fbpx

Coma & LOC | Neurological Emergencies

Coma and Altered LOC
Causes of coma AIEOU, TIPS
Acidosis, Alcohol
Epilepsy, endocrine
Infection
Overdose
Uremia
Trauma
Insulin
Psychosis
Shock, stroke

Assessment:
When was the patient last well? What was the onset?
How did the symptoms progress? Pinpoint when things started to change.
What symptoms preceded the onset of coma?
Clues to drug use
Abnormal breathing
Evidence of trauma
Abnormal pupil response
Always check blood sugar

Management:
Establish and maintain the airway
Hi-flow O2
If spinal injury is likely, then immobilize
Monitor vital signs
Transport supine or in coma position
Prepare for vomit
Start IV line for normal saline or LR
Monitor cardiac rhythm
Reassure the patient, even the unresponsive ones.

Tags: , , , ,

Leave A Reply (No comments so far)

No comments yet