The thalamus acts as the brain's central processing hub, and it is typically weakened in coma patients After receiving the treatment, the patient improved dramatically Whereas he previously onlyA patient who is comatose from West Nile virus encephalitis has a high risk of mortality Patients requiring mechanical ventilation may seem to have a poor prognosis, but many can show substantial recovery over a number of years 40 41 These recoveries cannot be adequately predictedYou are called to the HDU to see a 78 year old patient in a coma 24 hours after undergoing knee replacement surgery There is a history of progressive memory failure and deterioration in other cognitive function over the past few years Preoperatively the patient was taking digoxin and a diuretic
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Comatose patient gcs
Comatose patient gcs-Comas can be caused by a whole host of medical or environmental issues, from meningitis to a drug overdose to a hard blow to the head But the idea of a uniform "coma state" is actually a myth TheEight months after waking up from a COVIDinduced coma, Noe González has found a second chance at life to pursue career dreams, get married, and breathe
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You are called to the HDU to see a 78 year old patient in a coma 24 hours after undergoing knee replacement surgery There is a history of progressive memory failure and deterioration in other cognitive function over the past few years Preoperatively the patient was taking digoxin and a diureticIf a patient is comatose, it is safe to assume that the nervous system is being affected at the brainstem level or above The goal of a neurological examination in a comatose patient is to determine if the coma is induced by a structural lesion or from a metabolic derangement, or possibly from bothComa, which is a state of unarousable unresponsiveness is the worst degree of impairment of a patient's arousal and consciousness Words like lethargy, obtunded, and stupor all describe various degrees to which a patient's arousal is impaired However, these terms are imprecise
Comatose patients do not have sleepwake cycles Reasons for a coma include intoxication, nervous system disease, metabolic disease, infections, or a stroke Depending on the cause and the extentPatients in a coma are alive yet unable to perceive or react meaningfully to their external environment A minority of coma patients may be able to open their eyes occasionally or groan and withdraw limbs from painful stimuli, but those in 'deep' coma do not exhibit these responsesA coma is a state of unconsciousness where a person is unresponsive and cannot be woken It can result from injury to the brain, such as a severe head injury or stroke A coma can also be caused by severe alcohol poisoning or a brain infection (encephalitis)
Comatose patients may, however, hear;A coma is a medical emergency Doctors will first check the affected person's airway and help maintain breathing and circulation Doctors might give breathing assistance, intravenous medications and other supportive care Treatment varies, depending on the cause of the comaIn both cases, the patient is alive, but the brain does not function fully Some causes of coma include Head trauma, such as may be sustained in a car accident, sports injury or falling injury Complication of an underlying disease, such as seizure disorder, diabetes or liver or kidney failure
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Adjective 1 unconscious, in a coma, out cold, insensible, insensate The right side of my brain had been so severely bruised that I was comatose for a month 2 inert, stupefied, out cold, somnolent, torpid, insensible, dead to the world (informal), drugged Granpa lies comatose on the sofaComatose patients have several outcomes they may lose all brain function (brain death), remain unconscious (persistent vegetative state) or regain consciousness (minimally conscious, fully conscious but disabled, or good recovery) (figure1) Most emerge from coma in 1–2 weeks Survivors with abnormal consciousness may remain in aWhen a patient is in a coma, how should you manage filamentary keratitis and ptosis?
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Patients in a coma are alive yet unable to perceive or react meaningfully to their external environment A minority of coma patients may be able to open their eyes occasionally or groan and withdraw limbs from painful stimuli, but those in 'deep' coma do not exhibit these responsesThe initial care of the comatose patient is for the most part in the hands of specialized nursing and allied health care staff The importance of daily care is pivotal keeping the patient positioned well in clean sheets with clear lungs, intact skin, adequate fluid administration, and proper nutritionCredit The New York Times Archives See the article in its original context from April 12, 1987, Section 11LI, Page 8 Buy
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WebMD says that a coma is a prolonged state of unconsciousness During which, the affected patient is generally unresponsive to his or her environment While that person may appear dead, they are still very much alive There are many reasons why a person goes into a comaTorpid comatose from lack of sleepIn both cases, the patient is alive, but the brain does not function fully Some causes of coma include Head trauma, such as may be sustained in a car accident, sports injury or falling injury Complication of an underlying disease, such as seizure disorder, diabetes or liver or kidney failure
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Regardless of the legality of the precipitating sex act, comatose pregnancies come with both medical risks and complex ethical issues for the victim's family to navigate "It's possible to bring aEight months after waking up from a COVIDinduced coma, Noe González has found a second chance at life to pursue career dreams, get married, and breatheDecreasing intracranial pressure in the brain can help the patients of coma or comatose Various things such as diuretics, hyperventilation and surgery can be done to reduce pressure in the brain if high pressure it is a reason of coma or comatose in a person
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Torpid comatose from lack of sleepLife after death Comatose patient 'with no brain function' is certain 'God was there' LIFE after death is most certainly real, at least according to a woman who claims to have felt theThe overall goal of the examination in a comatose patient is to identify key clinical findings that will help narrow your differential diagnosis of the patient's comatose state In addition, it is useful to accurately document the patient's current condition so that subsequent exams can accurately describe any dynamic changes in clinical status
