Skip to main content
SpringerLink
Log in

Koma unklarer Genese – Versorgung in der Notaufnahme

Coma of unknown etiology: emergency department care

  • SOP/Algorithmus
  • Published:
DGNeurologie Aims and scope

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Abb. 1
Abb. 2

Literatur

  1. Bernhard M, Becker TK, Nowe T, Mohorovicic M, Sikinger M, Brenner T, Richter GM, Radeleff B, Meeder PJ, Buchler MW, Bottiger BW, Martin E, Gries A (2007) Introduction of a treatment algorithm can improve the early management of emergency patients in the resuscitation room. Resuscitation 73:362–373

    Article  Google Scholar 

  2. Braun M, Schmidt WU, Mockel M, Romer M, Ploner CJ, Lindner T (2016) Coma of unknown origin in the emergency department: implementation of an in-house management routine. Scand J Trauma Resusc Emerg Med 24:61

    Article  Google Scholar 

  3. Carpenter CR, Hussain AM, Ward MJ, Zipfel GJ, Fowler S, Pines JM, Sivilotti ML (2016) Spontaneous subarachnoid hemorrhage: a systematic review and meta-analysis describing the diagnostic accuracy of history, physical examination, imaging, and lumbar puncture with an exploration of test thresholds. Acad Emerg Med 23:963–1003

    Article  Google Scholar 

  4. Chu DK, Kim LH, Young PJ, Zamiri N, Almenawer SA, Jaeschke R, Szczeklik W, Schünemann HJ, Neary JD, Alhazzani W (2018) Mortality and morbidity in acutely ill adults treated with liberal versus conservative oxygen therapy (IOTA): a systematic review and meta-analysis. Lancet 391:1693–1705

    Article  Google Scholar 

  5. Forsberg S, Hojer J, Ludwigs U, Nystrom H (2012) Metabolic vs structural coma in the ED—an observational study. Am J Emerg Med 30:1986–1990

    Article  Google Scholar 

  6. Gill MR, Reiley DG, Green SM (2004) Interrater reliability of Glasgow Coma Scale scores in the emergency department. Ann Emerg Med 43:215–223

    Article  Google Scholar 

  7. Horsting MW, Franken MD, Meulenbelt J, van Klei WA, de Lange DW (2015) The etiology and outcome of non-traumatic coma in critical care: a systematic review. BMC Anesthesiol 15:65

    Article  Google Scholar 

  8. Kanich W, Brady WJ, Huff JS, Perron AD, Holstege C, Lindbeck G, Carter CT (2002) Altered mental status: evaluation and etiology in the ED. Am J Emerg Med 20:613–617

    Article  Google Scholar 

  9. Ludwig L, McWhirter L, Williams S, Derry C, Stone J (2016) Functional coma. Handb Clin Neurol 139:313–327

    Article  CAS  Google Scholar 

  10. Posner JB, Saper CB, Schiff ND, Claassen J (2019) Plum and Posner’s diagnosis of stupor and coma. Oxford University Press, Oxford, New York

    Book  Google Scholar 

  11. Royl G, Ploner CJ, Mockel M, Leithner C (2010) Neurological chief complaints in an emergency room. Nervenarzt 81:1226–1230

    Article  CAS  Google Scholar 

  12. Sanello A, Gausche-Hill M, Mulkerin W, Sporer KA, Brown JF, Koenig KL, Rudnick EM, Salvucci AA, Gilbert GH (2018) Altered mental status: current evidence-based recommendations for prehospital care. West J Emerg Med 19:527–541

    Article  Google Scholar 

  13. Schmidt WU, Ploner CJ, Lutz M, Möckel T, Lindner T, Braun M (2019) Causes of brain dysfunction in acute coma: a cohort study of 1027 patients in the emergency department. Scand J Trauma Resusc Emerg Med 27:101

    Article  Google Scholar 

  14. Sechi G, Serra A (2007) Wernicke’s encephalopathy: new clinical settings and recent advances in diagnosis and management. Lancet Neurol 6:442–455

    Article  CAS  Google Scholar 

  15. van de Beek D, de Gans J, Spanjaard L, Weisfelt M, Reitsma JB, Vermeulen M (2004) Clinical features and prognostic factors in adults with bacterial meningitis. N Engl J Med 351:1849–1859

    Article  Google Scholar 

  16. Volk S, Koedel U, Pfister HW, Schwankhart R, Op den Winkel M, Muhlbauer K, Klein M (2018) Impaired consciousness in the emergency department. Eur Neurol 80:179–186

    Article  Google Scholar 

  17. Wurmb TE, Fruhwald P, Knuepffer J, Schuster F, Kredel M, Roewer N, Brederlau J (2008) Application of standard operating procedures accelerates the process of trauma care in patients with multiple injuries. Eur J Emerg Med 15:311–317

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Klinik für Neurologie, Charité – Universitätsmedizin Berlin, Campus Virchow-Klinikum, Augustenburger Platz 1, 13353, Berlin, Deutschland

    Mischa Braun, Wolf U. Schmidt, Maximilian Lutz & Christoph J. Ploner

  2. Klinik für Neurologie, München Klinik Bogenhausen, München, Deutschland

    Helge Topka

  3. Kommission Neurologische Notfallmedizin der DGN, Berlin, Deutschland

    Helge Topka & Christoph J. Ploner

Authors
  1. Mischa Braun
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Wolf U. Schmidt
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Maximilian Lutz
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Helge Topka
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Christoph J. Ploner
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Christoph J. Ploner.

Ethics declarations

Interessenkonflikt

M. Braun, W.U. Schmidt, M. Lutz, H. Topka, C.J. Ploner und die Kommission Neurologische Notfallmedizin der DGN geben an, dass keine Interessenkonflikte bestehen.

Für diesen Beitrag wurden von den Autoren keine Studien an Menschen oder Tieren durchgeführt. Für die aufgeführten Studien gelten die jeweils dort angegebenen ethischen Richtlinien.

Additional information

Redaktion

G. Fink, Köln

J. P. Sieb, Stralsund

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Braun, M., Schmidt, W.U., Lutz, M. et al. Koma unklarer Genese – Versorgung in der Notaufnahme. DGNeurologie 3, 415–419 (2020). https://doi.org/10.1007/s42451-020-00206-5

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s42451-020-00206-5

Search

Navigation