A profound state of unconsciousness associated with depressed cerebral activity from which the individual cannot be aroused. Coma generally occurs when there is dysfunction or injury involving both cerebral hemispheres or the brain stem RETICULAR FORMATION.
A scale that assesses the response to stimuli in patients with craniocerebral injuries. The parameters are eye opening, motor response, and verbal response.
A state of unconsciousness as a complication of diabetes mellitus. It occurs in cases of extreme HYPERGLYCEMIA or extreme HYPOGLYCEMIA as a complication of INSULIN therapy.
Severe HYPOGLYCEMIA induced by a large dose of exogenous INSULIN resulting in a COMA or profound state of unconsciousness from which the individual cannot be aroused.
Prolonged unconsciousness from which the individual cannot be aroused, associated with traumatic injuries to the BRAIN. This may be defined as unconsciousness persisting for 6 hours or longer. Coma results from injury to both cerebral hemispheres or the RETICULAR FORMATION of the BRAIN STEM. Contributing mechanisms include DIFFUSE AXONAL INJURY and BRAIN EDEMA. (From J Neurotrauma 1997 Oct;14(10):699-713)
A condition characterized by a dry, waxy type of swelling (EDEMA) with abnormal deposits of MUCOPOLYSACCHARIDES in the SKIN and other tissues. It is caused by a deficiency of THYROID HORMONES. The skin becomes puffy around the eyes and on the cheeks. The face is dull and expressionless with thickened nose and lips.
A serious complication of TYPE 2 DIABETES MELLITUS. It is characterized by extreme HYPERGLYCEMIA; DEHYDRATION; serum hyperosmolarity; and depressed consciousness leading to COMA in the absence of KETOSIS and ACIDOSIS.
Acute and chronic (see also BRAIN INJURIES, CHRONIC) injuries to the brain, including the cerebral hemispheres, CEREBELLUM, and BRAIN STEM. Clinical manifestations depend on the nature of injury. Diffuse trauma to the brain is frequently associated with DIFFUSE AXONAL INJURY or COMA, POST-TRAUMATIC. Localized injuries may be associated with NEUROBEHAVIORAL MANIFESTATIONS; HEMIPARESIS, or other focal neurologic deficits.
Traumatic injuries involving the cranium and intracranial structures (i.e., BRAIN; CRANIAL NERVES; MENINGES; and other structures). Injuries may be classified by whether or not the skull is penetrated (i.e., penetrating vs. nonpenetrating) or whether there is an associated hemorrhage.
A syndrome characterized by central nervous system dysfunction in association with LIVER FAILURE, including portal-systemic shunts. Clinical features include lethargy and CONFUSION (frequently progressing to COMA); ASTERIXIS; NYSTAGMUS, PATHOLOGIC; brisk oculovestibular reflexes; decorticate and decerebrate posturing; MUSCLE SPASTICITY; and bilateral extensor plantar reflexes (see REFLEX, BABINSKI). ELECTROENCEPHALOGRAPHY may demonstrate triphasic waves. (From Adams et al., Principles of Neurology, 6th ed, pp1117-20; Plum & Posner, Diagnosis of Stupor and Coma, 3rd ed, p222-5)
A condition characterized by somnolence or coma in the presence of an acute infection with PLASMODIUM FALCIPARUM (and rarely other Plasmodium species). Initial clinical manifestations include HEADACHES; SEIZURES; and alterations of mentation followed by a rapid progression to COMA. Pathologic features include cerebral capillaries filled with parasitized erythrocytes and multiple small foci of cortical and subcortical necrosis. (From Adams et al., Principles of Neurology, 6th ed, p136)
Vegetative state refers to the neurocognitive status of individuals with severe brain damage, in whom physiologic functions (sleep-wake cycles, autonomic control, and breathing) persist, but awareness (including all cognitive function and emotion) is abolished.
Asymmetries in the topography and refractive index of the corneal surface that affect visual acuity.
The use of an aberrometer to measure eye tissue imperfections or abnormalities based on the way light passes through the eye which affects the ability of the eye to focus properly.
Systems for assessing, classifying, and coding injuries. These systems are used in medical records, surveillance systems, and state and national registries to aid in the collection and reporting of trauma.
A scale that assesses the outcome of serious craniocerebral injuries, based on the level of regained social functioning.
Unequal curvature of the refractive surfaces of the eye. Thus a point source of light cannot be brought to a point focus on the retina but is spread over a more or less diffuse area. This results from the radius of curvature in one plane being longer or shorter than the radius at right angles to it. (Dorland, 27th ed)
The measurement of curvature and shape of the anterior surface of the cornea using techniques such as keratometry, keratoscopy, photokeratoscopy, profile photography, computer-assisted image processing and videokeratography. This measurement is often applied in the fitting of contact lenses and in diagnosing corneal diseases or corneal changes including keratoconus, which occur after keratotomy and keratoplasty.
Works containing information articles on subjects in every field of knowledge, usually arranged in alphabetical order, or a similar work limited to a special field or subject. (From The ALA Glossary of Library and Information Science, 1983)
A genotoxicological technique for measuring DNA damage in an individual cell using single-cell gel electrophoresis. Cell DNA fragments assume a "comet with tail" formation on electrophoresis and are detected with an image analysis system. Alkaline assay conditions facilitate sensitive detection of single-strand damage.
Instruments used to observe distant objects.
Finely divided solid matter with particle sizes smaller than a micrometeorite, thus with diameters much smaller than a millimeter, moving in interplanetary space. (NASA Thesaurus, 1994)
A filament-like structure consisting of a shaft which projects to the surface of the SKIN from a root which is softer than the shaft and lodges in the cavity of a HAIR FOLLICLE. It is found on most surfaces of the body.
Earth or other matter in fine, dry particles. (Random House Unabridged Dictionary, 2d ed)
The aperture in the iris through which light passes.
A specialized field of physics and engineering involved in studying the behavior and properties of light and the technology of analyzing, generating, transmitting, and manipulating ELECTROMAGNETIC RADIATION in the visible, infrared, and ultraviolet range.
Work-related situations in which the employees as a group refuse to work until certain conditions of employment are granted by the employer.
Membranous appendage of fish and other aquatic organisms used for locomotion or balance.
A constellation of responses that occur when an organism is exposed to excessive cold. In humans, a fall in skin temperature triggers gasping, hypertension, and hyperventilation.
Organized efforts to insure obedience to the laws of a community.
Organizations established by endowments with provision for future maintenance.
Establishing the father relationship of a man and a child.
Professionals qualified by graduation from an accredited school of nursing and by passage of a national licensing examination to practice nursing. They provide services to patients requiring assistance in recovering or maintaining their physical or mental health.
An accumulation of PUS in the uterine cavity (UTERUS). Pyometra generally indicates the presence of infections.
Personnel who provide nursing service to patients in a hospital.
Dedication or commitment shown by employees to organizations or institutions where they work.
A form of rapid-onset LIVER FAILURE, also known as fulminant hepatic failure, caused by severe liver injury or massive loss of HEPATOCYTES. It is characterized by sudden development of liver dysfunction and JAUNDICE. Acute liver failure may progress to exhibit cerebral dysfunction even HEPATIC COMA depending on the etiology that includes hepatic ISCHEMIA, drug toxicity, malignant infiltration, and viral hepatitis such as post-transfusion HEPATITIS B and HEPATITIS C.
Pathological processes of the LIVER.
Individuals referred to for expert or professional advice or services.
A large lobed glandular organ in the abdomen of vertebrates that is responsible for detoxification, metabolism, synthesis and storage of various substances.
Liver disease in which the normal microcirculation, the gross vascular anatomy, and the hepatic architecture have been variably destroyed and altered with fibrous septa surrounding regenerated or regenerating parenchymal nodules.
A life-threatening complication of diabetes mellitus, primarily of TYPE 1 DIABETES MELLITUS with severe INSULIN deficiency and extreme HYPERGLYCEMIA. It is characterized by KETOSIS; DEHYDRATION; and depressed consciousness leading to COMA.
An autosomal recessive metabolic disorder caused by deficiencies in the mitochondrial GLYCINE cleavage system.
Intracranial bleeding into the PUTAMEN, a BASAL GANGLIA nucleus. This is associated with HYPERTENSION and lipohyalinosis of small blood vessels in the putamen. Clinical manifestations vary with the size of hemorrhage, but include HEMIPARESIS; HEADACHE; and alterations of consciousness.
The concentration of osmotically active particles in solution expressed in terms of osmoles of solute per liter of solution. Osmolality is expressed in terms of osmoles of solute per kilogram of solvent.
Solutions that have a greater osmotic pressure than a reference solution such as blood, plasma, or interstitial fluid.

Surgical treatment of internal carotid artery anterior wall aneurysm with extravasation during angiography--case report. (1/558)

A 54-year-old female presented subarachnoid hemorrhage from an aneurysm arising from the anterior (dorsal) wall of the internal carotid artery (ICA). During four-vessel angiography, an extravasated saccular pooling of contrast medium emerged in the suprasellar area unrelated to any arterial branch. The saccular pooling was visualized in the arterial phase and cleared in the venophase during every contrast medium injection. We suspected that the extravasated pooling was surrounded by hard clot but communicated with the artery. Direct surgery was performed but major premature bleeding occurred during the microsurgical procedure. After temporary clipping, an opening of the anterior (dorsal) wall of the ICA was found without apparent aneurysm wall. The vessel wall was sutured with nylon thread. The total occlusion time of the ICA was about 50 minutes. Follow-up angiography demonstrated good patency of the ICA. About 2 years after the operation, the patient was able to walk with a stick and to communicate freely through speech, although left hemiparesis and left homonymous hemianopsia persisted. The outcome suggests our treatment strategy was not optimal, but suture of the ICA wall is one of the therapeutic choices when premature rupture occurs in the operation.  (+info)

Aphasic disorder in patients with closed head injury. (2/558)

Quantitative assessment of 50 patients with closed head injury disclosed that anomic errors and word finding difficulty were prominent sequelae as nearly half of the series had defective scores on tests of naming and/or word association. Aphasic disturbance was associated with severity of brain injury as reflected by prolonged coma and injury of the brain stem.  (+info)

Acute hemorrhagic leukoencephalitis in patients with acute myeloid leukemia in hematologic complete remission. (3/558)

The authors describe the cases of three patients affected by acute myeloid leukemia, in complete remission, who rapidly developed neurologic symptoms leading to death. Neither clinical characteristics, nor radiological or microbiological procedures, allowed an etiological diagnosis of the neurologic syndrome. Post-mortem examination of the brain showed both macroscopic and microscopic findings compatible with acute hemorrhagic leukoencephalitis. The difficulty in distinguishing this entity from other CNS disease-related complications (e.g. leukemia infiltration, drug toxicity, hemorrhages) should not lead to an underestimation of the true incidence of this complication. We believe that with more attention to the possibility of this complication there would probably be both a greater possibility of collecting clinical informations about the real impact of this dramatic disease and a stronger hope of finding the right treatment for it.  (+info)

Delayed ischemic hyperintensity on T1-weighted MRI in the caudoputamen and cerebral cortex of humans after spectacular shrinking deficit. (4/558)

BACKGROUND AND PURPOSE: Transient internal carotid artery (ICA)-middle cerebral artery (MCA) occlusion caused by cardiogenic embolus can lead to spectacular shrinking deficit (SSD): sudden hemispheric stroke syndrome followed by rapid improvement. The aim of this study was to investigate sequential neuroradiological changes in the brains of patients after SSD compared with those after brief cardiac arrest and hypoglycemia, which we previously studied with the same methods. METHODS: We serially studied CT scans and MR images obtained at 1.5 T in 4 patients with SSD. All 4 patients suffered from transient neurological deficits due to cardiogenic embolus in ICA-MCA. The symptoms began to disappear from 25 to 50 minutes after onset. RESULTS: Repeated CT scans demonstrated no abnormal findings in the affected cerebral hemisphere in 3 of the 4 patients and a small cortical infarct in the remaining 1. In each patient, repeated MRI between day 7 and month 23 after stroke showed basal ganglionic and cortical lesions. These lesions were hyperintense on T1-weighted and relatively hypointense on T2-weighted imaging. These ischemic lesions of hyperintensity on T1-weighted MRI subsided with time. CONCLUSIONS: Transient ICA-MCA occlusion leading to SSD produces a specific ischemic change with delayed onset in the basal ganglia and cerebral cortex in humans on MRI but not CT scans. We speculate that the lesions represent incomplete ischemic injury, including selective neuronal death, proliferation of glial cells, paramagnetic substance deposition, and/or lipid accumulation. Unlike brief cardiac arrest or hypoglycemia, the localized lesions on MRI of patients after SSD seem to be incomplete and to differ from infarction or hemorrhage.  (+info)

Application of a rheolytic thrombectomy device in the treatment of dural sinus thrombosis: a new technique. (5/558)

We present a novel application of a transvascular rheolytic thrombectomy system in the treatment of symptomatic dural sinus thrombosis in a 54-year-old woman with somnolence and left-sided weakness. The diagnosis of bilateral transverse and superior sagittal sinus thrombosis was made and the patient was treated with anticoagulant therapy. After an initial period of improvement, she became comatose and hemiplegic 8 days after presentation. After excluding intracerebral hemorrhage by MR imaging, we performed angiography and transfemoral venous thrombolysis with a hydrodynamic thrombectomy catheter, followed by intrasinus urokinase thrombolytic therapy over the course of 2 days. This technique resulted in dramatic sinus thrombolysis and near total neurologic recovery. Six months after treatment, the patient showed mild cognitive impairment and no focal neurologic deficit. Our preliminary experience suggests that this technique may play a significant role in the endovascular treatment of this potentially devastating disease.  (+info)

Cerebral malaria versus bacterial meningitis in children with impaired consciousness. (6/558)