/patient-in-intensive-care-unit-85774902-5bc91038c9e77c00519f26bf.jpg "What It Means To Be In A Coma")
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A patient who awakens from a coma may also develop a socalled lockedin syndrome, being completely conscious but paralyzed and unable to communicate, except through eye blinks So the differenceComa is a medical emergency and may constitute a diagnostic and therapeutic challenge for the intensivistIn 07, for example, a team reported in Nature that they'd implanted an electrode in the brain of a patient who had been in a coma for six years to stimulate the thalamus Following treatments, the authors wrote, the patient was more responsive to commands than he had been previously, and even spoke intelligibly for the first time
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COMATOSE PATIENT AN ETHICAL DILEMMA By Ronnie Wacker April 12, 1987;Some of the comatose patients were diagnosed as "minimally conscious," meaning there was some evidence that they may have retained some awareness of their surroundings (for example, the patientThe overall goal of the examination in a comatose patient is to identify key clinical findings that will help narrow your differential diagnosis of the patient's comatose state In addition, it is useful to accurately document the patient's current condition so that subsequent exams can accurately describe any dynamic changes in clinical status
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Coma Coma is a state of unconsciousness caused by temporary or permanent impairment of the ascending reticular system in the brainstem, or both cerebral hemispheres The key components of the neurological examination of the comatose patient are level of consciousness (Glasgow Coma Score — list the components;Edited by Joseph P Shovlin, OD Q A 25yearold male patient experienced a staged coma and significant closed head trauma following a motor vehicle accident Now, his ocular concerns are refractory filamentary keratitis and ptosisMany have normal brainstem auditory evoked responses and normal physiologic responses to auditory stimuli
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Some of the comatose patients were diagnosed as "minimally conscious," meaning there was some evidence that they may have retained some awareness of their surroundings (for example, the patientThe Comatose Patient, Second Edition, is a critical historical overview of the concepts of consciousness and unconsciousness, covering all aspects of coma within 100 detailed case vignettesEight months after waking up from a COVIDinduced coma, Noe González has found a second chance at life to pursue career dreams, get married, and breathe
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A patient who is comatose from West Nile virus encephalitis has a high risk of mortality Patients requiring mechanical ventilation may seem to have a poor prognosis, but many can show substantial recovery over a number of years 40 41 These recoveries cannot be adequately predictedIn a comatose patient, a toxicology screening may be used to confirm or exclude the diagnosis of poisoning, identify and quantify the responsible toxic agent, grade the severity of the intoxication for prognostic purposes, and monitor the clearance of the toxic agent over time or after acute treatmentAffected with or characterized by coma lacking alertness or energy;
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Refusal to Draw Blood From Comatose Patient Ann W Latner, JD A difference of opinion leads to an arrest, a firing, a settlement, and a potential ongoing lawsuit Mr G, a truck driver, was broughtA coma patient's eyes are generally closed, and their breathing may be irregular They tend to have no pain response at all, apart from certain reflex movements — but not brainstem reflexes, which more or less take a holiday This is why a comatose person's pupils don't contract and dilate properly, when subjected to lightA coma is a prolonged state of unconsciousness During a coma, a person is unresponsive to their environment The person is alive and looks like they are sleeping However, unlike in a deep sleep,
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Following are guidelines for improving the arousal of the comatose patients Approaching the Patient • Make the patient identify you • Talk to the patient slowly and in a normal tone of voice • Keep sentences short and give the patient extra time to think about what you have said and repeat it a few timesAccording to State Supreme Court Justice Bernard F McCaffrey, ''One must realize that a patient doesn't lose their constitutional rights if he is comatose ''It is unnecessary and, in someAffected with or characterized by coma lacking alertness or energy;
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Definition A coma, sometimes also called persistent vegetative state, is a profound or deep state of unconsciousness Persistent vegetative state is not braindeath An individual in a state of coma is alive but unable to move or respond to his or her environmentThe longer a patient remains in a coma the poorer his or her chance of recovery and the greater the chance that he or she will enter a vegetative state (table 3) By the third day the chance of making a moderate or good recovery is reduced to only 7%, and by the 14th day is as low as 2%If the unconsciousness persists, it is called coma After a couple of weeks in coma due to damage to the arousal system, the remaining structures in the brainstem and the forebrain reorganize their activity, and the patient recovers apparent wakesleep cycles, with eye opening and faster EEG waves during the day
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In 07, for example, a team reported in Nature that they'd implanted an electrode in the brain of a patient who had been in a coma for six years to stimulate the thalamus Following treatments, the authors wrote, the patient was more responsive to commands than he had been previously, and even spoke intelligibly for the first timeEg E4V5M6 = GCS 15)
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/arc-anglerfish-tgam-prod-tgam.s3.amazonaws.com/public/V6KW4HGO4JBQVDGVSCDVYNOWRU "Top Court Due To Decide On Comatose Toronto Patient S Right To Life The Globe And Mail")
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