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...
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 ...
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, ...
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.. ...
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 ...
The state-of-the-art brain scans that allowed doctors to look inside the head of former Israeli Prime Minister Ariel Sharon show how advances in neuroscience are forcing a rethink of what it means to be in a long-term coma.
Evaluating ED Patients Who Present with AMS & Coma: A Systematic Approach. FERNE Brain Illness and Injury Course. 4 th Mediterranean Emergency Medicine Congress Sorrento, Italy September 17, 2007. Slideshow 172614 by Olivia
DJs mother, his caregiver, during the entire 16 days while he was in a coma. DJ states wanting to see his mom once regaining conscientiousness.
Keith "Guru" Elam, a former member of the rap duo Gang Starr, is in a coma at a New York-area hospital after suffering cardiac arrest on Sunday. He is scheduled to undergo surgery on Monday. Much is uncertain, but HipHopDX reports that his condition is critical.. DJ Premier, the rappers former partner in Gang Starr, made a call to satellite radio show Hip How Nation to confirm the news, originally broken by Gurus sister, Tricia. Guru is considered one of the preeminent MCs of his era. He released six albums with Premier as Gang Starr, as well as seven as a solo artist, including the Jazzmatazz series. His songs served as a foundation for the jazz-rap subgenre.. Nah Right has compiled a list of Twitter reactions from the likes of Jean Grae, Big Pooh and ?uestlove.. Our hearts go out to him and his family.. [via Hip-Hop Wired, HipHopDX]. ...
A 91-year-old mans kidneys failed and his dialysis could no longer be done, so he slipped into a septic shock coma. Just before he was about to terminate, the Organ Group Energizing (OGE) therapy was applied and instead of terminating, he woke up and started healing. He lived on for approximately six months without the need of dialysis as his kidneys healed and functioned. Then he peacefully died in his sleep after indicating that he wanted to pass on to be with his wife who had died many years before. This case is responsible for the creation of the OGE therapy, which has been an extraordinary therapy in helping with cases of chronic illness.. ...
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.