What would you do with a patient who presented with this scenario: A 14 y/o girl fainted in the shower after quickly rising from her bed. She had also been picking at a pimple on her face and it was bleeding. She was only "out" for a few seconds, her mother was with her, and she did not sustain any traumatic injury. She recovered quickly and was fine the rest of the day. Her P.E./cardiac/neuro exams were all normal. She had had one other fainting spell some number of years earlier - that one was also accompanied by a minor injury and seeing blood. According to the mother, "A lot of family members faint when they see blood." No FH of seizures or early unexplained deaths. Would you pass it off as a minor vaso-vagal response and do nothing? Get an EKG? Get an EEG and/or neurology consult? Anything else? Thanks for any responses. Michael Sachs, M.D. General Pediatrician