Difference between revisions of "COMA-GUIDELINES"
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===== [[Summary Article|'''SUMMARY''']] ===== | ===== [[Summary Article|'''SUMMARY''']] ===== | ||
1. Use validated scales for serial behavioural assessments: Coma Recovery Scale | 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 & manage | <br/>2. DOC requires specialist medical input to assess properly & manage | ||
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==Reference(s)== | ==Reference(s)== | ||
<span style="color: var(--field-fg); background: var(--field-bg);">1. American Academy of Neurology | <span style="color: var(--field-fg); background: var(--field-bg);">1. American Academy of Neurology: 2018</span></div> <div>2. Royal College of Physicians, UK: 2020</div> <div>3. European Academy of Neurology: 2021</div> | ||
2. Royal College of Physicians, UK | 2. Royal College of Physicians, UK: 2020</div> | ||
3. European Academy of Neurology | 3. European Academy of Neurology: 2021</div> | ||
<br/>Wilkinson, I., Furmedge, D. and Sinharay, R. (2017). Oxford handbook of clinical medicine. Oxford: Oxford University Press. [https://amzn.to/3YHrI6K Get it on Amazon.] | <br/>Wilkinson, I., Furmedge, D. and Sinharay, R. (2017). Oxford handbook of clinical medicine. Oxford: Oxford University Press. [https://amzn.to/3YHrI6K Get it on Amazon.] | ||
<br/>Feather, A., Randall, D. and Waterhouse, M. (2020). Kumar And Clark’s Clinical Medicine. 10th ed. S.L.: Elsevier Health Sciences. [https://amzn.to/3k7WSW0 Get it on Amazon.] | <br/>Feather, A., Randall, D. and Waterhouse, M. (2020). Kumar And Clark’s Clinical Medicine. 10th ed. S.L.: Elsevier Health Sciences. [https://amzn.to/3k7WSW0 Get it on Amazon.] | ||
Latest revision as of 02:29, 21 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
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].
