Natural Course of Acute Coma - Flowchart
Natural Course of Acute Coma - Flowchart Coma and Other Disorders of Consciousness Coma and Other Disorders of Consciousness
«Flowchart»

Airway, breathing, circulation

Airway, breathing, circulation

Airway, breathing, circulation

End

End

End

Glasgow Coma Scale (GCS)

Glasgow Coma Scale (GCS)

Glasgow Coma Scale (GCS)

Rapid neurologic examination:


Assess level of consciousness
Pupillary size and response to light
Eye movement abnormalities
Response to noxious stimuli
Abnormal plantar response

Rapid neurologic examination:


Assess level of consciousness
Pupillary size and response to light
Eye movement abnormalities
Response to noxious stimuli
Abnormal plantar response

Rapid neurologic examination:


Assess level of consciousness
Pupillary size and response to light
Eye movement abnormalities
Response to noxious stimuli
Abnormal plantar response


Assess level of consciousness
Pupillary size and response to light
Eye movement abnormalities
Response to noxious stimuli
Abnormal plantar response

CT brain, mannitol, neurosurgery consult

CT brain, mannitol, neurosurgery consult

CT brain, mannitol, neurosurgery consult

Signs of increased intracranial pressure?
Papilledema, sixth nerve palsy and Cushing triad

Signs of increased intracranial pressure?
Papilledema, sixth nerve palsy and Cushing triad

Signs of increased intracranial pressure?
Papilledema, sixth nerve palsy and Cushing triad


Yes

Yes

Yes

No

No

No

Hypoglycemia glucose and thiamine

Hypoglycemia glucose and thiamine

Hypoglycemia glucose and thiamine

Seizure management

Seizure management

Seizure management

Toxicology screen drug overdose reversal

Toxicology screen drug overdose reversal

Toxicology screen drug overdose reversal