The management of an unconscious patient is a medical emergency, requiring prompt assessment and the appropriate use of first aid and life support procedures. Whether confronted by an unconscious patient on a home visit, or when needing to assess a collapsed patient at the surgery, a clear and stepwise approach to management is an important skill that should be acquired by all GPs.
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References
1.
Bobrow, B., Zeucher, M., Ewy, G., Clark, L., Chikani, V., Donahue, D.,… Kern, K. (2008). Gasping during cardiac arrest in humans is frequent and associated with improved survival. Circulation, 118, 2550–2554. doi: 10.1161/CIRCULATIONAHA.108.799940.
2.
ColquhounM.ChamberlainD.NewcombeR.HarrisR.HarrisS.PeelK.BoyleR. (2008) A national scheme for public access defibrillation in England and Wales: Early results. Resuscitation78(3): 275–280. doi: 10.1016/j.resuscitation.2008.03.226.
3.
CooksleyT.HollandM. (2013) The unconscious patient. Medicine41(3): 146–150. doi: 10.1016/j.mpmed.2012.12.002.
DanielsR. (2011) Surviving the first hours in sepsis: Getting the basics right. Journal of Antimicrobial Chemotherapy66(2): 11–23. doi: 10.1093/jac/dkq515.
6.
DayS.CookE.FunkensteinH.GoldmanL. (1982) Evaluation and outcome of emergency room patients with transient loss of consciousness. American Journal of Medicine73(1): 15–23. doi: 10.1016/0002-9343(82)90913-5.
GreeneS. L.DarganP. I.JonesA. L. (2005) Acute poisoning: Understanding 90% of cases in a nutshell. Postgraduate Medical Journal81: 204–216. doi: 10.1136/pgmj.2004.023794.
9.
JohanssonS.BieberT.DahlR.FriedmannP.LanierB.LockeyR.WilliamsH. (2004) Revised nomenclature for allergy for global use: Report of the nomenclature review committee of the World Allergy Organization, October 2003. Journal of Allergy and Clinical Immunology113(5): 832–836. doi: 10.1016/j.jaci.2003.12.591.
10.
Meningitis Research Foundation. (2011). Meningococcal meningitis and septicaemia guidance notes - diagnosis and treatment in general practice. Retrieved from www.meningitis.org/assets/x/50631.
PumphreyR. (2000) Lessons for management of anaphylaxis from a study of fatal reactions. Clinical and Experimental Allergy30(8): 1144–1150. doi: 10.1046/j.1365-2222.2000.00864.x.
SimonsF.GuX.SimonsK. (2001) Epinephrine absorption in adults: Intramuscular versus subcutaneous injection. Journal of Allergy and Clinical Immunology108(5): 871–873. doi: 10.1067/mai.2001.119409.