Cerebral malaria (CM) and acute bacterial meningitis (ABM) are the two common causes of impaired consciousness in children presenting to hospital in sub-Sahara Africa. Since the clinical features of the two diseases may be very similar, treatment is often guided by the initial laboratory findings. However, no detailed studies have examined the extent to which the laboratory findings in these two diseases may overlap. We reviewed data from 555 children with impaired consciousness admitted to Kilifi District Hospital, Kenya. Strictly defined groups were established based on the malaria slide, cerebrospinal fluid (CSF) leucocyte count and the results of blood and CSF culture and CSF bacterial antigen testing. Our data suggests significant overlap in the initial CSF findings between CM and ABM. The absolute minimum proportions of children with impaired consciousness and malaria parasitaemia who also had definite bacterial meningitis were 4% of all children and 14% of children under 1 year of age. The estimated maximum proportion of all children with impaired consciousness and malaria parasitaemia in whom the diagnosis was dual or unclear was at least 13%. The finding of malaria parasites in the blood of an unconscious child in sub-Saharan Africa is not sufficient to establish a diagnosis of cerebral malaria, and acute bacterial meningitis must be actively excluded in all cases.  (+info)

Brain O2 consumption and glutamate release during hypoglycemic coma in piglets are temperature sensitive. (7/558)

Hypoglycemic injury in the mature brain is mediated by excitotoxicity, which is worsened by disordered cellular energy metabolism. The role of excitotoxicity in relation to brain energy metabolism during hypoglycemia has not been studied in the immature brain. Brain oxygen consumption (CMRO2) increases during hypoglycemia in piglets, whereas CMRO2 decreases in adult pig models. We tested the hypothesis that increased CMRO2 during hypoglycemic coma is temperature dependent and coincides with increased excitatory amino acids (EAA). We measured cerebral blood flow (CBF), CMRO2, and cortical microdiaysate EAA in pentobarbital-anesthetized piglets during hypoglycemic coma and during 2 h of recovery and in normoglycemic controls. In warmed animals brain temperature was kept normothermic (38.5 degrees C). In unwarmed animals brain temperature was allowed to fall (37.6 degrees C). During hypoglycemia CBF increased similarly in warmed animals and unwarmed animals; CMRO2 increased in warmed animals but not unwarmed animals. Glutamate increased during coma and increased more in warmed animals than unwarmed animals but normalized quickly during recovery. EEG recovered earlier in unwarmed animals. We conclude that during a hypoglycemic coma in the immature brain, CMRO2 and glutamate are increased in a temperature-dependent manner.  (+info)

Prevention of cerebral malaria in children in Papua New Guinea by southeast Asian ovalocytosis band 3. (8/558)

Southeast Asian ovalocytosis (SAO) occurs at high frequency in malarious regions of the western Pacific and may afford a survival advantage against malaria. It is caused by a deletion of the erythrocyte membrane band 3 gene and the band 3 protein mediates the cytoadherence of parasitized erythrocytes in vitro. The SAO band 3 variant may prevent cerebral malaria but it exacerbates malaria anemia and may also increase acidosis, a major determinant of mortality in malaria. We undertook a case-control study of children admitted to hospital in a malarious region of Papua New Guinea. The SAO band 3, detected by the polymerase chain reaction, was present in 0 of 68 children with cerebral malaria compared with six (8.8%) of 68 matched community controls (odds ratio = 0, 95% confidence interval = 0-0.85). Median hemoglobin levels were 1.2 g/dl lower in malaria cases with SAO than in controls (P = 0.035) but acidosis was not affected. The remarkable protection that SAO band 3 affords against cerebral malaria may offer a valuable approach to a better understanding of the mechanisms of adherence of parasitized erythrocytes to vascular endothelium, and thus of the pathogenesis of cerebral malaria.  (+info)

