EVALUATION AND MANAGEMENT OF UNCONSCIOUS PATIENT BY DR. GABRIEL AIGBOKHAE

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 EVALUATION AND MANAGEMENT OF UNCONSCIOUS PATIENT BY DR. GABRIEL AIGBOKHAE

Outline

Introduction

Definition of unconsciousness

Components of unconsciousness

Causes of coma

Pathogenesis of coma

Approach to the unconscious patient

Prognosis

Differential diagnosis of coma     

Brain death    

References

Introduction

Consciousness is the state of being aware and responsive to one’s surroundings.

The Reticular Activating System (RAS) of the brainstem and thalamus and its broad connections to the cerebral hemisphere maintains wakefulness

Unconsciousness arise by distortions (functional or metabolic) of the neurons the RAS

Unconsciousness is a state in which a patient is totally unaware of both self and external surroundings and unable to respond meaningfully to external stimuli.

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