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consciousness disorders

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3.4.1 - Decreased Consciousness
from Section 3.4 - Neurological Impairment and Injury
- By Chris Whitehead, Ian Tweedie
Edited by Ned Gilbert-Kawai, The Royal Liverpool Hospital, Debashish Dutta, Princess Alexandra Hospital NHS Trust, Harlow, Carl Waldmann, Royal Berkshire Hospital, Reading
Book:

Intensive Care Medicine

Published online:

27 July 2023

Print publication:

01 December 2021, pp 177-180
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Summary

Key Learning Points
1. Initial resuscitation is key to improving outcome.
2. Breaking down the Glasgow Coma Score into sub-scores provides additional information to the total score.
3. Causes of impaired consciousness can be broadly divided into structural and diffuse aetiologies.
4. A structured approach can aid rapid assessment and confirmation of the diagnosis.
5. Accurate prognostication can take time and may require extensive investigation.