EmtComaSeizureStroke

EmtComaSeizureStroke - Neurological Emergencies Coma,...

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Neurological Emergencies Coma, Seizures, Syncope, Stroke Temple College EMS Professions
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Coma State of unconsciousness from which patient  cannot be aroused
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Coma Unconsciousness =         Immediate Life  Threat Loss of airway Aspiration
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Coma Management of ABC’s must come before  investigation of cause
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Airway Open, clear, maintain If trauma present or no history available,  immediately control    C-spine
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Breathing Assess   presence, adequacy High concentration O 2  immediately on all  patients  with decreased LOC Assist if respiratory rate, tidal volume inadequate
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Circulation Pulses? Perfusion?
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After ABC’s stabilized. . . Quickly investigate cause DERM
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D = Depth of coma What does patient respond to? How does he respond?
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E = Eyes Pupils equal, dilated, constricted, Responsive to light? How?
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R = Respiratory pattern Rate? Unusually deep or shallow? Altered pattern?
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M = Motor Function Evidence of paralysis? Movement on stimulation?  How?
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Vital Signs Shock? Increased ICP? Arrhythmias?
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Head to Toe Survey Injuries causing coma? Injuries caused by fall? What do the scene, bystanders tell you?
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Possible Causes Not enough oxygen Not enough sugar Not enough blood flow  to deliver O 2 , sugar Direct brain injury   Structural (trauma) Metabolic (toxins, infections, temperature)
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Possible Causes A lcohol E pilepsy I nsulin O verdose U remia (and other  metabolic causes) T rauma I nfection P sychiatric S troke, syncope
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This note was uploaded on 12/21/2011 for the course STEP 1 taught by Professor Dr.aslam during the Fall '11 term at Montgomery College.

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EmtComaSeizureStroke - Neurological Emergencies Coma,...

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