Disorders of Consciousness: Practical Management in an Emergency Room

Lowering of the level of consciousness is a very common presentation at the emergency room, often without any history that helps finding an etiology. This emergency requires quick empirical measures to reduce neuronal mortality, with additional protection against sequelae. According to the Advanced...

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Main Author: Daniel Damiani
Format: Article
Language:English
Published: Thieme Revinter Publicações Ltda. 2016-11-01
Series:Brazilian Neurosurgery
Subjects:
Online Access:http://www.thieme-connect.de/DOI/DOI?10.1055/s-0036-1594251
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spelling doaj-c9e17ffd47db4472a86caf356848fd412021-04-02T15:54:22ZengThieme Revinter Publicações Ltda.Brazilian Neurosurgery0103-53552359-59222016-11-01380426327110.1055/s-0036-1594251Disorders of Consciousness: Practical Management in an Emergency RoomDaniel Damiani0Department of Neuroscience, Universidade Anhembi Morumbi, São Paulo, SP, BrazilLowering of the level of consciousness is a very common presentation at the emergency room, often without any history that helps finding an etiology. This emergency requires quick empirical measures to reduce neuronal mortality, with additional protection against sequelae. According to the Advanced Cardiac Life Support (ACLS) guidelines, there are current emergency neurological support protocols, such as the Emergency Neurological Life Support (ENLS) created by the Neurocritical Care Society. The present paper shows how to approach unconscious patients, highlighting possible etiologies and proposed treatments.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0036-1594251comacoma in emergency roomreversible causes of comaascending reticular activating systemconsciousness and comabrainstem
collection DOAJ
language English
format Article
sources DOAJ
author Daniel Damiani
spellingShingle Daniel Damiani
Disorders of Consciousness: Practical Management in an Emergency Room
Brazilian Neurosurgery
coma
coma in emergency room
reversible causes of coma
ascending reticular activating system
consciousness and coma
brainstem
author_facet Daniel Damiani
author_sort Daniel Damiani
title Disorders of Consciousness: Practical Management in an Emergency Room
title_short Disorders of Consciousness: Practical Management in an Emergency Room
title_full Disorders of Consciousness: Practical Management in an Emergency Room
title_fullStr Disorders of Consciousness: Practical Management in an Emergency Room
title_full_unstemmed Disorders of Consciousness: Practical Management in an Emergency Room
title_sort disorders of consciousness: practical management in an emergency room
publisher Thieme Revinter Publicações Ltda.
series Brazilian Neurosurgery
issn 0103-5355
2359-5922
publishDate 2016-11-01
description Lowering of the level of consciousness is a very common presentation at the emergency room, often without any history that helps finding an etiology. This emergency requires quick empirical measures to reduce neuronal mortality, with additional protection against sequelae. According to the Advanced Cardiac Life Support (ACLS) guidelines, there are current emergency neurological support protocols, such as the Emergency Neurological Life Support (ENLS) created by the Neurocritical Care Society. The present paper shows how to approach unconscious patients, highlighting possible etiologies and proposed treatments.
topic coma
coma in emergency room
reversible causes of coma
ascending reticular activating system
consciousness and coma
brainstem
url http://www.thieme-connect.de/DOI/DOI?10.1055/s-0036-1594251
work_keys_str_mv AT danieldamiani disordersofconsciousnesspracticalmanagementinanemergencyroom
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