Assessment of the patient with an episode of Transient Loss of Consciousness involves a careful history of the event.
It is important to clarify with the patient if a 'blackout' meant loss of vision or loss of consciousness and whether there was loss of postural tone.
Syncopal episodes invariably result in loss of postural tone - collapse to the ground or slumping in a chair
Near syncope can result in 'blacking out' of vision without complete loss of consciousness and is usully associated with a feeling of light-headedness.
Circumstances leading up to and following the event can be helpful to determine the cause of the event and potential precipitants.
An approach to the history which seeks to determine if the episode of loss of consciousness was syncopal (associated with reduced cerebral blood flow) or non-syncopal (normal or essentially normal cerebral blood flow) can allow appropriate targeting of initial investigations.
More Information on Cause of Transient Loss of Consciousness: