PPT-Coma and Brain Death

Objectives Define Coma and altered consciousness Understand the brain death exam Altered Level of Consciousness Coma unconscious state Does not respond to stimuli appropriately Eyes closed no purposeful motor response no language comprehension or expression. Level of Consciousness. Alteration of Con. s. ciousness. Affects arousal . (level). Cognitive and affective mental function . (content). Arousal. Arousal ….. Brainstem and ARAS ….. impaired by toxins, anesthetics, or compression or injury of the brainstem. Jenny Kitzinger, . Cardiff University. Celia Kitzinger, . University of York. International Health Humanities Network, . University of Nottingham. 28. th. June 2013. What I will be talking about: . Media . By Alex . Hammant. and Phil . Copeman. What 3 things is a normal state of Consciousness dependent on?. A. lertness – upper brainstem reticular formation intact. A. ttention – limbic system and . unawakened. :. Deciphering . the “Single-unit” of Neurovascular Coupling to Switch the Coma State in . Rats. Xin Yu. Grant proposal (step 1). ERC starting grant (March 2014). The reversible coma: a self-adaptive strategy of the brain to heal itself. Dr. S. Parthasarathy . MD., DA., DNB, MD (. Acu. ), . Dip. . Diab.DCA. , Dip. Software statistics- . Phd. Mahatma Gandhi Medical college and research institute , . puducherry. , India. . History . Delio David Arango. ACLARACIÓN. La coma es un signo de puntuación que se usa de acuerdo a necesidades gramaticales específicas, por tanto . NO ES UN SIGNO RESPIRATORIO. No se usa para “darse un respiro”, ni para introducir “pausas”.. The SWIFT Team: . Niranjan. . Thatte. , Matthias . Tecza. , Fraser Clarke, Tim . Goodsall. , Lisa Fogarty, Graeme Salter, Susan . Kassin. .. Collaborators: Roger Davies, Ryan Houghton, Nic Scott, . Aprajita. Featured scientists: Caroline Williams & Andre . Szejner. . Sigal. , University of California, Berkeley & Nikki Chambers, Biology Teacher, West High School, Torrance, CA. In the cold, insects and other ectotherms enter a reversible cold coma (chill coma). Dr . Lokesh. . Lingappa. Consultant . Paediatric. Neurologist. Rainbow Children’s . Hospital and . Perinatal. . Centre, Hyderabad. outline. Limitations of current guidelines. Testing process. Are there differences adult/pediatric . Katrina . Peariso. , MD, PhD;. Prem A Kandiah, MD. Slides. : George A. Lopez, MD PhD. ENLS Version 5.0. Approach to the Patient with Coma. Editors’ Note: Global Considerations. The intent of the editors, authors, and reviewers of this ENLS topic was not to address all the variations in international practice for the different diseases. We have discussed major practice variances (e.g., the availability of diagnostic testing, or the type of medications used) and encourage learners to use the ENLS algorithms as a framework on which any relevant local practice guidelines can be incorporated.. MD., DA., DNB, MD (. Acu. ), . Dip. Diab.DCA, Dip. Software statistics . PhD (. physio. ). . Mahatma . gandhi. medical college and research institute, . puducherry. , India. . Some history . Teasdale and . . . Consciousness. defined as being awake and aware of both one’s self and one’s surroundings, OR it is . the human . awareness. Define Coma and altered consciousness. Understand the brain death exam. Altered Level of Consciousness. Coma: unconscious state. Does not respond to stimuli appropriately. Eyes closed, no purposeful motor response, no language comprehension or expression. Diagnosis with Examples. Jeffrey Jones, MD. . DHMC Radiology Resident. Brain Death Scintigraphy. Role:. Determine if there is cerebral blood flow. Brain without a blood supply is dead. Elevated ICP from tissue edema or mass exceeds systemic arterial pressure .