We carried out a prospective study with continuous EEG in 82 children with acute non-traumatic coma. Initial medium amplitude was associated with better outcome. We detected seizures in 34% of the children during monitoring and 20% had electrographic seizures only. Clinical observations alone did not detect 66% of the seizures apparent on EEG.. Previous studies have documented electrographic seizures in 7-65% of comatose children.18,-,22 Most of these studies have included children of different age groups, varied aetiology including epilepsy, and conditions that are not primarily neurological. Further, in developed countries where most of these studies have been performed, children are often paralysed and ventilated, thus suppressing clinical manifestations of seizures. In one study of non-ventilated Kenyan children with CM, EEG monitoring, albeit with intermittent (6 h) recordings, revealed clinically subtle and electrographic seizures in 23% of the patients.23 This is similar to the findings ...
EARLY intervention can help comatose patients recover through neurological rehabilitation. While studies have confirmed this, there is only one centre undertaking this in Bangalore for the entire State. Compare this with the United States, where all coma patients undergo a Coma Stimulation Programme (CSP) or sensory stimulation programme. This lacuna appears particularly stark in the…
Recently, the psychiatry and biobehavioral department at University of California - Los Angeles made a break through discovery in a new, novel method in jump starting the brain. In all cases of patients in a coma, there is a diminishing of brain wave function to the thalamus. The thalamus is important for many reasons, mainly as the relay station for sensation, which picks up sensations from different parts of the body and sends those impulses to the cerebral cortex. Without this function, people would not be able to feel any senses, or be able to react, which affects coma patients. The method, which was tested on one man who was in a coma, was an application of ultrasound waves applied directly to the head in order to spark the neurons to react. The use of ultrasound therapy has been accepted as an efficient tool in many types of injuries, including breaking kidney stones, bone fracture healing, cataract removal and much more. This is the first time though that the therapy has ever been ...
Richard Nixons condition worsened dramatically Thursday and the 81-year-old former President fell into a deep coma, his physicians said.
Outcomes range from recovery to death. Comas generally last a few days to a few weeks, rarely more than 2 to 5 weeks. After this time, some patients gradually come out of the coma, some progress to a vegetative state, and others die. Many patients who have entered a vegetative state go on to regain a degree of awareness. Others remain in a vegetative state for years or even decades.. The outcome for coma and vegetative state depends on the cause, location, severity and extent of neurological damage. A deeper coma alone does not necessarily mean a slimmer chance of recovery, because some people in deep coma recover well while others in a so-called milder coma sometimes fail to improve.. People may emerge from a coma with a combination of physical, intellectual and psychological difficulties that need special attention. Recovery usually occurs gradually - patients acquire more and more ability to respond. Some patients never progress beyond very basic responses, but many recover full awareness. ...
OBJECTIVES: To review and update the evidence on predictors of poor outcome (death, persistent vegetative state or severe neurological disability) in adult comatose survivors of cardiac arrest, either treated or not treated with controlled temperature, to identify knowledge gaps and to suggest a reliable prognostication strategy. METHODS: GRADE-based systematic review followed by expert consensus achieved using Web-based Delphi methodology, conference calls and face-to-face meetings. Predictors based on clinical examination, electrophysiology, biomarkers and imaging were included. RESULTS AND CONCLUSIONS: Evidence from a total of 73 studies was reviewed. The quality of evidence was low or very low for almost all studies. In patients who are comatose with absent or extensor motor response at ,/=72 h from arrest, either treated or not treated with controlled temperature, bilateral absence of either pupillary and corneal reflexes or N20 wave of short-latency somatosensory evoked potentials were ...
Prevention of secondary cerebral ischemia is a main objective in the treatment of comatose patients. In spite of considerable progress made by monitoring of intracranial pressure (ICP), arterial...
MMN and auditory evoked potentials provide a reliable assessment of the functional status of comatose patients. When present, MMN and the N100 differ from those found in normal subjects in terms of latencies and amplitudes. As a predictor of return of consciousness MMN had high specificity and low s …
Jeff Conaways manager says the former star of Taxi and Grease is in a coma following a drug overdose, possibly from pain pills.
Making accurate prognoses for patients in coma is notoriously difficult, and we need your help! By signing up for this study you allow us to learn from your story and provide us with data that can help improve the way coma patients are cared for and how doctors determine their prognosis. Enrollment is simple and straightforward and you can withdraw from the study at any time and for any reason.. Take a moment to look through the consent form, available here. In order to understand each case of coma, we need access to the protected medical records from the hospitalization in question. For that we need your signed permission. We also need your consent to participate in a research study, in which the information we learn can be analyzed and used to draw conclusions about how to make prognostication in coma better and more accurate. Feel free to contact us with any questions about the consent form or the study itself before you sign.. You can email the form as an attachment to: [email protected] ...
While the number of individuals suffering from long-term unconscious events (comas and coma similar states) is proportionally small relative to the population, the family members and friends of those in comas frequently suffer from significantly negative financial and psychological effects. One of the more prevalent negative effects is the uncertainty associated with comas. Patients and their loved ones can deal with most diseases and similar conditions because they know the cause, the available treatment options and how long to expect before recovery, if recovery is possible; unfortunately these elements are lacking for those in a coma. In addition most people tend to be optimistic and the idea that a person they care about will never regain consciousness is a significant psychological burden as well as a financial one due to resources required for care. Developing a treatment to increase the probability that one recovers from a coma will not produce the overall medical benefits of a cancer or ...
A coma is mysterious-the person seems to be asleep, but is impossible to wake up. Wounded Arizona congresswoman Gabrielle Giffords was put into an induced coma in order to help her brain heal. Anne Strieber experienced this when an aneurysm burst in her brain. Neurologists are trying to figure out how to help these patients by studying how anesthesia works, because the brain under general anesthesia isnt asleep as surgery patients are often told-it is placed into a state that is a reversible coma. General anesthesia is a coma that is drug-induced, and, as a consequence, reversible. The states operate on different time scales: General anesthesia in minutes to hours, and recovery from coma in hours to months to years, if ever. Researcher Emery Brown says, monitoring brain function under general anesthesia gives us new insights into how the brain works in order to develop new sleep aids and new ways for patients to recover from coma. Neuroscientist Nicholas D. Schiff says, Understanding this ...
Little is known about whether residual cognitive function occurs in the earliest stages of brain injury. The overarching goal of the work presented in this dissertation was to elucidate the role of functional neuroimaging in assessing brain activity in critically ill patients. The overall objective was addressed in the following four empirical chapters: In Chapter 2, three versions of a hierarchically-designed auditory task were developed and their ability to detect various levels of auditory language processing was assessed in individual healthy participants. The same procedure was then applied in two acutely comatose patients. In Chapter 3, a hierarchical auditory task was employed in a heterogeneous cohort of acutely comatose patients. The results revealed that the level of auditory processing in coma may be predictive of subsequent functional recovery. In Chapter 4, two mental imagery paradigms were utilized to assess covert command-following in coma. The findings demonstrate, for the first time,
Learn about coma caused by trauma, hypoglycemia, brain bleed, edema, or poisoning, including alcohol poisoning. Depth of coma is measured by the Glasgow Coma Scale.
In optics (especially telescopes), the coma, or comatic aberration, in an optical system refers to aberration inherent to certain optical designs or due to imperfection in the lens or other components that results in off-axis point sources such as stars appearing distorted, appearing to have a tail (coma) like a comet. Specifically, coma is defined as a variation in magnification over the entrance pupil. In refractive or diffractive optical systems, especially those imaging a wide spectral range, coma can be a function of wavelength, in which case it is a form of chromatic aberration.. Coma is an inherent property of telescopes using parabolic mirrors. Unlike a spherical mirror, a bundle of parallel rays parallel to the optical axis will be perfectly focused to a point (the mirror is free of spherical aberration), no matter where they strike the mirror. However, this is only true if the rays are parallel to the axis of the parabola. When the incoming rays strike the mirror at an angle, ...
The leader of the study, Dr. Dr. med. F. Zubler explains: AI-supported decisions will become increasingly important for medical practice in the intensive care unit in the future. If we render this support transparent and traceable, we will also be able to have a more solid basis for making ethical decisions. A key result of the study was that the chosen visualization method was able to decode part of the deep-learning process and thereby identify certain EEG patterns on which the machine based its decisions. Interestingly, AI often uses the same patterns that neurologists use clinically when making prognosis decisions. ...
Proponents of organ donations have played fast and loose with the defintion of death in order to advance their goals. Obamacare may have irrevocably changed the physician/patient relationship, thus encouraging euthanasia.
The term coma cocktail refers to a combination of substances administered in an emergency to comatose individuals, at a time when the cause of the coma in the individual was not yet known. A standard combination included dextrose (1 Amp D50W IV), flumazenil (0.2 mg IV), naloxone (2 mg IV), and thiamine (100 mg IV). It has been suggested that the use of naloxone and flumazenil be administered more selectively than glucose and thiamine. Some have proposed that the concept be abandoned completely because modern EMS providers should be able to determine the likely etiology of the change in mental status. At a minimum, the clinical presentation of the patient should rule in or out some portions of the coma cocktail. For example, with the advent and widespread implementation of glucometers, the indications for administering glucose can be more narrowly defined and its use more regimented. The coma cocktail is thought to have been created in United States as a first line treatment for an unconscious ...
PubMed comprises more than 30 million citations for biomedical literature from MEDLINE, life science journals, and online books. Citations may include links to full-text content from PubMed Central and publisher web sites.
Robert Anglen, a reporter with The Arizona Republic, documented the first 167 Taser-related deaths. Mr. Anglen launched a journalistic investigation of Taser International, linking the Taser to multiple deaths, among other eye-openers. At the 2005 Arizona Press Club Awards, Mr. Anglen won first place in the Investigative reporting category. He was the recipient of the Don Bolles Award for his report entitled Taser tied to independent study that backs stun gun. As part of an extraordinarily thorough investigation of Taser International, Anglen uncovered smoking gun documents that showed the manufacturer was heavily involved in the key study that purported the devices are safe. Anglen also uncovered conflicts of interest and documented wide-spread problems with Taser safety - a matter of national and international public interest.. In 2006, Mr. Anglen was a runner up for the Arizona Press Clubs Virg Hill Journalist of the Year award. Peter Bhatia of The Oregonian wrote Robert Anglen is ...
A mother in Hawaii is in a coma following an appointment to have her wisdom teeth taken out.. The New York Daily News reports that Kristen Tavares, 23, of Hilo, Hawaii, went into cardiac arrest during surgery by Dr. John Stover, her dentist. They also report that Dr. Stover has had 4 complaints filed against him since 2010 for other dental and medical violations.. According to Tavares boyfriend, Chauncey Prudencio, she was in the middle of the procedure to have her wisdom teeth removed when she went into cardiac arrest. The team on site used a defibrillator to restart her heart, and she was flown to a hospital. She is still in a coma and on a breathing machine. Her brain is swollen and her heart is too weak for any other medical procedures.. Tavares and Prudencio have two children together, the youngest of which is only 3 months old.. Two of the complaints that had been filed against Dr. Stover in the past have ended up being dismissed for lack of evidence. The other two are recent enough to ...
Person coma hear - Can a person in a coma hear you? Likely yes! I can answer this from personal experience. I spent months in an ICU on a ventilator and I was in a coma for part of that time. I heard a lot more than anyone imagined! Believe me, I could write a soap opera. Always assume that someone in a coma can hear you. Talk to the person as if they can, and put your mouth close to their ear. Dont let anyone make you feel silly for doing so!
Looking for Coma (medicine)? Find out information about Coma (medicine). in medicine, deep state of unconsciousness from which a person cannot be aroused even by painful stimuli. The patient cannot speak and does not respond to... Explanation of Coma (medicine)
I suffered a series of strokes on both sides of my brain when the sepsis caused my blood pressure to plummet. I fell into a deep coma. My kidneys and lungs began to fail, as my body was began dying one organ at a time. My doctors told my loved ones to give up hope for my full recovery. They expected me to die, and even if I somehow lived, I would remain a vegetable or at best left so hopelessly brain-damaged that I would never be same. But unbeknownst to them, while they were shining lights in my eyes and shaking their heads, I was telling them in my coma-dream--my secular version of a near-death experience--to leave me alone because I was trying to get back to sleep. I was experiencing what is known as covert cognition, the subject of my Skeptical Inquirer article Covert Cognition: My So-Called Near-Death Experience, which appeared in their July/August issue ...
I suffered a series of strokes on both sides of my brain when the sepsis caused my blood pressure to plummet. I fell into a deep coma. My kidneys and lungs began to fail, as my body was began dying one organ at a time. My doctors told my loved ones to give up hope for my full recovery. They expected me to die, and even if I somehow lived, I would remain a vegetable or at best left so hopelessly brain-damaged that I would never be same. But unbeknownst to them, while they were shining lights in my eyes and shaking their heads, I was telling them in my coma-dream--my secular version of a near-death experience--to leave me alone because I was trying to get back to sleep. I was experiencing what is known as covert cognition, the subject of my Skeptical Inquirer article Covert Cognition: My So-Called Near-Death Experience, which appeared in their July/August issue ...
DUGi: Viewing Item from repository DUGiDocs: Improve the prediction of the vital and functional prognosis of comatose patients suffering from anoxic-ischemic encephalopathy after successful resuscitation from a cardiac arrest, addmitted to the Intensive Care and Coronary Units of the Dr. Josep Trueta Hospital, based on clinical, neurophysiological and biochemical results. The results of these different tests, revised and combined all together, will improve the prediction of the patients prognosis, leading to an accurate vital and functional outcome, as they only have been studied separately so far. Anoxia is the third most frequent cause of coma, and the most common cause of post-anoxic coma in adults is the cardiac arrest. The incidence of hypoxic-ischemic brain injury is not well known, but it is certain that cardiac arrest, the most common cause of post-anoxic coma, affects approximately 24000 to 50000 Spanish people every year, most of them occuring out of the hospital. A cardiac arrest is the
A coma is a medical emergency, and attention first is given to maintaining respiration and circulation. Assistance with breathing, administration of fluids and blood, and other supportive care may be necessary.. Emergency personnel may administer glucose or antibiotics intravenously, even before blood test results return, on the chance that the person is in diabetic shock or has an infection affecting the brain.. Treatment varies, depending on whats causing the coma. Sometimes surgery is needed to relieve the pressure due to brain swelling. Other treatments may focus on addressing an underlying disease, such as diabetes, kidney failure or liver disease.. Sometimes the cause of a coma can be completely reversed, and the person will regain normal function. But if the brain damage is severe, the person may sustain permanent disabilities or may never regain consciousness.. ...
Former F1 World Champion Michael Schumacher is in a critical condition and has been placed in a coma following a skiing accident on Sunday morning.
List of causes of A persistent coma and Endocrine causes of coma, alternative diagnoses, rare causes, misdiagnoses, patient stories, and much more.
Texas BBQ is a contentious issue. Everybody has their own criteria, their own favorite, and their own subjective (wrong) opinion. I like to consider myself a purist: I enjoy Texas Ass Texas style BBQ as opposed to more nuanced niche genres. This means I like a lean and smokey brisket, beef ribs, smoked chicken, and my beans to be understated. There should always be a whole jalapeno in arms distance for showering brisket. Now, an anonymous friend of mine (Ryan Chavez) , made the request to make a pilgrimage to a favorite joint of his Burns BBQ in Acres Homes. Burns has been around for more than 25 years and I must say I was slightly bothered by the fact that I did not know of the place. Anyways, we hopped in Chavez 32 passenger van and made the arduous trek from Montrose to Acres Homes. Our friend Brittany and the bean pole thin Cley Miller of local band Young Mammals joined us. What I was to find was a ramshackle shack nestled in between houses and speckled with stray cats. Instantly ...
Coma Stimulation Program - NRIO offers a comprehensive Coma Stimulation program within community hospitals for individuals with a severe brain injury who need
Good but hard day today. I talked with the neurologist this morning. I found out today that all the moving hes doing with his arms and legs, which they call restlessness is usually seen in Rancho level 4. She explained to me that the Rancho scale is cognitive, so 1 is deep coma like right after the accident. Cale is at the baseline of 3 right now. The more severe the brain injury, the sooner they see this. Cale was showing it in level 2. I already knew that his brain injury was severe and that he was in bad shape, but since I was seeing movement so soon, I was thinking that he was making such quick progress. I felt like he was getting better so quick and that in the back of my head the long road was going to be a lot shorter for us. Also, at the end of the conversation I asked how well she thought Cale was doing and she said that over the last 6 weeks his progress has been very slow and thats about how things are going to go. She said with how bad the injury was its going to take a lot off ...
Pakistani prisoner Sanaullahs metabolic parameters are settling down, while he continues to remain critically sick and in a deep coma, Dr S N Mathuriya, head of the department of neurosurgery at the PGI Hospital here, said on Saturday.
The recent Royal College of Paediatrics and Child Health (RCPCH) guideline on decreased conscious level in children1 overlooks a treatable cause of coma. Opiates or benzodiazepines can cause coma following deliberate or accidental ingestion. The guideline advises considering drug ingestion and urine toxicology but fails to explicitly recommend naloxone or flumazenil as immediate therapy. These are harmless drugs and response is dramatic if intoxication … ...
Coma is an alteration of consciousness in which a person appears to be asleep, cannot be aroused, and shows no awareness of the environment. Coma is therefore the most profound degree to which the two components of consciousness, arousal and awarenes
Coma critical condition - What can I do for a friend in a coma and in critical condition? Support. I am guessing the friend is already in the icu. While most of the time in the ICU is not remembered, some is. Patients may still respond and communicate even if sedated since goal is comfort, not amnesia. Give them support, as well as their family and friends. Critical illness is stressful for more than just the patient and good social support and communication helps the people caring for them.
What is hyperglycemic coma, why does it develop. Varieties of coma in children and adults. Symptoms, diagnostic methods, complications. Principles of treatment and emergency care.
A TEEN cancer victim woke from his coma on Christmas Day to tell his family he loved them - the last thing he said to them before dying weeks later. Jay Oxley woke from an induced coma to tell his mum and dad: Merry Christmas, I love you all so much.
The EEG is used to evaluate several types of brain disorders. When epilepsy is present, seizure activity will appear as rapid spiking waves on the EEG.. Patients with lesions of the brain, which can result from tumors or stroke, may have unusually slow EEG waves, depending on the size and the location of the lesion.. The test can also be used to diagnose other disorders that influence brain activity, such as Alzheimers disease, certain psychoses, and a sleep disorder called narcolepsy.. The EEG may also be used to determine the overall electrical activity of the brain (for example, to evaluate trauma, drug intoxication, or extent of brain damage in comatose patients). The EEG may also be used to monitor blood flow in the brain during surgical procedures.. There may be other reasons for your doctor to recommend an EEG.. ...
The EEG is used to evaluate several types of brain disorders. When epilepsy is present, seizure activity will appear as rapid spiking waves on the EEG.. Patients with lesions of the brain, which can result from tumors or stroke, may have unusually slow EEG waves, depending on the size and the location of the lesion.. The test can also be used to diagnose other disorders that influence brain activity, such as Alzheimers disease, certain psychoses, and a sleep disorder called narcolepsy.. The EEG may also be used to determine the overall electrical activity of the brain (for example, to evaluate trauma, drug intoxication, or extent of brain damage in comatose patients). The EEG may also be used to monitor blood flow in the brain during surgical procedures.. There may be other reasons for your doctor to recommend an EEG.. ...
(Credit: Anne Marthe Widvey/Flickr) The finding may potentially make it easier to monitor people with sleep disorders, as well as unconscious coma patients or those under anesthesia.
A new tool may help neurologists predict which coma patients may be candidates for organ donation, according to a study published in the April 27, 2010, print issue
Today, Thursday November 16, 2017, marks the ninth anniversary of my return to the world after a seven-day coma due to bacterial meningitis - an illness that my doctors agreed most likely should have killed me. Their evidence that the human part of my brain, the neocortex, was too badly incapacitated for anything but the most primitive conscious awareness proved to be incompatible with the extraordinary experience I witnessed deep in coma, with features consistent with similar human experiences reported over millennia.. Of course, I have come to see my miraculous recovery and the extraordinary experience I witnessed deep in coma as a beautiful gift to be shared with the world. As my medical colleagues agreed, such a journey could not be simply dismissed as a hallucination, drug effect or dream because of the documented damage to my neocortex. My first book, Proof of Heaven (Simon & Schuster, 2012), marked the initial step in that reporting, but it represents a question mark in my journey, more ...
Purpose of review The goal of this review is to highlight the influence of therapeutic maneuvers on neuro-prognostication measures administered to comatose survivors of cardiac arrest. We focus on the...
Get this from a library! Coma and impaired consciousness : a clinical perspective. [G Bryan Young; Allan H Ropper; Charles Francis Bolton;]
Consolidates the most recent developments in a challenging but very interesting area Highlights the ground-breaking clinical work of the Coma Science
A diabetic man was in a coma at a Compton medical center two days after he was found unconscious and suffering from hypothermia inside an air-conditioned van. The 42-year-old man, whose name was not
A team of neuroscientists and physicists joined forces to jump-start a patients brain out of a medically induced coma with ultrasound waves-and it worked, STAT reports. The scientists bombarded the thalamus, a region of the brain thats been shown to affect consciousness, with the waves using an experimental device about the size of a teacup saucer. After waking, the patient recovered faster than anyone predicted-in 4 months instead of 6-and gave his doctors a fist bump on the way out. The scientists, who wrote a case study in the journal ...
Question - Stroke, persistent vegetative state, brain stopped functioning, MRI, EEG, improvement in eyelid . Ask a Doctor about diagnosis, treatment and medication for Persistent vegetative state, Ask an Oncologist
We present a case of a hypothermic, unconscious patient transferred to our Intensive Care Unit with sepsis requiring mechanical ventilation. The absence of any known past medical history as well as concurrent obstructive uropathy and bacteremia made initial diagnosis challenging. He was eventually found to be in myxedema coma in light of evolving signs and laboratory investigations. This case emphasizes the need to consider myxedema coma in the differential diagnosis of profound hypothermia, especially when other clinical signs and symptoms may obscure its initial diagnosis, and lead clinicians to focus on the triggering event in isolation rather than concurrently managing hypothyroidism. This case highlights a challenging presentation of an uncommon, but life-threatening condition. We discuss the signs and symptoms present in the hypothyroid patient with myxedema coma; emphasize the pathophysiology of myxedema coma as well as the evidence-based acute management of this condition.
Rapidly Progressive to Persistent Vegetative State or Death & Visual Impairment Symptom Checker: Possible causes include Neuronal Ceroid Lipofuscinosis. Check the full list of possible causes and conditions now! Talk to our Chatbot to narrow down your search.
Administration of topical antibiotics led to resolution of the lesions within 3 weeks, and there were no signs of scarring or recurrence.. The clinical presentation and histopathologic findings were consistent with a diagnosis of coma blisters.. Clinically, coma blisters are characterized by tense clear or hemorrhagic blisters that develop on erythematous-violaceous macules or plaques of varying size. The lesions typically appear within 24hours of the intake of drugs and within 48 to 72hours of the loss of consciousness. They primarily develop on pressure points, such as fingers and toes, elbows, knees, ankles, and heels. They are self-limiting and heal within days or weeks, without causing scarring or atrophy. The only treatment indicated thus is topical treatment to prevent secondary infections.2,8. Multiple factors have been implicated in the etiology and pathogenesis of coma blisters, including local pressure or friction, generalized hypoxia and tissue ischemia, direct toxicity due to drugs ...
This article will review the symptoms, causes, and management of myxedema coma. Myxedema coma is a rare complication of severe hypothyroidism and a life-threatening medical emergency.
Myxedema coma is a life threatening condition that arises when the body has too little thyroid hormone and results in coma or a near coma state.
PubMed journal article: Magnetic resonance imaging and diffusion-weighted imaging changes after hypoglycemic coma. Download Prime PubMed App to iPhone, iPad, or Android
An Atypical Case of Myxedema Coma with Concomitant Nonconvulsive Seizure. . Biblioteca virtual para leer y descargar libros, documentos, trabajos y tesis universitarias en PDF. Material universiario, documentación y tareas realizadas por universitarios en nuestra biblioteca. Para descargar gratis y para leer online.
Another name for Myxedema Coma is Hypothyroidism. Home care for hypothyroidism includes: * Avoid alcohol. * Drink plenty of fluids. * Follow a diet plan ...
In a rare but potentially fatal condition, the thyroid gland can be underactive and cause myxedema coma. Learn about the symptoms and treatment of this serious condition.
Vegetative state refers to the neurocognitive status of individuals with severe brain damage, in whom physiologic functions (sleep-wake cycles, autonomic control, and breathing) persist, but awareness (including all cognitive function and emotion) is abolished.
Stimulation of the vagus nerve allows patient who has been in a vegetative state for 15 years to track objects with his eyes and respond to simple requests
It is customary to believe that a patient with a Glasgow Coma Scale (GCS) score less than or equal to 8 should be intubated to avoid aspiration. We conducted a systematic review to establish if patients with GCS ≤ 8 for trauma or non-traumatic emergencies and treated in the acute care setting (e.g., Emergency Department or Pre-hospital environment) should be intubated to avoid aspiration or aspiration pneumonia/pneumonitis, and consequently, reduce mortality. We searched six databases, Pubmed, Embase, Scopus, SpringerLink, Cochrane Library, and Ovid Emcare, from April 15th to October 14th, 2020, for studies involving low GCS score patients of whom the risk of aspiration and related complications was assessed. Thirteen studies were included in the final analysis (7 on non-traumatic population, 4 on trauma population, 1 pediatric and 1 adult mixed case studies). For the non-traumatic cases, two prospective studies and one retrospective study found no difference in aspiration risk between intubated and
Scientific conservatives argue that the entire brain must die for a person to be dead, and this whole-brain concept was enacted into law. But this definition allows babies like Theresa and patients in deep, irreversible comas with just a scrap of brain function to be counted as alive. To some people this makes no sense. Anencephalics and patients in a so-called persistent vegetative state have only a brain stem, a stalk of brain that allows their bodies to perform basic, reflexive functions like breathing. But they will never be conscious, never see, feel, or think in even the most rudimentary fashion. Such functions are controlled by the cortex, the furrowed outer layer of the higher brain. Consequently some doctors argue that the death of the cortex reduces a being to a state thats less than human--a state of death. Therefore people in persistent vegetative states and anencephalic infants should be counted as dead and their organs released for donation ...
Plum and Posners Diagnosis and Treatment of Stupor and Coma, 5th edition, is a major update of the classic work on diagnosing the cause of coma, with the addition of completely new sections on treatment of comatose patients, by Dr. Jan Claassen, the Director of the Neuro-ICU at Columbia New York Presbyterian Hospital.
By Rowena Kong. Many unfortunate and unresponsive patients might never be able to show a hint of perception of their loved-ones faithful support by the bedside or the sight of their tears behind hopeful smiles. As such, the very existence of these patients level of consciousness and the accuracy of their clinical behavioural assessments have been debatable. Medical authorities and experts have come up with the category of disorders of consciousness to include conditions that impair ones state of awareness. Minimally conscious state and persistent vegetative state are two categorizations that have attracted particular interest due to the difficulty inherent in their identification and diagnosis (Bernat, 2006). In the case of patients in a minimally conscious state, there remains a certainty in their behavioural exhibition of sense of self and of the environment (Giacino et al., 2002). As for the persistent vegetative state, the condition is more severe and impacts ones full range of ...
Given adequate treatment the patient can survive for years and may recover towards the minimally conscious state or can gain complete recovery. ...
Another policy idea that has been around for many years is to shift cadaver procurement from an opt-in to an opt-out system. Some nations, including Spain, Belgium, France, Austria and Greece, have adopted this policy.4 Scotland and Wales as well as Iceland are or soon will try presumed consent.5,6 Still, there has been no movement to implement this policy in North America.. Yet another idea is to broaden the pool of potential cadaver donors. Some argue that brain death is too restrictive a requirement and that donor eligibility should be expanded to include a persistent vegetative state or a decision by a potential donor who is soon to die - death by donation.7 But adjusting the criteria for brain death is exceedingly risky. For decades, public support for donation has hinged on honouring the dead donor rule - no donation before determination of death. Patients in a persistent vegetative state or who have consented to death by donation are not dead according to cardiopulmonary criteria. ...
The Case: The patient is a 27-year-old previously healthy male with a diagnosis of viral encephalitis with a lymphocytic pleocytosis on cerebrospinal fluid examination. For 3 months, he has been in status epilepticus (SE ...
One of the main symptoms that characterize a coma, is the loss or loss of consciousness, seizures can be combined with a shape similar to epileptic seizures, which are largely depict a picture of the causes of coma.. the presence of chronic diseases, which lead to the defeat of the functions of internal organs and coma can develop the condition, which is usually defined as predkomatoznoe health.. should add that there is a need to focus on the development of a sequence of symptoms that accompanies a coma.In this situation, when the symptoms of psychomotor agitation and seizures, may indicate the development of paralysis with the presence of a cerebral hemorrhage.. One of the most severe forms that cause complications in children who are forced to suffer from diabetes, is ketoatsidoticheskaya coma, a manifestation of which requires instant reactions of others, emergency, emergency, and most importantly - skilled and professional medical care.Children who for a long time seen as an ill with ...
In fact Im always surprised at the way people turn out and ooh and ahh at the blue angels. Its kind of like eating hamburgers, and really liking them, but choosing to be completely unaware of the death and blood that goes into making a hamburger. The difference being that with hamburgers its only cow death and blood, whereas with blue angels of death, its human death and blood. I suspect there is an associated smell, which neither the gawkers nor the pilots ever have to experience. BICBW. (But I suspect Im not ...
