SciELO - Scientific Electronic Library Online

vol.35 issue3Transient elastometry of the liver.: New diagnostic technique in hepatology.Moderate and Severe Psoriasis Vulgaris: therapy options(conventional therapies) author indexsubject indexarticles search
Home Pagealphabetic serial listing  

Services on Demand



Related links


Archivos de Medicina Interna

Print version ISSN 0250-3816On-line version ISSN 1688-423X


Mental Awareness Impairment in the Emergency Room. Arch. Med Int [online]. 2013, vol.35, n.3, pp.85-92. ISSN 0250-3816.

The altered state of consciousness is a neurological and / or neurosurgical emergency, which occurs frequently in the Emergency Department. The ability to establish a correct diagnosis and properly management of the patient with such a neurological impairment, requires the performance of a trained clinician, which will impact in a reduction in morbidity and mortality of these patients. This is a complex and life-threatening issue, which requires a rapid clinical diagnosis with the concomitant start of major physiological systems support and the implementation of specific diagnostic methods, designed to assess the possible etiology and specific treatment. In this review, we discuss the pathophysiological, clinical, therapeutic and prognostic issues of patients with acute disorders of consciousness, emphasizing practical aspects in order to perform an adequate initial management of these patients.

Keywords : Coma; Neurologic emergency; Encephalopaty; Acute brain dysfunction.

        · abstract in Spanish     · text in Spanish     · Spanish ( pdf )


Creative Commons License All the contents of this journal, except where otherwise noted, is licensed under a Creative Commons Attribution License