Managing Unconscious Patients in Emergency Medicine
Expert insights on diagnosing and managing unconscious patients in emergency settings, covering airway, breathing, circulation, and potential differentials like hypoglycemia, hypoxia, trauma, infection, and more. Understand the critical steps in assessment, treatment, and considerations for each scenario.
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Presentation Transcript
Unconscious Patient Mark Tehan MBBS, FRCEM, FIMC Consultant in Emergency Medicine and Pre-Hospital Emergency Medicine Broomfield Hospital, Magpas Air Ambulance
Overview Common EM presentation Common AM, Anaes & ICM referral Core part of ACCS syllabus FRCEM, FRCA & MRCP
Diagnostic A E Airway Breathing Circulation Disability Exposure
Management A E Airway with C-Spine Protection Breathing Circulation Disability Exposure
Differential Drugs Hypoglycaemia Hypoxia Trauma Infection Vascular Epilepsy Raised ICP Cerebral Blood Flow Endocrine
Drugs Are bad! Sedatives Opiates Dissociatives Anticholinergics Think beyond the toxidrome Serotonin Syndrome Poisonous Alcohols
Hypoglycaemia Drugs Seizures Sepsis Liver Failure Addisons
Trauma Traumatic brain injury Brain Impact (IBA / concussion / etc.) Diffuse Axonal Injury Subarachnoid Haemorrhage Subdural haematoma Extradural haematoma Cerebral hypoperfusion
Infection Neurosepsis Sepsis in the elderly
Vascular / Cerebral Blood Flow CVA SAH Hypotension The Aorta Will #@&$! You Up
Epilepsy Generalised seizures Motor (tonic-clonic) Non-Motor (absence / non-convulsive seizures) Post-ictal state
Raised ICP Space occupying lesion Hydrocephalus Trauma Vascular
Endocrine Diabetes Hypoglycaemia DKA Myxoedema Coma Thyroid Storm Adrenal Crisis
Summary Drugs Hypoglycaemia Hypoxia Trauma Infection Vascular / Cerebral Blood Flow Epilepsy Raised ICP Endocrine Standard approach to diagnosis Standard approach to management Run in parallel