I assume that within the context of the question, when you say immoral and moral, you mean which you (the voter) considers to be immoral or moral ...
UPDATE: Lorenzo Lamas says his daughter Shayne was never in a coma and is awake and stable. She is aware she lost the baby and is very upset but is expected to recover. I thought TMZs report of her in a coma, not breathing on her own, followed by doctors expect a full recovery or whatever they said was odd. So glad to hear that she is fine other than the natural effects of losing a pregnancy.. Shayne Lamas daughter of Lorenzo Lamas and best know for her roles on General Hospital, The Bachelor and Couples Therapy is in a coma in an L.A. hospital after losing consciousness in her home, according to TMZ. Shayne was taken to the hospital by ambulance where doctors discovered internal bleeding near her uterus. Surgery was performed to stop the bleeding and as a result Shayne lost the baby during surgery.. TMZ reports that she is currently in a coma and not breathing on her own. The coma is likely medically induced to allow her body time to heal before she is confronted with the news that here baby ...
A comatose state in a patient with a history of chronic alcoholism or chronic liver disease may be due to causes other than hepatic encephalopathy. For correct therapy it is necessary to establish whether such a patient is actually suffering from a hepatic encephalopathy or from some other conditions producing coma. Since blood ammonia levels in hepatic coma vary greatly, we have determined the glutamine level in the cerebrospinal fluid (CSF) of such patients.. We have diagnosed hepatic coma by the elevated glutamine levels (above 30 mg) in the CSF. This diagnosis was confirmed later by the clinical course, liver ...
Children presenting to hospital with decreased level of consciousness without a history of trauma can pose a diagnostic challenge given the wide variety of causes and the frequent lack of clues as to diagnosis. They can make significant demands on intensive and high dependency resources. A recent UK population based study found a 40% mortality associated with non-traumatic coma as defined by a Glasgow Coma Score (GCS) of 12 or less for at least six hours, with an estimated annual incidence of 30 per 100 000 children and 160 per 100 000 in the first year of life.1. An evidence-based problem-orientated guideline has been produced over the last two years to aid the clinician in the decision-making processes.2 The guideline was funded by a grant from the National Reyes Syndrome Foundation following on from their workshop chaired by Dr Sue Hall in 2002. This information is freely available at www.nottingham.ac.uk/paediatric-guideline ...
Answer: D. This presentation is consistent with myxedema coma, a hypothyroid emergency with a high mortality rate. This condition can arise in a poorly controlled longstanding hypothyroid patient or can be triggered by an acute event such as infection or surgery in a patient with a history of hypothyroidism. Thyroid hormone - T4 and T3 - should be given promptly for this diagnosis, in addition to continued supportive care (which may include intubation). Steroids will be given as well provided that coexisting adrenal insufficiency is still a possibility and sepsis will also be in your differential. Keep an eye out for myxedema coma in patients taking lithium or patients presenting with a pericardial effusion as well!. Check out this chart on myxedema coma from a prior EMDaily #EMConf post in 2018:. ...
Several conditions that render patients unresponsive and simulate coma are considered separately because of their special significance. The vegetative state signifies an awake-appearing but nonresponsive state in a patient who has emerged from coma. In the vegetative state, the eyelids may open, giving the appearance of wakefulness. Respiratory and autonomic functions are retained. Yawning, coughing, swallowing, and limb and head movements persist, and the patient may follow visually presented objects, but there are few, if any, meaningful responses to the external and internal environment-in essence, an awake coma. The term vegetative is unfortunate because it is subject to misinterpretation. There are always accompanying signs that indicate extensive damage in both cerebral hemispheres, e.g., decerebrate or decorticate limb posturing and absent responses to visual stimuli (see below). In the closely related but less severe minimally conscious state, the patient displays rudimentary vocal or ...
Liver injury is a frequent complication associated with anorexia nervosa, and steatosis of the liver is thought to be the major underlying pathology. However, acute hepatic failure with transaminase levels over 1000 IU/mL and deep coma are very rare
In the 30 years since this state was first described and named1 it has provoked intense debate not only among clinical scientists and health professionals but also among moral philosophers and lawyers. Considering its relative rarity there is also, courtesy of the media, an unusual degree of public awareness of the condition. What attracts attention and curiosity is the dissociation between arousal and awareness-the combination of periods of wakeful eye opening with lack of any evidence of a working mind either receiving or projecting information. The advantage of the term vegetative state is that it simply describes observed behaviour, without implying specific structural pathology. However, since the realisation that this state is frequently temporary, the original term persistent vegetative state is potentially misleading as it suggests irreversibility. After a certain length of time it may none the less be reasonable to describe this state as permanent.2. Before specific diagnostic ...
12 year old Martin Pistorius fell into a deep coma, believed to be the result of cryptococcal meningitis. In time the doctors prognosis was that it was permanent vegetative state and his parents took him home to care for him until he died. Except he didnt. They were unaware that around age 14, Martin had regained consciousness, but was now suffering from a rare syndrome, locked in syndrome and he could hear, see and understand everything around him. he just could not respond or
Coma occurs when a profound reduction in neuronal function results in unresponsiveness to sensory stimuli. It constitutes the most severe manifestation of altered mental status. Coma is further categorized depending on the area of the brain affected.1-3 Several scoring systems exist that permit objective and reproducible assessment of the degree of altered mental status and allow effective communication among health care providers. The most widely used is the Glasgow Coma Scale (GCS), which scores three responses with a range from 3 to 15.2,4 The GCS has been modified so that it can be applied to infants and children. The main difference is the verbal response (Table 5-1).2,5 ...
Making accurate prognoses for patients in coma is notoriously difficult, and we need your help! By signing up for this study you allow us to learn from your story and provide us with data that can help improve the way coma patients are cared for and how doctors determine their prognosis. Enrollment is simple and straightforward and you can withdraw from the study at any time and for any reason.. Take a moment to look through the consent form, available here. In order to understand each case of coma, we need access to the protected medical records from the hospitalization in question. For that we need your signed permission. We also need your consent to participate in a research study, in which the information we learn can be analyzed and used to draw conclusions about how to make prognostication in coma better and more accurate. Feel free to contact us with any questions about the consent form or the study itself before you sign.. You can email the form as an attachment to: [email protected] ...
Delirium, stupor and coma are common clinical states that confront clinicians in almost every medical specialty. With appropriate diagnosis and treatment, coma can often be treated successfully. Conversely, delay in diagnosis and treatment may be lethal. This monograph provides an update on the clinical approach that was laid out in the previous 3 editions.
Objectives: (1) To check music or voice message influence on vital signs, facial expressions or muscular tonus of coma, vegetative or sedated patients; (2) To connect the existence of patients responsiveness with the Glasgow Coma Scale or with the Ramsay Sedation Scale; (3)To evaluate the relation between the response and the score of Glasgow Outcome Scale ...
Like many others in the health care field, we paid little attention to patients cultural background until we experienced two cases which profoundly emphasised the need for cultural awareness and sensitivity. Both involved severe traumatic brain injury (TBI) where the patients were initially unable to speak for themselves as they were in comatose states.. One case was that of a member of the Shoshone Paiute tribe. This woman, M, was involved in a serious automobile accident in which she sustained a TBI leaving her comatose. She had no visitors during her first two weeks in the intensive care unit (ICU). Little was known about her background. M seemed to be recovering from her injuries, but did not respond in any way to environmental stimulation or attempts to assess her level of consciousness. She appeared comatose despite brain images revealing no damage accounting for her continued comatose state. Near the end of her third week in ICU, Ms mother and aunt visited. We learned that M ...
A coma is a state of unconsciousness, lasting more than 6 hours in which a person cannot be awakened, fails to respond to painful stimuli, light, sound, and lacks a normal sleep-wake cycle. A coma is caused by injury to either the cerebral cortex or the reticular activating system. It is a serious medical condition that creates brain irregularity and causes people to experience post-traumatic amnesia. Depending on the length of the coma, patients will suffer a different recovery time.
The brain under general anesthesia isnt asleep as surgery patients are often told -- it is placed into a state that is a reversible coma, according to three neuroscientists who have published an extensive review of general anesthesia, sleep and coma, in the Dec. 30 issue of The New England Journal of Medicine. This insight and others reported in their review article could eventually lead to new approaches to general anesthesia and improved diagnosis and treatment for sleep abnormalities and emergence from coma.
The purpose of this study is to understand mechanisms associated with the development of coma during hepatic failure. As of today, those mechanisms are not understood and it is difficult to intervene and prevent coma development which is often associated with mortality. Understanding the mechanism involved, may allow us to prevent coma and develop new therapies to treat this disease ...
Coma is the nebulous envelope around the nucleus of a comet. It is formed when the comet passes close to the Sun on its highly elliptical orbit; as the comet warms, parts of it sublimate.[1] This gives a comet a fuzzy appearance when viewed in telescopes and distinguishes it from stars. The word coma comes from the Greek kome, in Greek written as κόμη, and can be translated as hair.[2] The coma is generally made of ice and dust.[1] Water dominates up to 90% of the volatiles that outflow from the nucleus when the comet is within 3-4 AU of the Sun.[1] The H2O parent molecule is destroyed primarily through photodissociation and to a much smaller extent photoionization.[1] The solar wind plays a minor role in the destruction of water compared to photochemistry.[1] Larger dust particles are left along the comets orbital path while smaller particles are pushed away from the Sun into the comets tail by light pressure. On 11 August 2014, astronomers released studies, using the Atacama Large ...
Researchers at the Mayo Clinic College of Medicine in Rochester, NY, have created a new coma scale they say is superior to the commonly used Glasgow Coma Scale (GSC). The new scale, called the FOUR (Full Outline of UnResponsiveness) Score, is detailed in a recent article in the Annals of Neurology.1
Today, even though therapeutic hypothermia is the only therapy proven to decrease mortality and improve neurological outcomes in comatose patients after cardiac arrest, an analysis of data on 26,519 patients in the United States suggests that it is used in only 0.35% of cases.
The FCC published its reprint of Section 5 of the USCCB document in January 2007, nearly two years after Terris death. Section 5 also states in part, The USCCB Committee on Pro-Life Activities report, in addition, points out the necessary distinctions between questions already resolved by the magisterium and those requiring further reflection, as, for example, the morality of withdrawing medically assisted hydration and nutrition from a person who is in the condition that is recognized by physicians as the persistent vegetative state (PVS). (emphasis added). Why did the FCC reprint this statement in 2007, when the magisterium had already addressed the question of withdrawing nutrition and hydration? In 2004, one year prior to Terris death, Pope John Paul II, speaking to participants in an international congress titled Life-Sustaining Treatments and Vegetative State, declared, I should like particularly to underline how the administration of water and food, even when provided by artificial ...
Journal of Thyroid Research is a peer-reviewed, Open Access journal that publishes original research articles, review articles, and clinical studies the molecular and cellular biology, immunology, biochemistry, physiology and pathology of thyroid diseases, with a specific focus on thyroid cancer.
He says the two tasks are known to activate different parts of the brain which could then be monitored using the fMRI.. Monti says each of the volunteers was then asked three questions and told to respond yes by imagining playing tennis, or no by imagining they were navigating.. We were looking at the scan in real time as the participant was imagining their response and we were seeing in real time the different parts of the brain getting active or inactive, Monti says.. He says the study had a 100% success rate in determining the right answer.. Monti believes the fMRI test should be used in the overall assessment of people presenting as being in a vegetative state.. Neurologically, patients in a persistent vegetative state show no signs of consciousness or movement, but do have moments of wakefulness and can open their eyes.. Minimally conscious patients may also be unable to move, but are conscious or aware, Monti says. He says studies show there is up to a 40% misdiagnosis in determining ...
It is possible to obtain coma through the total aspiration of the cerebrospinal fluid. Physiolo-gical , clinical and quantum-electrodynamics considerations about the traumatic coma are made. Ninety minutes for saving the brain.. ...
The track "Nothing Stays" was voted the sixteenth greatest industrial song of all time by COMA Music Magazine in their feature ... Schock, David (March 9, 2012). "101 Greatest Industrial Songs of All Time". COMA. Archived from the original on 2015-01-21. ...
... coma; and death. Breathing high levels of cresols for a short time results in irritation of the nose and throat. Aside from ...
CS1 maint: discouraged parameter (link) Ward, J. (November 2, 2012). ":INTERVIEW: IRIS". Coma. Retrieved August 28, 2014. CS1 ...
ComA • OSE, was a military officer, engineer and a Portuguese politician. He was born in the city of Lagos, on 24 September ...
The track "Plasticity" is featured in the article series 101 Greatest Industrial Songs of All Time in COMA Music Magazine where ... Schock, David (March 9, 2012). "101 Greatest Industrial Songs of All Time'". COMA. Archived from the original on November 5, ...
Also, the band completed work on their 17th studio album, Wake Up the Coma, which was released in February 2019. In October ... Schock, David (March 9, 2012). "101 Greatest Industrial Songs of All Time'". COMA. Archived from the original on August 21, ... Wake Up the Coma (2019) Mechanical Soul (2021) In the course of Front Line Assembly's history, current and former band members ...
Jaymie Burzette of Coma Magazine emphasized how AirMech contrasts with other Front Line Assembly releases, saying, "AirMech is ... COMA. Archived from the original on March 9, 2014. Retrieved March 9, 2014. Butzen, Björn (January 4, 2013). "CD Review: Front ...
The other conjugations work similarly, as follows: Yo → Yo hable; yo coma; yo viva Tú → Tú hables; tú comas; tú vivas Él/Ella/ ... Yo coma; yo pueda; yo viva. If the verb is an -ar verb such as hablar or caminar replace the ending 'o' with an 'e' i.e. : Yo ... Usted → Él hable; él coma; él viva Nosotros → Nosotros hablemos; nosotros comamos; nosotros vivamos Vosotros → Vosotros habléis ...
Coma unconsciousness. For a diabetic, coma can be caused by hypoglycemia or by diabetic ketoacidosis. Comatose in a coma; not ... Nonketotic coma A type of coma caused by a lack of insulin. A nonketotic crisis means: (1) very high levels of glucose (sugar) ... Diabetic coma see coma Diabetic ketoacidosis (DKA) see acidosis Diabetic myelopathy Spinal cord damage found in some people ... See also: Syndrome X. Hyperosmolar coma A coma (loss of consciousness) related to high levels of glucose (sugar) in the blood ...
Diabetic coma is a medical emergency in which a person with diabetes mellitus is comatose (unconscious) because of one of the ... Consciousness can be altered or even lost in extreme cases, leading to coma, seizures, or even brain damage and death. In ... The level of consciousness is typically normal until late in the process, when lethargy may progress to coma. Ketoacidosis can ... Lethargy may ultimately progress to a coma, though this is more common in type 2 diabetes than type 1. Hypoglycemia, or ...
"Coma Berenices". Star Tales. Retrieved 11 April 2012. Caspar Vopel in libraries (WorldCat catalog). ... Vopel is sometimes credited with the promotion of the ancient asterism Coma Berenices to constellation status. "Caspar Vopel". ...
"Coma White". MTV. MTV Networks. August 30, 1999. Archived from the original on March 8, 2009. Retrieved March 3, 2009. " ...
Coma Berenicids discovered. First successful test of a nuclear thermal rocket engine, as part of Project Rover at Los Alamos ... "Coma Berenicids". Meteor Showers Online. Archived from the original on 2010-11-25. Retrieved 2011-11-08. CS1 maint: discouraged ...
