Approach to a Patient with Coma

  • S. Srinivasan
  • Prasanna Udupi Bidkar


Coma is a state in which a patient is not responsive to external or internal stimuli. Early assessment and aggressive management is essential for a good outcome. Neurological examination in a comatose patient includes AVPU scale, Glasgow Coma Scale (GCS), pupillary examination, assessment of respiratory pattern and motor examination. Aetiology of coma includes several conditions which lead to structural brain injury, endocrine or metabolic derangement and diffuses physiological brain dysfunction. Management of a comatose patient begins with stabilization of airway, breathing and circulation, toxicological screening, lab investigations and radiology with further treatment tailored to the aetiological diagnosis causing coma.


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Copyright information

© The Editor(s) (if applicable) and The Author(s)  2020

Authors and Affiliations

  • S. Srinivasan
    • 1
  • Prasanna Udupi Bidkar
    • 1
  1. 1.Jawaharlal Institute of Postgraduate Medical Education and ResearchPondicherryIndia

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