Emergency neurological life support: Approach to the patient with coma

J. Stephen Huff; Robert D. Stevens; Scott D. Weingart; Wade S. Smith

doi:10.1007/s12028-012-9755-4

Emergency neurological life support: Approach to the patient with coma

J. Stephen Huff, Robert D. Stevens, Scott D. Weingart, Wade S. Smith

School of Medicine

Research output: Contribution to journal › Review article

Abstract

Coma is an acute failure of neuronal systems governing arousal and awareness and represents a neurological emergency. When encountering a comatose patient, the clinician must have an organized approach to detect easily remedial causes, prevent ongoing neurologic injury, and determine a hierarchy of diagnostic tests, treatments, and neuromonitoring. Coma was chosen as an Emergency Neurological Life Support (ENLS) protocol because timely medical and surgical interventions can be life-saving, and the initial work-up of such patients is critical to establishing a correct diagnosis.

Original language	English (US)
Pages (from-to)	S54-S59
Journal	Neurocritical care
Volume	17
Issue number	SUPPL. 1
DOIs	https://doi.org/10.1007/s12028-012-9755-4
State	Published - Sep 1 2012

Keywords

Coma
Herniation
Hypertonic saline
Mannitol
Osmolar therapy

ASJC Scopus subject areas

Clinical Neurology
Critical Care and Intensive Care Medicine

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title = "Emergency neurological life support: Approach to the patient with coma",

abstract = "Coma is an acute failure of neuronal systems governing arousal and awareness and represents a neurological emergency. When encountering a comatose patient, the clinician must have an organized approach to detect easily remedial causes, prevent ongoing neurologic injury, and determine a hierarchy of diagnostic tests, treatments, and neuromonitoring. Coma was chosen as an Emergency Neurological Life Support (ENLS) protocol because timely medical and surgical interventions can be life-saving, and the initial work-up of such patients is critical to establishing a correct diagnosis.",

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N2 - Coma is an acute failure of neuronal systems governing arousal and awareness and represents a neurological emergency. When encountering a comatose patient, the clinician must have an organized approach to detect easily remedial causes, prevent ongoing neurologic injury, and determine a hierarchy of diagnostic tests, treatments, and neuromonitoring. Coma was chosen as an Emergency Neurological Life Support (ENLS) protocol because timely medical and surgical interventions can be life-saving, and the initial work-up of such patients is critical to establishing a correct diagnosis.

AB - Coma is an acute failure of neuronal systems governing arousal and awareness and represents a neurological emergency. When encountering a comatose patient, the clinician must have an organized approach to detect easily remedial causes, prevent ongoing neurologic injury, and determine a hierarchy of diagnostic tests, treatments, and neuromonitoring. Coma was chosen as an Emergency Neurological Life Support (ENLS) protocol because timely medical and surgical interventions can be life-saving, and the initial work-up of such patients is critical to establishing a correct diagnosis.

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KW - Herniation

KW - Hypertonic saline

KW - Mannitol

KW - Osmolar therapy

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