Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2018 Feb;18(1):88-92.
doi: 10.7861/clinmedicine.18-1-88.

A systematic approach to the unconscious patient

Affiliations

A systematic approach to the unconscious patient

Tim Cooksley et al. Clin Med (Lond). 2018 Feb.

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.

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

PubMed Disclaimer

Figures

Fig 1.
Fig 1.
Systematic team approach to the unconscious patient. ABCDE = airway, breathing, circulation, disability, exposure; CT = computed tomography; CXR = chest X-ray

References

    1. Joint Royal Colleges of Physicians Training Board Specialty training curriculum for Acute Internal Medicine. London:: JRCPTB; 2009. (amendments August 2012).
    1. Joint Royal Colleges of Physicians Training Board Specialty training curriculum for General Internal Medicine. London:: JRCPTB; 2009. (amendments August 2012).
    1. Wijdicks E. The bare essentials. Pract Neurol. 2010;10:51–60. - PubMed
    1. Edlow J. Rabinstein A. Traub S. Wijdicks E. Diagnosis of reversible causes of coma. Lancet. 2014;384:206476. - PubMed
    1. Cooksley T. Holland M. The management of coma. Medicine. 2017;45:115–19.

MeSH terms