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Definition of COMA
Coma is defined as a sleeplike state with total absence
of awareness of self and the environment, even after
vigorous external stimulation. Coma is the most severe
form of unresponsiveness, and by definition, comatose
patients lie with their eyes closed. In general a
comatose person is:
•Apparently asleep.
•Closing the eyes.
•Not talking.
•Unresponsive to instructions.
•Without any voluntary movements.
RAS
(Diencephalon) COMA
•A: Alert.
•V: Responds to verbal commands.
•P: Responds to pain.
•U: Unresponsive - - - - - Proceed to GCS.
VERBAL RESPONSE
Oriented 5 Total score: E + M + V
Confused conversation 4 Range: 3 – 15.
Inappropriate words 3 Mild coma: 13 – 15
Incomprehensible sounds 2
Moderate coma: 9 – 12
No response 1
Severe coma: < 8
•Pressure sores.
•Bladder infections.
•Pneumonia: Hospital acquired or ventilator
associated.
•Persistent Vegetative State.