Initial Diagnosis and Management of Coma

Stephen Traub, Eelco F. Wijdicks

Research output: Contribution to journalReview articlepeer-review

4 Scopus citations

Abstract

Coma 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.

Original languageEnglish (US)
Pages (from-to)777-793
Number of pages17
JournalEmergency Medicine Clinics of North America
Volume34
Issue number4
DOIs
StatePublished - Nov 1 2016

Keywords

  • Coma
  • Coma mimics
  • Pathophysiology

ASJC Scopus subject areas

  • Emergency Medicine

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