... patwhite.coma. Retrieved July 29, 2009. Agence QMI, Cœur de pirate est enceinte (in French). Canoë. February 29, 2012. Accessed ...
"COMAP: Mathematics Instructional Resources for Innovative Educators". Coma.com. Retrieved 4 August 2015. "COMAP: Mathematics ...
Beyond Coma and Despair, the title of their third album, has become some kind like Scumbag's personal reflection. To honor ... Among the critics, Beyond Coma And Despair was utterly different from their past albums with heavier sounds and more explicit ... Jasondream (2010). Beyond Coma... Archived 5 September 2012 at the Wayback Machine. iTunes. Retrieved 26 January 2012. 31 ... Timeline Studio albums Dua Sisi (2000) Berkarat (2003) Beyond Coma and Despair (2006) Venomous (2011) Adamantine (2018) ...
"Jdt Vs Tteam". johorsoutherntigers.coma. Retrieved 8 December 2017. "JDT umum penamatan kontrak bintang muda negara". ...
one of the first large detailed article on the Hammond Organ and how it worked "Hammond Products". OrganHouse.com. - a ...
Calafell: Llibres de Matrícula Santacana, J.; Hernández, F. X.; Coma, L.; Martín, C. (2009). Obra oberta. Construint Barcelona ...
"In re the Marriage of J. MARK and DIANNE J. BURNETT". fearnotlaw.coma. Los Angeles County Super. Ct. No. BD376427. Retrieved 8 ...
Garrabou, J.; Coma, R.; Bensoussan, N.; Bally, M.; Chevaldonné, P.; Cigliano, M.; Diaz, D.; Harmelin, J. G.; Gambi, M. C.; ...
... coma; and Morbus comitialis, epilepsy. The term insania, insanity, was first used by him. The methods of treatment included ...
Coma, Mireia; Perlmutter, David; Gelein, Robert; Bell, Robert D.; Deane, Richard J.; Zhong, Elaine; Parisi, Margaret; Ciszewski ...
Coma, Will. "U.S. Girls - Half Free". Tiny Mix Tapes. Retrieved March 18, 2017. "Half Free - U.S. Girls". Metacritic. Retrieved ... Will Coma praised the record, writing: "Mastermind Meg Remy's first album for the vaunted 4AD label is bursting with vivid, ...
"Boone County Fire Protection District" (PDF). Bcfdmo.coma. Archived from the original (PDF) on 2012-02-15. Retrieved 2012-11-16 ...
ComA 2017. Destino 2020. Potters 2014. Garcia, Marisol Flores (2002). "Parque México o San Martin". Guía de recorridos urbanos ...
The track also was ranked 85 in the COMA Music Magazine feature 101 Greatest Industrial Songs of All Time. The follow-up to the ... Schock, David (March 9, 2012). "101 Greatest Industrial Songs of All Time'". COMA Music Magazine. Archived from the original on ...
Gatward, Tristan (27 November 2019). "COMA - Voyage Voyage". Loud and Quiet. Retrieved 23 January 2021. Solis, Jose (12 March ...
In October 2013, the band premiered their new single titled "Wheels on Fire". In 2014, Fast Stories...from Kid Coma came in at ... from Kid Coma. Steve Kurutz of AllMusic gave the album four and a half stars, calling it "a loosely based concept album filled ... from Kid Coma his favorite, saying: "I really feel it's an album, in the sense that we weren't just putting together a ... Fast Stories from Kid Coma," writes Greg Prato, "Twilight Curtains is still highly recommended to longtime fans." In 2004, ...
CS1 maint: discouraged parameter (link) Faries, Michael (2010-06-15). "CD Review: Rasputina - Sister Kinderhook". COMA Music ...
... vegetative coma), deep coma without detectable awareness. Damage to the cortex, with an intact brainstem. Process Oriented Coma ... For instance, coma induced by a diffuse metabolic process, such as hypoglycemia, can result in a structural coma if it is not ... The severity and mode of onset of coma depends on the underlying cause. There are two main subdivisions of a coma: structural ... Pneumonia is also common in coma patients due to their inability to swallow which can then lead to aspiration. A coma patients ...
Vertical coma is the most common higher-order aberration in the eyes of patients with keratoconus. Coma is also a common ... Correction lenses, "coma correctors" for Newtonian reflectors have been designed which reduce coma in telescopes below f/6. ... This causes stars to appear to have a cometary coma, hence the name. Schemes to reduce coma without introducing spherical ... About coma in a Newtonian telescope Coma Aberration in Youtube. ... coma) like a comet. Specifically, coma is defined as a ...
... should equal the comas diameter in arcminutes.[12] If the distance to the comet is known, then the apparent size of the coma ... The Great Comet of 1811 also had a coma roughly the diameter of the Sun.[9] Even though the coma can become quite large, its ... The word coma comes from the Greek "kome" (κόμη), which means "hair" and is the origin of the word comet itself.[2][3] ... The coma is the nebulous envelope around the nucleus of a comet, formed when the comet passes close to the Sun on its highly ...
Vertical coma is the most common higher-order aberration in the eyes of patients with keratoconus.[3] Coma is also a common ... Correction lenses, "coma correctors" for Newtonian reflectors have been designed which reduce coma in telescopes below f/6. ... This is a comparison of the coma in an uncorrected f/3.9 Newtonian telescope versus the effects of coma with the Baader Rowe ... coma) like a comet. Specifically, coma is defined as a variation in magnification over the entrance pupil. In refractive or ...
The Diabetic coma is one the most dangerous and again emergent case experienced during dental care delivery. Actually it ... 3. Three types are linked to diabetic coma:  diabetic ketoacidosis coma  Hyperosomolar coma  Hypoglycaemic coma ... Diabete coma * 1. Definition Types of diabetic coma Causes of diabetic coma Signs and symptoms Management ... Actually it mistreated and aggravated-diabetic cases resulting coma, that is categorized into Hypoglycemic coma, Diabetic ...
Find out what a coma is and how people recover from them. ... A coma can be difficult to understand, especially because it ... What Happens After a Coma?. Usually, a coma does not last more than a few weeks. Sometimes, however, a person stays in a coma ... How Do People Take Care of Someone in a Coma?. Someone in a coma usually needs to be cared for in the intensive care unit (ICU ... What Happens When Someone Is in a Coma?. Someone who is in a coma is unconscious and will not respond to voices, other sounds, ...
Insulin Coma. Br Med J 1962; 2 doi: https://doi.org/10.1136/bmj.2.5304.608-d (Published 01 September 1962) Cite this as: Br Med ...
Myxedema coma is a rare but life-threatening condition. People with hypothyroidism who are in or near a coma should be taken to ... What is myxedema coma?. ANSWER Hypothyroidism -- when the thyroid gland doesnt make enough thyroid hormone -- causes symptoms ... the symptoms get worse and can lead to a serious condition called myxedema coma. ...
Coma. Coma, state of unconsciousness, characterized by loss of reaction to external stimuli and absence of spontaneous nervous ... Different patterns of coma depend on the origin of the injury. Concussions may cause losses of consciousness of short duration ... Coma may accompany a number of metabolic disorders or physical injuries to the brain from disease or trauma. ... For most metabolic comas, the first step in treatment is to protect the brain cells and attempt to eliminate the cause of coma ...
Leaving out those people whose coma followed drug poisoning, only about 15% of patients who remain in a coma for more than just ... A good wayof categorizing these conditions is to consider the anatomic and metabolic causes of coma. Anatomic causes of coma ... Coma, from the Greek word koma, meaning deep sleep, is a state of extreme unresponsiveness, in which an individual exhibits no ... The Glasgow Coma Scale provides a means of examining a comatose patient. It assigns a different number of points for exam ...
In rehabilitative settings, by contrast, where long-term coma patients are often taken, the more popular measurement of coma ... "deeper coma" than the one he was in a few days ago. How does one measure the depth of a coma? ... Coma patients who score low on the GCS can make miraculous recoveries, but the odds are against them. Eighty-seven percent of ... In the case of an acutely ill patient such as Arafat, with the Glasgow Coma Scale, created in 1974 by the Scottish ...
... a diabetic coma can result. This is a medical emergency, but with rapid treatment, a person can usually recovery quickly. ... Recovery from a diabetic coma. Share on Pinterest. A diabetic coma needs immediate treatment.. A doctor can reverse a diabetic ... Without treatment, the coma can be fatal.. Even if a diabetic coma does not occur, the long-term impact of having blood sugar ... Hypoglycemic diabetic coma: Treatment is with glucose and injected glucagon.. Hyperglycemic diabetic coma: The doctor will ...
A coma is a deep state of unconsciousness. It can result from an injury or illness. It can last for a few days, but sometimes ... A coma is a state of deep unconsciousness. A person who is experiencing a coma cannot be awakened, and they do not react to the ... Fact facts on coma *During a coma, a person does not react to external stimuli and they will not show normal reflex responses. ... Can a person hear and think when they are in a coma?. A person in a coma may benefit from sensory stimulation, such as holding ...
... and severe-based on the Glasgow Coma Scale (GCS). The GCS is a 15-point scale designed to measure the patients ability to ... moderate, and severe-based on the Glasgow Coma Scale (GCS). The GCS is a 15-point scale designed to measure the patients ...
Interview , Help/Resources , Teachers Guide , Transcript , Coma Home Editors Picks , Previous Sites , Join Us/E-mail , TV/Web ... The patients Glasgow Coma Scale score at time of admission is the single best factor to determine patient outcome.. According ...
Diabetic hypoglycaemic coma. The brain is more vulnerable to hypoglycaemia and the consequences of hypoglycemia than any other ... http://www.diabetes.co.uk/diabetes-complications/diabetic-coma.html. * http://diabetes.niddk.nih.gov/dm/pubs/america/pdf/ ...
turkey comaunknown. The inevitable and unavoidable nap that occurs about 45 minutes after gorging one's self on a ... thankgiving#turkey#holiday#feast#tryptophan#eating#sleep#coma#football#gluttony#gorging#pigout#stuffing#overeat ... The poor bastard fought like hell, but could only make it to the 2nd quarter before succumbing to a full-blown turkey coma. ...
Director John Singleton is in a coma after suffering a major stroke more than a week ago, according to court documents filed by ...
COMING OUT OF COMA. By MARTIN LASDEN. JUNE 27, 1982. Continue reading the main story Share This Page Continue reading the main ... The Coma Recovery Association, formed in response to Dr. Dimancescus program, offers the families of the brain-damaged a more ... Once a patient emerges from coma, he must relearn how to walk and talk and feed himself, tasks that can be mastered only by ... The new coma-recovery programs have heightened the expectations of many families, yet these programs remain unproved. They have ...
Casey Johnson fell into a diabetic coma twice and had to be hospitalized, law enforcement sources tell TMZ. Were told Johnson ... Casey Johnson -- Diabetic Coma History. Casey Johnson fell into a diabetic coma twice and had to be hospitalized, law ...
We use cookies to improve our service and to tailor our content and advertising to you. More info Close You can manage your cookie settings via your browser at any time. To learn more about how we use cookies, please see our cookies policy Close ...
Palestinian President Yasser Arafat fell into a coma as his health continued to deteriorate, Reuters reported Thursday. ... Yasser Arafat Reportedly in Coma. Politics Nov 4, 2004 12:15 PM EST While two officials denied Arafat was comatose, a senior ... French television station LCI quoted an anonymous medical official as saying Arafat was in an "irreversible coma" and was " ... and there is not truth to any of the reports that he is in a coma," Mohammed Rashid, Arafats financial adviser, said. ...
... when he found one alleged victim in a coma, a court hears. ... Nurse felt amused by coma. A male staff nurse accused of ... when he found one alleged victim in a coma, a court heard yesterday. ... murdering four elderly female patients showed "detached amusement" when he found one alleged victim in a coma, a court hears. ...
Auditory test predicts coma awakening. Patients whose sound discrimination improved in 48 hours eventually awoke. ... Recovery from coma has been linked to auditory function before, but it wasnt clear whether function depended on the time of ... A coma patients chances of surviving and waking up could be predicted by changes in the brains ability to discriminate sounds ... How this ability progresses over time can predict whether a coma patient will survive and ultimately awaken, researchers report ...
1. An Unusual Cause of Coma. A 37-year-old female presented in coma of gradual onset. Her family reported episodic abnormal ... An Unusual Cause of Coma. Sujith Ovallath,1 R. S. Raj,2 Abdu Rahman,2 and A. S. Girija2 ... This case report is an unusual presentation of fibroid uterus as coma. The patient developed a recurrent hypoglycemia possibly ... Initial evaluation: patient was in coma (E2 M3 V2). Pupils were middilated. She was afebrile, excessively sweating, having no ...
Study using i2b2 could help standardize artificial coma treatment for RSE patients Status epilepticus, a dangerous condition in ...
Saturday Cinema - off the rails....nearly.. certainly not Star Dawg.. still, its only 1 locomotive, 36 wagons weighing in at about 1400 tons....should be OK if he drops er down a notch or two ...
My mum has been an alcoholic for years and has been in a coma due to liver failure twice, one 6 years ago and one in may this ... hepatic coma. Hello, My mum has been an alcoholic for years and has been in a coma due to liver failure twice, one 6 years ago ... My mum has been an alcoholic for years and has been in a coma due to liver failure twice, one 6 years ago and one in may this ... It causes confusion and coma from the high ammonia level. If she is having this symptom then she has probably damaged the liver ...
... with an extreme manifestation of myxedema coma if untreated. Hematologic consequences of myxedema coma include mild leukopenia ... We present a patient with typical symptoms of myxedema coma, but found to be pancytopenic, with sustained response to ... Myxedema Coma Complicated by Pancytopenia. Charles T. Mupamombe. ,1 Felix M. Reyes. ,1 Derek B. Laskar. ,2 and Joseph Gorga3. 1 ... Myxedema Coma Complicated by Pancytopenia,. Case Reports in Medicine,. vol. 2019. ,. Article ID 2320751. ,. 6. pages. ,. 2019 ...
Blood Test in Coma Rape. Order Reprints, Todays Paper,Subscribe ... Blood Test in Coma Rape. AP. Continue reading the main story ... a former nurses aide to provide blood to determine whether he is the father of a baby born to a woman who has been in a coma ...
  • At this clinic people are placed into a medically induced coma and subjected to a high nutriet, low calorie intravenous diet and a daily regimen of exercise machines and electrically stimulated muscles. (halfbakery.com)
  • The family of a Florida man who was placed in a medically induced coma Monday after his e-cigarette blew up wants others to understand the dangers of the devices. (nypost.com)
  • Former Oakland Raiders linebacker Neiron Ball was placed in a medically induced coma after suffering a brain aneurysm on Sept. 16. (usatoday.com)
  • Former Oakland Raiders linebacker Neiron Ball is in a medically-induced coma after suffering a brain aneurysm on September 16. (usatoday.com)
  • One of the Middle East's most controversial leaders, Sharon suffered a massive stroke in January 2006, and the then-prime minister was put into a medically-induced coma. (telegraph.co.uk)
  • BERLIN (Reuters) - Kremlin critic Alexei Navalny has been removed from a medically induced coma and is responding to speech, Berlin's Charite hospital said on Monday. (reuters.com)
  • Six days after being admitted to the intensive care unit Sherie was put in a medically-induced coma. (thesun.co.uk)
  • A team of neuroscientists and physicists joined forces to jump-start a patient's brain out of a medically induced coma with ultrasound waves-and it worked, STAT reports. (sciencemag.org)
  • Crehan had part of his skull removed to relieve pressure and was placed in a medically induced coma to allow his brain to heal. (scientificamerican.com)
  • I am looking for people to talk to that have gone through what I have been through--medically induced coma. (dailystrength.org)
  • The Glasgow Coma Scale provides a means of examining a comatose patient. (faqs.org)
  • In the case of an acutely ill patient such as Arafat, with the Glasgow Coma Scale , created in 1974 by the Scottish neurosurgeons Graham Teasdale and Bryan Jennett. (slate.com)
  • moderate, and severe-based on the Glasgow Coma Scale (GCS). (britannica.com)
  • The patient's Glasgow Coma Scale score at time of admission is the single best factor to determine patient outcome. (pbs.org)
  • Such terms lack precision and coma can be more objectively assessed using measures such as the Glasgow coma scale (GCS) (table 1). (scribd.com)
  • It can also be defined as a score of ≤ 8 on the Glasgow Coma Scale (GCS) lasting ≥ 6 hours. (wikipedia.org)
  • General symptoms of a person in a comatose state are: Inability to voluntarily open the eyes A non-existent sleep-wake cycle Lack of response to physical (painful) or verbal stimuli Depressed brainstem reflexes, such as pupils not responding to light Irregular breathing Scores between 3 and 8 on the Glasgow Coma Scale Many types of problems can cause a coma. (wikipedia.org)
  • Clinical findings of comatose patients can be rated according to the Glasgow Coma Scale (GCS). (epnet.com)
  • The Glasgow Coma Scale is a tool physicians use to rate the depth of coma of a patient. (emedicinehealth.com)
  • What is the Glasgow Coma Scale? (medicinenet.com)
  • The Glasgow Coma Scale was developed to provide healthcare professionals with a simple way of measuring the depth of coma based upon observations of eye opening, speech, and movement. (medicinenet.com)
  • The Glasgow Coma Scale is used as part of the initial evaluation of a patient, but does not assist in making the diagnosis as to the cause of coma. (medicinenet.com)
  • Since it 'scores' the level of coma, the Glasgow Coma Scale can be used as a standard method for any healthcare professional, from EMT, paramedic, nurse, or neurosurgeon, to assess change in the patient's mental status over time. (medicinenet.com)
