EM AMS (did not get lecture)

Question 1

what is a coma

Answer 1

pt unarousable and do not have awareness of themselves or surrounding that lasts > 1hour

Question 2

What is AEIOU TIPS

Answer 2

used for evaluation if patient is in a coma
- Alcohol/ammonia
- Electrolytes/endocrine
- Iatrogenic
- Oxygen/opoids
- Uremia
- Trauma/Temp
- Infection
- Psych/Poision
- Seizures/SAH/Space occupying lesions

Question 3

What is FOUR

Answer 3

Full Outline of UnResponsiveness (FOUR)
better at looking for brainstem responses
- eye response
- motor response
- brainstem reflex
- intubation

Question 4

what is the typical cause of locked-in syndrome

Answer 4

CVA of ventral pons
total paralysis below 3rd nerve nuclei
can open eyes and move horizontally