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*One Mneumonic is “GAMETIMES”:
*One Mneumonic is “GAMETIMES”:


*G   glucose (hyperosmolar or hypoglycemia)
*'''G '''  glucose (hyperosmolar or hypoglycemia)
*A    anoxia, acidosis, alcohol’s
*'''A'''   anoxia, acidosis, alcohol’s
*M   medications (one of the most common causes)
*'''M '''  medications (one of the most common causes)
*E    electrolytes, “environment” (hypothermia)
*'''E'''     electrolytes, “environment” (hypothermia)
*T     tumor, toxins, trauma
*'''T '''    tumor, toxins, trauma
*I      infections (e.g. meningitis, encephalitis, sepsis)
*'''I'''     infections (e.g. meningitis, encephalitis, sepsis)
*M   Metabolic, adrenal, renal, hepatic, (diabetes listed above)
*'''M '''  Metabolic, adrenal, renal, hepatic, (diabetes listed above)
*E    epilepsy
*'''E'''     epilepsy
*S    stroke, (P)sychiatric pseudocoma
*'''S'''     stroke, (P)sychiatric pseudocoma


==The Glasgow Coma Scale==
==The Glasgow Coma Scale==

Revision as of 06:21, 22 May 2007

Causes of Coma

  • One Mneumonic is “GAMETIMES”:
  • G glucose (hyperosmolar or hypoglycemia)
  • A anoxia, acidosis, alcohol’s
  • M medications (one of the most common causes)
  • E electrolytes, “environment” (hypothermia)
  • T tumor, toxins, trauma
  • I infections (e.g. meningitis, encephalitis, sepsis)
  • M Metabolic, adrenal, renal, hepatic, (diabetes listed above)
  • E epilepsy
  • S stroke, (P)sychiatric pseudocoma

The Glasgow Coma Scale

Eye opening Best Motor Response Verbal Response
Spontaneous 4 Follows commands 6 Orientated 5
To speech 3 Localizes to painful stimuli 5 Confused conversation 4
To pain 2 Withdrawal from pain 4 Inappropriate words 3
No response 1 Flexion reflex response to pain 3 Incomprehensible sounds 2
Extension reflex response to pain 2 No response 1
No response 1