Should There be a coma after important?
108673
Technically, I guess there should be a comma- \n\n1. Use commas to separate independent clauses when they are joined by any of these seven coordinating conjunctions: and, but, for, or, nor, so, yet.\n\nThe game was over, but the crowd refused to leave.\nThe student explained her question, yet the instructor still didn't seem to understand.\nYesterday was her brother's birthday, so she took him out to dinner.
325012
yes. They probably need it after that traumatic incident
230696
yes u better go now thats a sign of brain injury.goooooooooooooo let me know what happens best of luck
920168
yes\n\n\nLOL  ok ok...emergency C-section
291582
to be in a situation that is serious with potential to be fatal
204786
If you mean medically induced coma, then I would add propofol to that list.  It's pretty amazing how the infusion can be stopped, the patient awakens within a few minutes, and will go back to deep sedation almost immediatly after the infusion is re-started - almost like an "on/off" switch for humans.  Why would you want to do that you ask?  They may need to be sedated to prevent them from moving or pulling out an endotracheal tube, but need to be assessed periodically for the ability to follow commands and move body parts.
692240
IF your mother is comatose, you shouldn't care for her at all...she needs to be cared for by professionals in a hospital setting. Reasons:\n\n\n\nEvaluating the comatose patient\nRapid neurologic assessment is key to appropriate management\n\nKhalid Malik, MBBS; David C. Hess, MD\n\nVOL 111 / NO 2 / FEBRUARY 2002 / POSTGRADUATE MEDICINE\n\n\n\n--------------------------------------------------------------------------------\n\nCME learning objectives \n\nTo review the basic pathophysiology of coma \nTo understand the critical elements of neurologic examination of the comatose patient \nTo recognize critical steps in treating the comatose patient \nThe authors disclose no financial interest in this article. \n\n\n\n--------------------------------------------------------------------------------\n\nThis is the first of two articles on critical care. \n\nThis page is best viewed with a browser that supports tables. \n\nPreview: Coma is the most severe form of unresponsiveness, in which a patient is totally unaware of self and surroundings. With the patient so disengaged during examination, management can be particularly challenging. What steps should the primary care physician take to ensure the most appropriate care for a comatose patient? In this article, Drs Malik and Hess describe an evaluation plan, laboratory studies, and treatment options and discuss the prognosis associated with coma.\nMalik K, Hess DC. Evaluating the comatose patient: rapid neurologic assessment is key to appropriate management. Postgrad Med 2002;111(2):38-55 \n\n\n\n--------------------------------------------------------------------------------\n\nComa 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. \n\nTo avoid confusion and to improve communication, it is helpful to describe the level of consciousness with terms such as "alert," "drowsy," "stuporous," or "comatose" and to avoid words like "lethargic" or "obtunded," which lack precise meanings. Because other conditions resemble coma, it is important to distinguish the cause of the problem as quickly as possible. Specifically, it is helpful to determine whether the patient is, in fact, in a coma or whether the patient's condition might more appropriately be called persistent vegetative state or locked-in syndrome (see box below). \n\nCauses of coma \nComa results from one of two pathophysiologic mechanisms: a diffuse insult to both cerebral hemispheres or a focal lesion involving the ascending reticular activating system (ARAS) located in the upper pons, midbrain, and diencephalon. A lesion in one cerebral hemisphere will not produce coma; bihemispheric dysfunction is required. In most studies of comatose patients, the "big three" causes of coma are stroke, cranial trauma, and drug intoxication. \n\nTo assist in evaluation of coma, causes can be divided into two broad categories: structural or surgical (table 1) and metabolic or medical (table 2). Structural or surgical coma is usually associated with diffuse damage to both hemispheres from increased intracranial pressure or diffuse vascular damage. There may be a lesion in or displacement of the ARAS in the upper brainstem. In nontraumatic coma, there is a diffuse insult to both cerebral hemispheres from either an endogenous or exogenous toxin. This includes infectious causes (sepsis), drug overdose, and metabolic abnormalities, such as hyponatremia and hypernatremia. \n\nTable 1. Causes of structural or surgical coma  \nTrauma\nSubdural injury\nEpidural injury\nDiffuse axonal injury\nBrain contusions\nPenetrating head injury \n\nIntracranial hemorrhage\nSubarachnoid hemorrhage\nIntracerebral hemorrhage\n   Posterior fossa (pontine, cerebellar)\n   Supratentorial (basal ganglia
580945
I do not agree with the person below.  I personally was in a coma for months.  First, it depends why you (or who you are referring to) was in a coma.  Rehab will more than likely be needed.  Get the best rehab facility as possible.\nMore than likely there will be TBI (traumatic brain trauma).  Your age will more than like determine the healing.  \n\nMy nephew was also in a coma (not nearly as long) and came out of it way better than me.  He had to relearn how to walk and some other things. A positive factor for him was he was 19, now 20 at the time.\n\nI am still(three years later) trying to get it all together. It depends on the individual and each situation.  I wish you would have said why you were in a coma so I could give you more information.\nI would be able to tell you so much more.
