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Unconscious Patient Mark Tehan MBBS, FRCEM, FIMC

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Presentation on theme: "Unconscious Patient Mark Tehan MBBS, FRCEM, FIMC"— Presentation transcript:

1 Unconscious Patient Mark Tehan MBBS, FRCEM, FIMC
Consultant in Emergency Medicine and Pre-Hospital Emergency Medicine Broomfield Hospital, Magpas Air Ambulance

2 Overview Common EM presentation Common AM, Anaes & ICM referral
Core part of ACCS syllabus FRCEM, FRCA & MRCP

3 Objectives

4 Diagnostic A – E Airway Breathing Circulation Disability Exposure

5 Management A – E Airway with C-Spine Protection Breathing Circulation
Disability Exposure

6 Differential Drugs Hypoglycaemia Hypoxia Trauma Infection Vascular
Epilepsy Raised ICP Cerebral Blood Flow Endocrine

7 Drugs Are bad! Sedatives Opiates Dissociatives Anticholinergics
Think beyond the toxidrome Serotonin Syndrome Poisonous Alcohols

8 Hypoglycaemia Drugs Seizures Sepsis Liver Failure Addisons

9 Hypoxia

10 Trauma Traumatic brain injury Brain Impact (IBA / ‘concussion’ / etc.)
Diffuse Axonal Injury Subarachnoid Haemorrhage Subdural haematoma Extradural haematoma Cerebral hypoperfusion

11 Infection Neurosepsis Sepsis in the elderly

12 Vascular / Cerebral Blood Flow
CVA SAH Hypotension The Aorta Will You Up

13 Epilepsy Generalised seizures Motor (tonic-clonic)
Non-Motor (absence / non-convulsive seizures) Post-ictal state

14 Raised ICP Space occupying lesion Hydrocephalus Trauma Vascular

15 Endocrine Diabetes Myxoedema Coma Thyroid Storm Adrenal Crisis
Hypoglycaemia DKA Myxoedema Coma Thyroid Storm Adrenal Crisis

16 Summary Drugs Hypoglycaemia Hypoxia Standard approach to diagnosis
Standard approach to management Run in parallel Drugs Hypoglycaemia Hypoxia Trauma Infection Vascular / Cerebral Blood Flow Epilepsy Raised ICP Endocrine

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