• Neurocritical care · Sep 2012

    Review

    Emergency neurological life support: approach to the patient with coma.

    • J Stephen Huff, Robert D Stevens, Scott D Weingart, and Wade S Smith.
    • Department of Emergency Medicine, University of Virginia School of Medicine, Charlottesville, VA, USA. jshuff505@me.com
    • Neurocrit Care. 2012 Sep 1;17 Suppl 1:S54-9.

    AbstractComa 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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