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Sänkt medvetande - Jonathan Ilicki for scanFOAM

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Talk from Jonathan Ilicki about decreased level of consciousness. Leave your mnemonics behind.

Full talk at https://scanfoam.org/the-unconscious-patient-10-ways-to-improve-management/

Published in: Health & Medicine
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Sänkt medvetande - Jonathan Ilicki for scanFOAM

  1. 1. • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • •
  2. 2. Herpesencefalit Uremi Status epilepticus Korsakoff Meningit Intox DKA Andningsinsuff Subarak/stroke/SDH ✓
  3. 3. Herpesencefalit Uremi Status epilepticus Korsakoff Meningit Intox DKA Andningsinsuff Subarak/stroke/SDH ✓ ✗ • • • •
  4. 4. Sänkt medvetande Strukturell Metabol • Generell påverkan på hela hjärnan • Oftare långsamt isättande • Fokal skada • Kan som regel visualiseras • Hjärnblödning • Hjärntumör • Sinus trombos Exempel: • Intoxikation • Uremi • Hypoglykemi
  5. 5. 25% Strukturellt 75% METABOLT
  6. 6. Glu Na Liver Hypothermia
  7. 7. ↓ ↓
  8. 8. ↓ ↓
  9. 9. • • •
  10. 10. • • • ↑
  11. 11. • • • ↑
  12. 12. A/B Andningsinsuff C Hypotoni Arytmi/bradykardi Blodgas Glu, Na, pCO2, CO.. D/E Sepsis Lever/njursvikt EP Drugs (intox) Stroke/SAH Inf: Meningit/encefalit Tumör Sänkt medvetande Metabol Strukturell
  13. 13. Metabolt Eller strukturellt?
  14. 14. - John Hickam

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