Description
The acute presentation of an unconscious individual is a
common scenario and it indicates a severe pathological insult.
Aetiology may not be apparent at initial assessment and
maximal use of available resources should be made to
identify the cause. Initial management should be directed
towards resuscitation and stabilisation of the individual,
followed by further clinical assessment. The prevention of
secondary brain injury is essential and so respiratory,
circulatory and metabolic abnormalities should be treated
aggressively. Early involvement of critical care physicians
may be required. Detailed aspects of acute management and
specific care of head injured, intoxicated and post-cardiac
arrest patients is discussed.
