Coma and brain death: Difference between revisions
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===Causes=== | ===Causes=== | ||
Nice differential for coma: '''AEIOUTIPS''' | Nice differential for coma: '''AEIOUTIPS''' | ||
*'''A'''lcohol | |||
'''A'''lcohol | *'''E'''pilepsy | ||
'''E'''pilepsy | *'''I'''nfection | ||
'''I'''nfection | *'''O'''verdose | ||
'''O'''verdose | *'''U'''raemia | ||
'''U'''raemia | *'''T'''rauma | ||
'''T'''rauma | *'''I'''nsulin | ||
'''I'''nsulin | *'''P'''oison | ||
'''P'''oison | *'''S'''troke | ||
'''S'''troke | |||
===Brain Death=== | ===Brain Death=== |
Latest revision as of 14:48, 5 June 2010
The difference between coma and brain death is that patients can recover from coma. They can't recover from brain death. Kind of like the difference between having a cold, and being Welsh.
Medical Emergency - New Onset Coma is an immediate reason to worry, start crying, and perhaps call a real doctor!
Diagnosis
A coma is a deep state of unconciousness. Unlike sleep, they cannot wake up, respond to pain or perform voluntary actions. The most widely recognised way of diagnosing a coma is through the Glasgow Coma Scale:
Motor
- Makes no movements.
- Extension on pain
- Abnormal flexion on pain.
- Withdrawal/flexion on pain.
- Localises painful stimuli.
- Moves on command.
Verbal
- Makes no sounds.
- Makes noises.
- Makes words, but no sense.
- Confused conversation.
- Normal conversation.
Eyes
- Does not open eyes.
- Opens eyes to pain.
- Opens eyes to voice.
- Opens eyes spontaneously.
Score Your score is out of 15.
- >13. Sorry, you only have a mild problem. Maybe try some trauma?
- 9-12. You have a moderate coma. With a little work, you may still make it!
- <9. Well done! You have a severe coma.
Causes
Nice differential for coma: AEIOUTIPS
- Alcohol
- Epilepsy
- Infection
- Overdose
- Uraemia
- Trauma
- Insulin
- Poison
- Stroke