Difference between revisions of "COMA-GUIDELINES"

From NeuroRehab.wiki

(Imported from text file)
 
(Imported from text file)
Line 1: Line 1:
===== [[Summary Article|'''SUMMARY''']] =====
===== [[Summary Article|'''SUMMARY''']] =====
1. Use validated scales for serial behavioural assessments: Coma Recovery Scale - Revised (more commonly used, easy to use)
1. Use validated scales for serial behavioural assessments: Coma Recovery Scale: Revised (more commonly used, easy to use)
<br/>
<br/>
<br/>2. DOC requires specialist medical input to assess properly &amp; manage
<br/>2. DOC requires specialist medical input to assess properly &amp; manage

Revision as of 11:07, 20 March 2023

SUMMARY

1. Use validated scales for serial behavioural assessments: Coma Recovery Scale: Revised (more commonly used, easy to use)

2. DOC requires specialist medical input to assess properly & manage

3. Assume awareness & individualize care

4. Evidence for amantidine 100-200 mg BD between 4-16 weeks to promote emergence

5. Encourage use of functional neuroimaging/EEG as adjuncts to behavioural assessment if available

6. Assign the highest level of DOC as revealed by clinical or adjunctive assessment


Reference(s)

1. American Academy of Neurology - 2018

2. Royal College of Physicians, UK - 2020
3. European Academy of Neurology - 2021

2. Royal College of Physicians, UK - 2020 3. European Academy of Neurology - 2021


Wilkinson, I., Furmedge, D. and Sinharay, R. (2017). Oxford handbook of clinical medicine. Oxford: Oxford University Press. Get it on Amazon.
Feather, A., Randall, D. and Waterhouse, M. (2020). Kumar And Clark’s Clinical Medicine. 10th ed. S.L.: Elsevier Health Sciences. Get it on Amazon.
Hannaman, R. A., Bullock, L., Hatchell, C. A., & Yoffe, M. (2016). Internal medicine review core curriculum, 2017-2018. CO Springs, CO: MedStudy.
Therapeutic Guidelines. Melbourne: Therapeutic Guidelines Limited. https://www.tg.org.au [Accessed 2021].