  • The best use of the Glasgow Coma Scale is to allow healthcare professionals of different clinical skills and training to consistently assess a patient over longer periods of time in order to determine whether the patient is improving, deteriorating, or remaining the same. (medicinenet.com)
  • The Glasgow Coma Scale allows a standard assessment that can be shared. (medicinenet.com)
  • A person who is dead has a Glasgow Coma Scale of 3 (there is no lower score). (medicinenet.com)
  • Mayo Clinic neurologists have created the first new, reliable and easy-to-use clinical tool in 30 years for measuring coma depth, a proposed replacement for the Glasgow Coma Scale. (innovations-report.com)
  • Eelco Wijdicks, M.D., Mayo Clinic neurologist specializing in treating patients in intensive care and inventor of the FOUR Score, says a new scoring system is imperative due to limitations of the system used most commonly, the Glasgow Coma Scale. (innovations-report.com)
  • If we only used the Glasgow Coma Scale, we would not be able to accurately explain the patient's condition to the family -- we'd just be able to give a vague explanation. (innovations-report.com)
  • The Glasgow Coma Scale measures the patient's best response within the first 24 hours following the injury. (brainandspinalcord.org)
  • What is myxedema coma? (webmd.com)
  • When the levels of thyroid hormones become very low, the symptoms get worse and can lead to a serious condition called myxedema coma. (webmd.com)
  • Myxedema coma is a rare but life-threatening condition. (webmd.com)
  • Hypothyroidism is common, with an extreme manifestation of myxedema coma if untreated. (hindawi.com)
  • Hematologic consequences of myxedema coma include mild leukopenia and anemia, rarely pancytopenia. (hindawi.com)
  • We present a patient with typical symptoms of myxedema coma, but found to be pancytopenic, with sustained response to levothyroxine and blood transfusion for anemia. (hindawi.com)
  • The most extreme manifestation of untreated hypothyroidism is myxedema coma, which carries a mortality rate as high as 25-60% [ 3 ]. (hindawi.com)
  • We present a case of a patient whose initial known thyroid disorder presentation was myxedema coma, with a complication of pancytopenia. (hindawi.com)
  • Myxedema coma, occasionally called myxedema crisis, is a rare life-threatening clinical condition that represents severe hypothyroidism with physiological decompensation. (medscape.com)
  • Patients with myxedema coma are generally severely-ill with significant hypothermia and depressed mental status. (medscape.com)
  • A medical emergency, myxedema coma requires immediate attention. (medscape.com)
  • Patients with myxedema coma should be treated in an intensive care unit with continuous cardiac monitoring. (medscape.com)
  • Myxedema coma occurs as a result of long-standing, undiagnosed, or undertreated hypothyroidism and is usually precipitated by a systemic illness. (medscape.com)
  • Myxedema coma can result from any of the causes of hypothyroidism, most commonly chronic autoimmune thyroiditis. (medscape.com)
  • this can precipitate myxedema coma. (medscape.com)
  • Despite the term myxedema coma, many patients do not present in coma, but manifest variable degrees of altered consciousness. (medscape.com)
  • The main pulmonary effect of myxedema coma is hypoventilation, which results from central depression of ventilatory drive with decreased responsiveness to hypoxia and hypercapnia. (medscape.com)
  • Initiate thyroid hormone replacement as the mainstay therapy for patients with myxedema coma. (medscape.com)
  • Hormonal therapy should be instituted early in patients with a high clinical suspicion of myxedema coma prior to laboratory confirmation. (medscape.com)
  • Mild cases may be treated with gradual oral replacement, but patients with myxedema coma usually require large doses of IV replacement. (medscape.com)
  • Ono Y, Ono S, Yasunaga H, Matsui H, Fushimi K, Tanaka Y. Clinical characteristics and outcomes of myxedema coma: Analysis of a national inpatient database in Japan. (medscape.com)
  • A diagnostic scoring system for myxedema coma. (medscape.com)
  • Severe angioedema in myxedema coma: a difficult airway in a rare endocrine emergency. (medscape.com)
  • People who have myxedema coma are in or near a coma and not able to function normally. (emedicinehealth.com)
  • People with myxedema coma are in a coma or nearly in a coma. (emedicinehealth.com)
  • Friends or family members should not give the person in myxedema coma any thyroid medication before taking him or her to the emergency department. (emedicinehealth.com)
  • Myxedema coma can be prevented with early treatment of hypothyroidism, taking thyroid medication regularly, and recognition of the warning symptoms of myxedema coma. (emedicinehealth.com)
  • Myxedema coma is a very serious condition that can result in death. (emedicinehealth.com)
  • Did you or a loved one experience a myxedema coma? (emedicinehealth.com)
  • What treatment did you or a loved one receive for a myxedema coma? (emedicinehealth.com)
  • in contrast, lack of oxygen ( anoxia) may result in a coma that lasts for several weeks and is often fatal. (britannica.com)
  • Accidents may also result in a coma. (wisegeek.com)
  • Vertical coma is the most common higher-order aberration in the eyes of patients with keratoconus . (wikipedia.org)
  • Stroke , a rupture or blockage of vessels supplying blood to the brain, can cause sudden loss of consciousness in some patients, while comas caused by metabolic abnormalities or cerebral tumours are characterized by a more gradual onset, with stages of lethargy and stupor before true coma. (britannica.com)
  • Coma patients who score low on the GCS can make miraculous recoveries, but the odds are against them. (slate.com)
  • In rehabilitative settings, by contrast, where long-term coma patients are often taken, the more popular measurement of coma depth is the Rancho Los Amigos Scale . (slate.com)
  • A male staff nurse accused of murdering four elderly female patients showed "detached amusement" when he found one alleged victim in a coma, a court hears. (mirror.co.uk)
  • When evaluating patients with medical causes for coma the neurologist should be aware of its many causes and various outcomes. (scribd.com)
  • In a large study of patients presenting with "medical coma" cerebrovascular disease accounted for 50%, hypoxic ischaemic injury 20%, and various metabolic and infective encephalopathies the remainder. (scribd.com)
  • In spite of medical advances and the increasing number of severely brain-injured patients, the assessment and treatment of patients recovering from coma remain challenging. (springer.com)
  • Coma patients exhibit a complete absence of wakefulness and are unable to consciously feel, speak or move. (wikipedia.org)
  • Given that drug poisoning is the cause for a large portion of patients in a coma, hospitals first test all comatose patients by observing pupil size and eye movement, through the vestibular-ocular reflex. (wikipedia.org)
  • Dr. Brian Edlow's Laboratory for NeuroImaging of Coma and Consciousness (NICC) aims to improve acute care and long-term outcomes for patients with coma and other disorders of consciousness caused by traumatic brain injury. (massgeneral.org)
  • For example, do coma patients on average, at least those asleep for a long period of time, have a lot of problems getting moving again? (medhelp.org)
  • I know people get frozen shoulders and legs when they get muscle tears and don't use the muscle all that much, but I need to know about the muscle control of coma patients after 1 year, 2 year, and 3 years. (medhelp.org)
  • Neurologists are trying to figure out how to help these patients by studying how anesthesia works, because the brain under general anesthesia isn't 'asleep' as surgery patients are often told-it is placed into a state that is a reversible coma. (unknowncountry.com)
  • Researcher Emery Brown says, 'monitoring brain function under general anesthesia gives us new insights into how the brain works in order to develop new sleep aids and new ways for patients to recover from coma. (unknowncountry.com)
  • Patients in coma do not voluntarily interact with their environment. (medicinenet.com)
  • Predicting the chances of recovery of consciousness and communication in patients who survive their coma but transit in a vegetative state or minimally conscious state (MCS) remains a major challenge for their medical caregivers. (jci.org)
  • The Coma Recovery Scale (CRS-R) is a 23-item instrument used to assist with differential diagnosis, prognostic assessment, and treatment planning with patients having disorders of consciousness. (springer.com)
  • A multicentre study of intentional behavioural responses measured using the coma recovery scale-revised in patients with minimally conscious state. (springer.com)
  • It emphasizes on treatment of coma and the special needs of comatose patients. (worldcat.org)
  • LOS ANGELES-A team of physicians and neuroscientists on Wednesday reported the successful use of ultrasound waves to "jump start" the brain of a 25-year-old man recovering from coma-and plan to launch a much broader test of the technique, in hopes of finding a way to help at least some of the tens of thousands of patients in vegetative states. (scientificamerican.com)
  • The aim of this research is to increase effectiveness of treatment of patients in eclamptic coma. (ingentaconnect.com)
  • A&E's two-night miniseries remake of the old '70s Michael Douglas movie about a med student trying to learn why so many patients at her hospital are lapsing into comas, the frequently silly "Coma" comes to us from John J. McLaughlin, the writer behind the 2005 Tommy Lee Jones cop-cheerleader comedy "Man of the House" and Darren Aronofksy's "Black Swan. (aintitcool.com)
  • Most of those coma patients seem to have remarkably docile relatives who don't ask many questions (lazily explained away by fat hush-money checks). (aintitcool.com)
  • Dr. Wijdicks tested the FOUR Score prospectively at Mayo Clinic in 120 intensive care unit patients and compared scores by neurologists specializing in treatment of patients in intensive care, neuroscience nurses and neurology residents to scores using the Glasgow Coma Score. (innovations-report.com)
  • Doctors sometimes put patients that have very bad injuries into a coma. (wikipedia.org)
  • The differential diagnosis and evaluation of stupor and coma in children and the evaluation, treatment, and prognosis of stupor and coma in adults are presented separately. (uptodate.com)
  • See 'Evaluation of stupor and coma in children' and 'Stupor and coma in adults' . (uptodate.com)
  • These tests can help determine the cause of the coma and the location of brain damage. (mayoclinic.org)
  • Doctors will work quickly to determine the cause of the coma. (epnet.com)
  • Sometimes people who come out of comas are just as they were before - they can remember what happened to them before the coma and can do everything they used to do. (kidshealth.org)
  • For most metabolic comas, the first step in treatment is to protect the brain cells and attempt to eliminate the cause of coma. (britannica.com)
  • Coma , state of unconsciousness, characterized by loss of reaction to external stimuli and absence of spontaneous nervous activity, usually associated with injury to the cerebrum . (britannica.com)
  • Prolonged unconsciousness due to altered blood sugar levels is called a diabetic coma. (medicalnewstoday.com)
  • A coma is a deep state of unconsciousness. (medicalnewstoday.com)
  • A coma is a deep state of prolonged unconsciousness in which a person cannot be awakened, fails to respond normally to painful stimuli, light, or sound, lacks a normal wake-sleep cycle and does not initiate voluntary actions. (wikipedia.org)
  • A coma is a state of deep unconsciousness that a person cannot be woken from. (epnet.com)
  • Coma is a state of unconsciousness in which the patient does not consiously respond to the environment and stimuli. (emedicinehealth.com)
  • A coma is generally understood to be a state of unconsciousness from which a patient cannot be awakened. (wisegeek.com)
  • A coma is a profound state of unconsciousness. (dailystrength.org)
  • Coma lies on a spectrum with other alterations in consciousness. (faqs.org)
  • Anatomic causes of coma are conditions that damage the brain structures responsible for consciousness, either at the level of the cerebal cortex or the brainstem, whereas metabolic causes of coma consist of those conditions that change the chemical environment of the brain, thereby adversely affecting function. (faqs.org)
  • Whether or not they are conscious, or how many people are conscious during a coma, or the level of consciousness, is a question that scientists are currently investigating. (medicalnewstoday.com)
  • Knowledge of the anatomical basis of coma is essential for competent evaluation but must be combined with an understanding of the many, often multi-factorial, medical conditions that result in impaired consciousness. (scribd.com)
  • Coma is caused by disordered arousal rather than impairment of the content of consciousness, this being the sum of cognitive and aVective mental function, dependent on an intact cerebral cortex. (scribd.com)
  • THOUSAND OAKS - Actor Martin Lawrence regained consciousness Wednesday after slipping into a coma brought on by severe heat exhaustion while exercising, according to doctors at Los Robles Regional Medical Center. (latimes.com)
  • For over 10 years now, the Coma Science Group has been working on the scientific exploration of disorders of consciousness, with both scientific and clinical research agendas. (springer.com)
  • The Coma Science Group presents here a comprehensive book for readers, regardless of whether they are already familiar with the difficult but exciting field of disorders of consciousness. (springer.com)
  • Disorders of consciousness, also referred to as coma when severe enough, can be a difficult situation to assess sufficiently to make reliable predictions about outcome. (sciencebasedmedicine.org)
  • Coma is an alteration of consciousness in which a person appears to be asleep, cannot be aroused, and shows no awareness of the environment [ 1 ]. (uptodate.com)
  • Coma is therefore the most profound degree to which the two components of consciousness, arousal and awareness, can be diminished. (uptodate.com)
  • Assessment of the level of consciousness on a scale Glasgow coma in 3 clicks. (cnet.com)
  • Coma is a state of decreased consciousness whereby a patient cannot react with the surrounding environment. (medicinenet.com)
  • Coma and impaired consciousness. (worldcat.org)
  • Whether someone fully returns to normal after being in a coma depends on what caused the coma and how badly the brain may have been hurt. (kidshealth.org)
  • Coma may accompany a number of metabolic disorders or physical injuries to the brain from disease or trauma. (britannica.com)
  • Metabolic causes of coma include a decrease in the delivery to the brain of substances necessary for appropriate brain functioning, such as oxygen, glucose (sugar), and sodium. (faqs.org)
  • Coma may also be caused by changes in chemical levels in the brain due to theelectrical derangements caused by seizures (sudden attacks). (faqs.org)
  • However, if they do not receive treatment soon after entering the coma, there may be long-term effects, for example, a risk of irreversible brain damage. (medicalnewstoday.com)
  • Sometimes, a doctor will induce a coma using medications, for example, to protect the patient from intense pain during a healing process, or to preserve higher brain function following another form of brain trauma. (medicalnewstoday.com)
  • Some critics ask whether the medical establishment, given the instances of unexpected recovery from coma, really know enough about the brain to make such judgments. (nytimes.com)
  • Those who emerge from coma survive with a brain that is, in varying degrees, different, and their problems are psychological as well as mental and physical. (nytimes.com)
  • A unilateral hemisphere lesion will not result in coma unless there is secondary brain stem compression, caused by herniation, compromising the ascending reticular activating system. (scribd.com)
  • The speed of onset, site, and size of a brainstem lesion determine whether it results in coma, so brain stem infarction or haemorrhage often causes coma while other brain stem conditions such as multiple sclerosis or tumour rarely do so. (scribd.com)
  • Coma may occur as a complication of an underlying illness, or as a result of injuries, such as brain injury . (medlineplus.gov)
  • A coma is the term used for an individual who is unresponsive and still has brain activity, but only minimally so. (medic8.com)
  • There may be similarities between brain death and coma, particularly when the latter requires life support. (medic8.com)
  • Wounded Arizona congresswoman Gabrielle Giffords was put into an induced coma in order to help her brain heal. (unknowncountry.com)
  • Causes of coma include head trauma , bleeding in the brain , skull fractures, brain swelling, lack of oxygen to the brain, poisons, and endocrine disorders. (emedicinehealth.com)
  • The outlook of coma for a patient depends on the cause of the coma and the damage to the brain and other organs of the patient's body. (emedicinehealth.com)
  • A young Queensland mum has no recollection of giving birth after a major brain bleed saw her slip into a coma 32 weeks into her pregnancy. (news.com.au)
  • Caitlin Stubbs, 25, was 32 weeks pregnant when she suffered a major brain haemorrhage and fell into a coma. (news.com.au)
  • By the time she reach the hospital she had fallen into a coma and it became clear that she had suffered another brain bleed. (news.com.au)
  • Coma occurs when the brain does not have enough nutrients. (medicinenet.com)
  • Trauma , bleeding, or swelling of the brain can affect blood delivery, various poisons can also directly injure the brain, and brain inflammation and infection can also alter mental status and lead to coma. (medicinenet.com)
  • They were part of a new clinical trial investigating whether repeated stimulation with familiar voices can help repair a coma victim's injured brain networks and spur his recovery. (redorbit.com)
  • Coma/Traumatic Brain Injury Recovery Association, Inc. (nih.gov)
  • Since then, clinical research efforts in the field of acute brain damage and coma have increased nearly exponentially. (jci.org)
