Emergency Medicine Approach to Unconscious Patients
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- Опубліковано 24 сер 2017
- Unconscious patients are tricky. How can you quickly find the cause of their altered mental status? What key aspects should you address in your initial assessment?
This lecture offers a structured and evidence-based framework for assessing an unconscious patient. It covers topics such as: how AEIOU-TIPS can be bad, how to administer antidotes and how to rapidly find preliminary diagnosis in the resus room.
Thank you to GULD and:
- Niklas Jonsson & Samuel Bruchfeld (recording)
- Björn Kolsrud & Anna Eriksson (inspiration)
- Music: Chris Zabriskie - Air Hockey Saloon freemusicarchive.org/music/Chr...
- Bondi Beach: • Anaphylactic Shock Cau...
- Comic: SMBC: www.smbc-comics.com/comic/fals...
- Thumbnail picture: DLR Ritter www.freeimages.com/photographe...
Key references:
[METABOLIC vs STRUCTURAL]
- Forsberg et al. Metabolic vs structural coma in the ED--an observational study.
- Forsberg et al. Prognosis in patients presenting with non-
traumatic coma.
- Ikeda et al. Using vital signs to diagnose impaired consciousness: cross sectional observational study
[FLUMAZENILE]
- Pennings et al. Adverse Events Associated with Flumazenil Treatment for the Management of Suspected Benzodiazepine Intoxication - A Systematic Review with Meta-Analyses of Randomised Trials
- Ngo et al. Should a benzodiazepine antagonist be used in unconscious patients presenting to the emergency department?
- Singh et al. Flumazenil and suspected benzodiazepine overdose.
- Haverkos et al. Fatal seizures after flumazenile administration in a patient with mixed overdose.
[GASTRIC LAVAGE]
- Benson et al. Position paper update: gastric lavage for gastrointestinal decontamination.
- Westergaard et al. Adherence to international recommendations for gastric lavage in medical drug poisonings in Denmark 2007-2010.
[OTHER FUN STUFF]
- Yoshino et al. A case of hypoglycemic hemiparesis and literature review.
- Ohshito et al. Hypoglycemia with focal neurological signs as stroke mimic: Clinical and neuroradiological characteristics.
- Luo et al. A Comparison of Commonly Used QT Correction Formulae: The Effect of Heart Rate on the QTc of Normal ECGs.
- Glimåker et al. Early lumbar puncture in adult bacterial meningitis:
rationale for revised guidelines.
- Ninio et al. Variations on the Hermann grid: an extinction illusion.
- Plum and Posner's Diagnosis of Stupor and Coma, 4th Ed.
Make more video please but på svenska 👍🏼