than any other nursery product.

  • Most children that are injured while in a baby walker are between the ages of five and 15 months.

  • The majority of baby walker-related injuries are caused by falls down stairs or tipping over.

In addition to increasing the risk of falls down stairs, baby walkers give small children access to hot substances on tables and stoves, as well as poisonous substances. Based on these alarming statistics, the American Academy of Pediatrics and the National Association for Children's Hospitals and Related Institutions have called for a ban of baby walkers. Alternatives to baby walkers that are more safe include the following:

  • Stationary "walkers," which allow the child to rotate and bounce

  • Play pens

  • High chairs

Consult with your child's health care provider for more information.

What Do You Know About Balance Disorders?

Although millions of Americans have balance disorders, they can be difficult to diagnose. That's because dizziness--a common symptom of these disorders--is such a broad term.

1. Which of these parts of the body plays a key role in balance?
2. What do the semicircular canals, located within the labyrinth, tell us?
3. What do our eyes monitor with respect to our position and balance?
4. Which is a symptom of a balance disorder?
5. Which is a cause of a balance disorder?
6. What is Meniere's disease?
7. Which of these can cause motion sickness, a kind of balance disorder?
8. Which is a treatment for balance disorders?
9. If you have a balance disorder, what can be done to minimize symptoms

Providers

Natalie A. Sanders, D.O., FACP

Dr. Sanders completed her undergraduate medical education at the College of Osteopathic Medicine of the Pacific in Pomona, CA. She subsequently graduated from the Internal Medicine Residency program from the University of Utah and was selected as a Chief Medical Resident. She practiced for three years as a Gener... Read More

Specialties:

Faint and Fall, Geriatrics

Locations:

Faint & Fall Clinic (801) 213-2033

David R. Shprecher, D.O., M.S.C.I

David Shprecher, DO directs the Sleep and Movement Disorders Division within the Department of Neurology. Each of the movement disorders clinic faculty (Drs. Shprecher, Savica, Schrock and Thulin) completed two year movement disorders fellowships. Their training and experience have been focused on evaluation a... Read More

Specialties:

Faint and Fall, Movement Disorders, Neurology, Parkinson's Disease

Locations:

Imaging and Neurosciences Center (801) 585-7575

T. Scott Wall, M.D.

Dr. Wall is an Assistant Professor of Medicine at the University of Utah. He received a Bachelor of Science in Physics from University of Texas at Austin and received his medical degree from University of Texas Southwestern. Dr. Wall completed his Internal Medicine Residency at University of North Carolina Chape... Read More

Specialties:

Cardiac Electrophysiology, Cardiology, Faint and Fall

Locations:

A location has not yet been added by this physician.

Tawni Lynn Jetter, N.P., APRN

Tawni Jetter, APRN, is a nurse practitioner at the Faint and Fall Clinic located in the University Hospital. As a nurse practitioner, her clinical interests include fainting, falling, orthostatic hypotension, passing out, autonomic dysfunction, and arrhythmias. Tawni has been able to present multiple research... Read More

Specialties:

Cardiology, Faint and Fall, Geriatrics

Locations:

University Hospital (801) 213-2033

Locations

University Campus
University Hospital
50 N Medical Drive
Salt Lake City, UT 84132
Map
(801) 581-2121