  • A coma scoring system is used by physicians to initially assess a comatose patient to determine the severity of the brain injury, to monitor the patient's ongoing progress, and to determine the best treatment during a coma. (innovations-report.com)
  • the other hospital told us he was in a coma, they dont know if there was any brain damage but it's not looking good. (dailystrength.org)
  • A coma is the amount of time a person spends unconscious following a traumatic brain injury . (brainandspinalcord.org)
  • The family of Keighley teacher Adam Pickles who left in a coma following a brutal assault in Thailand have appealed against the decision to acquit his alleged attacker. (itv.com)
  • TRENTON, N.J. (AP) - The family of the late reggae icon Peter Tosh is seeking answers after they say his son was left in a coma following an attack in a New Jersey jail. (msn.com)
  • About two weeks after Mrs. Gates was discharged, she collapsed in her home with cerebral hemorrhage and went into a coma for nine months. (sun-sentinel.com)
  • Hosni Mubarak, 84, had been moved to a military hospital in Cairo on Tuesday, after suffering a heart attack, after which he went into a coma. (rt.com)
  • North Korea has claimed that Warmbier went into a coma after taking a sleeping pill and contracting botulism, though U.S. doctors said they found no evidence of the illness. (infowars.com)
  • His lawyer claimed the former leader had fallen into a coma, which has denied by doctors treating him at the hospital. (bbc.com)
  • Warmbier, who suffered a "severe neurological injury" of unknown cause according to doctors, was said to have fallen into a coma in March 2016 shortly after his sentencing. (infowars.com)
  • Actually it mistreated and aggravated-diabetic cases resulting coma, that is categorized into Hypoglycemic coma, Diabetic ketoacidosis and Hyperosmolar coma. (slideshare.net)
  • The severe symptoms of uncontrolled blood sugar that can come before a diabetic coma include vomiting, difficulty breathing, confusion, weakness, and dizziness. (medicalnewstoday.com)
  • This condition is life-threatening, so it is important to seek medical attention immediately if you think you have any symptoms of an impending hyperosmolar nonketotic coma. (empowher.com)
  • BERLIN: German doctors treating Russian opposition leader Alexei Navalny for a suspected poisoning said on Friday the dissident is still in an induced coma but his condition is stable and his symptoms are improving. (indiatimes.com)
  • Eighty-seven percent of those who score a three or four after a full day in a coma will either die or remain in a persistent vegetative state. (slate.com)
  • Create healthcare diagrams like this example called Coma and Persistent Vegetative State in minutes with SmartDraw. (smartdraw.com)
  • A persistent vegetative state sometimes follows a coma. (smartdraw.com)
  • On TV, it seems like someone in a coma wakes up right away, looks around, and is able to think and talk normally. (kidshealth.org)
  • Accumulated substances that might cause coma include ammonia due to liver disease, ketones due to uncontrolled diabetes, or carbon dioxide due to a severe asthma attack. (faqs.org)
  • When HHNS is severe, it can lead to seizures , coma , and eventually death. (empowher.com)
  • Myxedema and Coma (Severe Hypothyroidism). (medscape.com)
  • For example, a health care professional may choose to use medication to induce a coma if there has been a severe head trauma that must be addressed. (wisegeek.com)
  • Furthermore, in a deep coma, even painful stimuli (actions which,when performed on a healthy individual, result in reactions) are unable to effect any response, and normal reflexes may be lost. (faqs.org)
  • His neurological status continues to be same, he's in deep coma and is on a ventilator," Pak High Commission officials were quoted as saying by ANI. (hindustantimes.com)
  • Richard Nixon's condition worsened dramatically Thursday and the 81-year-old former President fell into a deep coma, his physicians said. (latimes.com)
  • President Richard M. Nixon's condition has deteriorated and he is now in a deep coma. (latimes.com)
  • The GCS is used primarily for diagnosis in acute cases-that is, in intensive care units or wherever else the gravely ill might be found immediately after falling into a coma. (slate.com)
  • During a coma, a person cannot communicate, so diagnosis is through the outward signs. (medicalnewstoday.com)
  • Early treatment of coma is generally supportive until a definitive diagnosis is made. (uptodate.com)
  • And you would lose some more weiht after you have been woken from the coma as you have not used your muscles for so long and you would need to learn to walk again. (halfbakery.com)
  • Nerve block caused a rare neurological disorder, cauda equina, rushed to emergency nuero surgery and hasn't woken since surgery this AM currently in a coma," Magana's team wrote on her Twitter account following the surgery. (yahoo.com)
  • The term coma is used to describe the state where an individual is unconscious and not responding to stimuli, and cannot be woken up. (medic8.com)
  • London, Oct 26 (ANI): A teenager from Northampton, who was put in an induced coma after a brutal assault, has woken up believing he is Barack Obama. (yahoo.com)
  • People with hypothyroidism who are in or near a coma should be taken to an emergency department right away. (webmd.com)
  • Hehrmann R. [Coma in myxedema--a rare complication of hypothyroidism. (medscape.com)
  • I have two characters who wake up after 3 years in a coma. (medhelp.org)
  • A Miami woman who spent 42 years in a coma has died. (twincities.com)
  • But when the New Jersey resident fell into a coma he awoke to find himself in his native country of Poland . (yahoo.com)
  • alcohol combined with barbiturates is a common cause of coma in suicide attempts. (britannica.com)
  • The second most common cause of coma, which makes up about 25% of cases, is lack of oxygen, generally resulting from cardiac arrest. (wikipedia.org)
  • Metabolic causes of coma are diagnosed from blood work and urinalysis to evaluate blood chemistry, drug screen, and blood cell abnormalities that may indicate infection. (faqs.org)
  • Coma may occur for various reasons, such as intoxication, a disease or infection that affects the central nervous system (CNS), a serious injury, and hypoxia, or oxygen deprivation. (medicalnewstoday.com)
  • A coma due to disorders of the neuronal mechanisms of energy transfer or due to impairment or deprivation of the energy sources. (dictionary.com)
  • The National Institute of Neurological Disorders and Stroke (NINDS) and other institutes of the National Institutes of Health (NIH) conduct research related to coma in their laboratories at the NIH and also support additional research through grants to major medical institutions across the country. (nih.gov)
  • Someone who is in a coma is unconscious and will not respond to voices, other sounds, or any sort of activity going on nearby. (kidshealth.org)
  • Any type of accident that involves head trauma has the potential to result in the individual becoming unconscious and sinking into a coma. (wisegeek.com)
  • Someone who is totally unconscious, unresponsive and cannot be aroused over a sustained time is in a coma. (innovations-report.com)
  • But after spending seven days in an induced coma and a fortnight unconscious in intensive care, Kerry did not discover the tragic news until she came to and was able to hold her son's body that had been kept in a cold cot for three weeks. (nzherald.co.nz)
  • Though some Palestinian officials have been quoted as saying the longtime PLO leader is already dead , the French doctors tending to Arafat insist he's still alive , albeit in a "deeper coma" than the one he was in a few days ago. (slate.com)
  • Spahlinger was taken to NCH Downtown Naples Hospital before being flown to a Miami hospital where doctors placed him in a coma to alleviate pain. (nypost.com)
  • Because people in a coma can't express themselves, doctors must rely on physical clues and information provided by families and friends. (mayoclinic.org)
  • Doctors will observe breathing patterns to help diagnose the cause of the coma. (mayoclinic.org)
  • If the coma is the result of drug overdose, doctors will give medications to treat the condition. (mayoclinic.org)
  • If the coma is due to seizures, doctors will administer medications to control seizures. (mayoclinic.org)
  • Doctors attempted to wake him after about a week, said his father, Michael Crehan, but it didn't go well, so he was returned to the coma for another week. (scientificamerican.com)
  • A coma scoring system like the FOUR Score makes better doctors,' he says. (innovations-report.com)
  • Generally, doctors use the severity and length of the coma to determine the long-term prognosis of the survivor. (brainandspinalcord.org)
  • Likewise, there is not test that doctors can run to determine when a person will come out of a coma, or what the patient's recovery will be like. (brainandspinalcord.org)
  • Paul was checked by doctors as soon as he returned home, and was told his blood sugar levels were so erratic he could have slipped into a coma at any time. (dailystar.co.uk)
  • Former UFC fighter and current Combate Americas athlete Angela Magana awoke from a coma that stemmed from a surgical procedure earlier this week in Puerto Rico. (yahoo.com)
  • A brave mum has shared heartbreaking photos taken with her stillborn son after she awoke from a coma to be told he had been dead for three weeks. (nzherald.co.nz)
  • Large doses of barbiturates alone will also produce coma by suppressing cerebral blood flow, thus causing anoxia. (britannica.com)
  • Coma is the result of something that interferes with the functioning of the cerebral cortex or the functioning of the structures which make up the RAS. (faqs.org)
  • Injury to either or both of the cerebral cortex or the reticular activating system (RAS) is sufficient to cause a person to enter coma. (wikipedia.org)
  • Common causes of metabolic coma include diabetes , excessive consumption of alcohol, and barbiturate poisoning. (britannica.com)
  • A diabetic coma can affect a person with diabetes when they have high or low levels of blood sugar or other substances in the body. (medicalnewstoday.com)
  • For those living with diabetes, monitoring blood glucose accurately is necessary to prevent diabetes-related complications such as heart attacks, blindness and coma. (news-medical.net)
  • Your veterinarian will perform the necessary tests to determine the underlying cause of the coma, including the presence of health conditions such as diabetes. (petmd.com)
  • Former SPICE GIRLS star MELANIE CHISHOLM helped prevent her brother from falling into a life-threatening coma after urging him to get checked for diabetes. (dailystar.co.uk)
  • People may come out of a coma with physical, intellectual, and psychological problems. (medlineplus.gov)
  • A person who is experiencing a coma cannot be awakened, and they do not react to the surrounding environment. (medicalnewstoday.com)
  • research suggests that EEG recordings potentially can be used to predict whether a patient will emerge from coma. (britannica.com)
  • A coma patient's chances of surviving and waking up could be predicted by changes in the brain's ability to discriminate sounds, new research suggests. (sciencenews.org)
  • Recovery from coma has been linked to auditory function before, but it wasn't clear whether function depended on the time of assessment. (sciencenews.org)
  • The states operate on different time scales: General anesthesia in minutes to hours, and recovery from coma in hours to months to years, if ever. (unknowncountry.com)
  • Schemes to reduce spherical aberration without introducing coma include Schmidt , Maksutov , ACF and Ritchey-Chrétien optical systems. (wikipedia.org)
  • Lenses in which both spherical aberration and coma are minimized at a single wavelength are called bestform or aplanatic lenses. (wikipedia.org)
  • Coma is a medical emergency, and attention must first be directed to maintaining the patient's respiration and circulation, using intubation and ventilation, administration of intravenous fluids or blood as needed, and other supportive care. (faqs.org)
  • Before entering a coma, a person with worsening hypoglycemia (low blood sugar), or hypercapnia (higher blood CO2 levels), for example, will first experience mild agitation. (medicalnewstoday.com)
  • The case of Sergeant Mack occurs at a time of a growing debate in the medical world over what can and cannot - indeed, what should and should not -be done for those whose brains have been injured severely enough to put them into coma. (nytimes.com)
  • Those in lighter coma may offer some response to a verbal or painful stimulus, to the point they may even seem wake, yet meet the criteria of coma because they do not respond to their environment by initiating voluntary actions. (medicinenet.com)
  • A doctor can reverse a diabetic coma quickly, but the treatment depends on the type. (medicalnewstoday.com)
  • Without treatment, the coma can be fatal. (medicalnewstoday.com)
  • Treatment varies, depending on the cause of the coma. (mayoclinic.org)
  • Further treatment will depend on the cause of the coma. (epnet.com)
  • While medical science has produced coma treatments that have been successful in some cases, there is no exact treatment for dealing with a coma. (wisegeek.com)
  • Current algorithm of intensive therapy corresponds to coma states methodology treatment of metabolic genesis accepted in neurological and neurosurgical practice. (ingentaconnect.com)
  • There is no treatment for coma. (brainandspinalcord.org)
  • In other institutions, this same kind of patient is exposed to intense external stimulation - an ice cube placed on his bare arm, the crashing of blocks of wood beside his ears - in efforts to ''awaken'' him from coma. (nytimes.com)
  • The emotional wear and tear on the patient and his family is matched by the financial sacrifice - it costs hundreds of dollars a day to keep a coma patient in intensive care, and the total cost of extended rehabilitation afterward can be even greater. (nytimes.com)
  • Initial evaluation: patient was in coma (E2 M3 V2). (hindawi.com)
  • Establishing a secure airway in a patient with coma may be attained by repositioning the child to open the airway, but often requires intubation to ensure adequate ventilation and to prevent aspiration of secretions or gastric contents (see 'Emergency endotracheal intubation in children' ). (uptodate.com)
  • A fully awake patient has a Glasgow Coma Score of 15. (medicinenet.com)
  • Recovery from the coma usually takes some time, as the patient slowly regains control of motor functions and is able to recapture speech and other communication skills. (wisegeek.com)
  • The Coma Recovery Scale was initially developed by Giacino and colleagues in 1991 and then revised in 2004 and re-named the JFK Coma Recovery Scale-Revised (Giacino et al. (springer.com)
  • The JFK coma recovery scale-revised: Measurement characteristics and diagnostic utility. (springer.com)
  • The JFK coma recovery scale-revised. (springer.com)
  • Coma is an acute, life threatening situation. (scribd.com)
  • A 37-year-old female presented in coma of gradual onset. (hindawi.com)
  • Her family reported episodic abnormal behavior in the mornings, excessive sleepiness, and episodic vomiting of one-week duration prior to the onset of coma. (hindawi.com)
  • We describe the case of a 64-year-old male with new onset seizure activity and coma following self-reported regular kratom use. (springer.com)
  • Egyptian security officials report former president Hosni Mubarak remains in a coma but has been taken off life support systems he was on after heart failure Tuesday night. (rt.com)
  • Later reports, however, suggested that Mubarak is not clinically dead but remains in a coma and on life support. (rt.com)
  • Mubarak coma claim denied Jump to media player There are conflicting reports about the health of Egypt's ousted President Hosni Mubarak, who has been in hospital in Sharm el-Sheikh since April. (bbc.com)
  • Egypt's Hosni Mubarak 'in a coma' Jump to media player Deposed Egyptian President Hosni Mubarak has lapsed into a coma in a hospital in the Red Sea resort of Sharm el-Sheikh, his lawyer says. (bbc.com)
  • This causes stars to appear to have a cometary coma , hence the name. (wikipedia.org)
  • All of these are conditions which, unlike coma, still allow the person torespond to stimuli, although such a response may be brief and require stimulus of greater than normal intensity. (faqs.org)
  • The VS may be a transitional state on the route to further recovery or, unlike coma, which virtually never becomes chronic, the VS may progress to a long-standing, sometimes irreversible condition. (jci.org)
  • Extensive bilateral damage or disturbance of the hemisphere function is required to produce coma. (scribd.com)
  • Drugs and metabolic disease produce coma by a depression of both cortex and ascending reticular activating system function. (scribd.com)
  • No one care truly understand what your mind does to you in a medical coma except someone who has been through it. (dailystrength.org)
  • The good news about 'Coma,' A&E's four-hour miniseries adaptation of the Michael Crichton film airing Monday and Tuesday night, is that it's much better than its previous miniseries adaptation of the Michael Crichton book 'The Andromeda Strain. (aintitcool.com)
  • EEG - to check whether seizure activity has caused the coma. (medic8.com)
  • Beynon J, Akhtar S, Kearney T. Predictors of outcome in myxoedema coma. (medscape.com)
  • Coma, from the Greek word koma, meaning deep sleep, is a state of extreme unresponsiveness, in which an individual exhibits no voluntary movement or behavior. (faqs.org)
  • The term 'coma', from the Greek κῶμα koma, meaning deep sleep, had already been used in the Hippocratic corpus (Epidemica) and later by Galen (second century AD). (wikipedia.org)
  • Drawing the name from the Greek word koma , which means deep sleep, a coma can result from a number of different events. (wisegeek.com)
  • During a coma, a person does not react to external stimuli and they will not show normal reflex responses. (medicalnewstoday.com)
  • How deep is Arafat's coma? (slate.com)
  • Last night, several blood and bone marrow tests were done that required the president to be in an isolation unit for several hours, and there is not truth to any of the reports that he is in a coma," Mohammed Rashid, Arafat's financial adviser, said. (pbs.org)
  • The best way to prevent hyperosmolar nonketotic coma is to monitor your blood glucose levels regularly. (empowher.com)