490769
There's no way to predict how much recall a person will have.  One of my patients was expected to have no memory of past and family yet she had a surprising amount of recall and knew family members immediately.  It may help matters to sit bedside during the coma period and talk to him.  Speak about past experiences and memories, people you have both known, significant events you have shared and so forth.  Your loved one will hear you and after he comes out of the coma may even mention parts of the conversations you had with him.  I also suggest you speak to his family about your concerns.  They may share these concerns.  You all may need to consult his Neurologist for more information.
435069
maybe they should have taken your collarbone injury ahead of the gunshot victim, the heart attack patient, and of course the baby not breathing! Just because we get hurt and WE think its a terrible thing, it does not preclude the fact theat others are suffering worse than we are and need attention much sooner than we do. Triage. You'd want it done that way for your family members, and thats how its done for everyone.
1139024
Definitely see a doctor about this. Brain damage can occur if she suffered head trauma. Fainting is caused by lack of oxygen to the brain due to poor circulation or a number of other sources. If it's for a short period of time, there shouldn't be too many long term problems, but if it's for 4-5minutes or more, large amounts of brain cells can die. I repeat, go see a doctor about this.
905680
Sleeping? The were comatose. Almost on life support.\nThey aren't & haven't been nearly as effective as we need them to be as long as I can remember.
1025341
A friend of mine died of toxic shock - becuase she didn't go to the hospital, and when she finally did - it was becuase she was in a coma. The doctors and the nurses didn't know she had a tampon inserted becuase she came in from a high fever and shock. She was in a coma shortly after her arrival in the hospital, and died three days later. I'm not saying don't use tampons - becuase I still do, but PLEASE if you think it's even a possibility - just go to the hospital.
409400
No. My brother was in a coma, and is just as sharp minded as he was before his stroke. Amnesia causes memory loss.
926184
As an Islamic rule, if the doctors rule that the person is in a vegetative state or brain dead, the nearest relative can allow the plug to be pulled.\n\nPersonally, I think I'm religious and I wouldn't want anyone to sacrifice their time, house and savings to keep me alive for a few more days, weeks or months.  But then again, that's my personal wish.\n\nMay Allah never put anyone in this situation and help those who are facing it now.  Ameen.
1057133
A person can be declared dead in an emergency room when they are in cardiac arrest and cannot be resuscitated, or if they've been asystolic for more than six minutes and revival would likely result in a vegetative state.\n\nDeath can also be declared by other emergency personnel when specific requirements are met. Levidity, rigor mortis, decapitations, etc.
883048
A good doctor should deliver news directly to the patient. to face to face. If there is nothing important he/she would say it right away. But  I don't see no harm for waiting for a couple of days. If there was such an emergency he would ask you to stay in a hospital.