• Emerg. Med. Clin. North Am. · Nov 2016

    Review

    Initial Diagnosis and Management of Coma.

    • Stephen J Traub and Eelco F Wijdicks.
    • Department of Emergency Medicine, Mayo Clinic Arizona, 1-738, 5777 East Mayo Boulevard, Phoenix, AZ 85054, USA. Electronic address: traub.stephen@mayo.edu.
    • Emerg. Med. Clin. North Am. 2016 Nov 1; 34 (4): 777-793.

    AbstractComa represents a true medical emergency. Drug intoxications are a leading cause of coma; however, other metabolic disturbances and traumatic brain injury are also common causes. The general emergency department approach begins with stabilization of airway, breathing, and circulation, followed by a thorough physical examination to generate a limited differential diagnosis that is then refined by focused testing. Definitive treatment is ultimately disease-specific. This article presents an overview of the pathophysiology, causes, examination, and treatment of coma.Copyright © 2016 Elsevier Inc. All rights reserved.

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