Evaluating the comatose patient. Rapid neurologic assessment is key to appropriate management.

@article{Malik2002EvaluatingTC,
  title={Evaluating the comatose patient. Rapid neurologic assessment is key to appropriate management.},
  author={Khalid Ahsan Malik and David C. Hess},
  journal={Postgraduate medicine},
  year={2002},
  volume={111 2},
  pages={38-40, 43-6, 49-50 passim}
}
Coma is defined as a sleeplike state in which the patient is unresponsive to self and the environment. Coma should be distinguished from the persistent vegetative state and locked-in syndrome. It is important to obtain a carefully taken history from eyewitnesses and to perform a rapid neurologic examination focusing on pupillary responses, eye movements, and motor responses. Pupils reactive to light usually indicate metabolic or medical coma; cerebellar infarction or hemorrhage is a notable… CONTINUE READING

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