Literature DB >> 29436445

A systematic approach to the unconscious patient.

Tim Cooksley1, Sarah Rose2, Mark Holland3.   

Abstract

Unconscious patients are commonly seen by physicians. They are challenging to manage and in a time sensitive condition, a systematic, team approach is required. Early physiological stability and diagnosis are necessary to optimise outcome. This article focuses on unconscious patients where the initial cause appears to be non-traumatic and provides a practical guide for their immediate care. © Royal College of Physicians 2018. All rights reserved.

Entities:  

Keywords:  Unconscious; coma; drug toxicity; hypoglycaemia; neurological injury

Mesh:

Year:  2018        PMID: 29436445      PMCID: PMC6330912          DOI: 10.7861/clinmedicine.18-1-88

Source DB:  PubMed          Journal:  Clin Med (Lond)        ISSN: 1470-2118            Impact factor:   2.659


  17 in total

1.  Causes of coma and their evolution in the medical intensive care unit.

Authors:  Nicolas Weiss; Lucille Regard; Charles Vidal; Yosu Luque; Guillaume Taldir; Hélène Vallet; Jean-Luc Diehl; Jean-Yves Fagon; Emmanuel Guerot
Journal:  J Neurol       Date:  2012-01-10       Impact factor: 4.849

2.  Biot's breathing.

Authors:  Eelco F M Wijdicks
Journal:  J Neurol Neurosurg Psychiatry       Date:  2007-05       Impact factor: 10.154

Review 3.  Diagnosis of reversible causes of coma.

Authors:  Jonathan A Edlow; Alejandro Rabinstein; Stephen J Traub; Eelco F M Wijdicks
Journal:  Lancet       Date:  2014-04-21       Impact factor: 79.321

4.  Prognosis in patients presenting with non-traumatic coma.

Authors:  Sune Forsberg; Jonas Höjer; Ulf Ludwigs
Journal:  J Emerg Med       Date:  2010-06-09       Impact factor: 1.484

5.  Prognostic and diagnostic value of EEG signal coupling measures in coma.

Authors:  Frederic Zubler; Christa Koenig; Andreas Steimer; Stephan M Jakob; Kaspar A Schindler; Heidemarie Gast
Journal:  Clin Neurophysiol       Date:  2015-10-24       Impact factor: 3.708

Review 6.  Acids in the brain: a factor in panic?

Authors:  G Esquivel; K R Schruers; R J Maddock; A Colasanti; E J Griez
Journal:  J Psychopharmacol       Date:  2009-05-21       Impact factor: 4.153

Review 7.  The etiology and outcome of non-traumatic coma in critical care: a systematic review.

Authors:  Marlene Wb B Horsting; Mira D Franken; Jan Meulenbelt; Wilton A van Klei; Dylan W de Lange
Journal:  BMC Anesthesiol       Date:  2015-04-29       Impact factor: 2.217

8.  Crisis checklists for in-hospital emergencies: expert consensus, simulation testing and recommendations for a template determined by a multi-institutional and multi-disciplinary learning collaborative.

Authors:  Christian P Subbe; John Kellett; Paul Barach; Catriona Chaloner; Hayley Cleaver; Tim Cooksley; Erik Korsten; Eilish Croke; Elinor Davis; Ashley Jr De Bie; Lesley Durham; Chris Hancock; Jilian Hartin; Tracy Savijn; John Welch
Journal:  BMC Health Serv Res       Date:  2017-05-08       Impact factor: 2.655

Review 9.  Oral-toxicology.

Authors:  B K Charan Gowda; B Sivapatha Sundharam; Jyothi Mahadesh
Journal:  J Forensic Dent Sci       Date:  2014-01

10.  Coma of unknown origin in the emergency department: implementation of an in-house management routine.

Authors:  Mischa Braun; Wolf Ulrich Schmidt; Martin Möckel; Michael Römer; Christoph J Ploner; Tobias Lindner
Journal:  Scand J Trauma Resusc Emerg Med       Date:  2016-04-27       Impact factor: 2.953

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  7 in total

1.  Diagnosis and prediction of prognosis for Bickerstaff's brainstem encephalitis using auditory brainstem response: a case report.

Authors:  Toru Kurihara; Yutaka Igarashi; Kaori Kobai; Taiki Mizobuchi; Hiromoto Ishii; Noriko Matsumoto; Shoji Yokobori; Hiroyuki Yokota
Journal:  Acute Med Surg       Date:  2020-06-02

2.  Epidemiology, Risk Factors and Etiology of Altered Level of Consciousness Among Patients Attending the Emergency Department at a Tertiary Hospital in Mogadishu, Somalia.

Authors:  Hassan Adan Ali; Mohamed Farah Yusuf Mohamud
Journal:  Int J Gen Med       Date:  2022-05-30

Review 3.  A Review of Neuronal Pathways Associated With Consciousness.

Authors:  Malissa Mulkey; D Erik Everhart; Amy Gencarelli; Anne Sorrell; Sungham Kim
Journal:  J Neurosci Nurs       Date:  2021-02-01       Impact factor: 1.230

4.  Decreased Glasgow Coma Scale score in medical patients as an indicator for intubation in the Emergency Department: Why are we doing it?

Authors:  Sabrina Correa da Costa Ribeiro
Journal:  Clinics (Sao Paulo)       Date:  2021-03-08       Impact factor: 2.365

5.  A retrospective cohort study on association of age and physician decision making for or against rapid sequence intubation in unconscious patients.

Authors:  Michael Eichlseder; Michael Eichinger; Barbara Hallmann; Gabriel Honnef; Philipp Metnitz; Gerhard Prause; Philipp Zoidl; Paul Zajic
Journal:  Sci Rep       Date:  2022-02-28       Impact factor: 4.379

6.  Prolonged coma due to amitriptyline overdose and genetic polymorphism: a case report.

Authors:  Tijs van de Wint; Aurelia H M de Vries Schultink; Arend Jan Meinders; Ankie Harmsze; Peter Bruins
Journal:  J Med Case Rep       Date:  2022-03-16

Review 7.  Diagnostic Modalities in Critical Care: Point-of-Care Approach.

Authors:  Sasa Rajsic; Robert Breitkopf; Mirjam Bachler; Benedikt Treml
Journal:  Diagnostics (Basel)       Date:  2021-11-25
  7 in total

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