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Case 51 - Fuming Loss of Consciousness

from Section 7 - Acute Onset of Neurological Symptoms

Published online by Cambridge University Press:  27 July 2023

Mark McCarron
Affiliation:
Ulster University
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Summary

A 43-year-old male farmer was found face-down near a slurry pit. A relative found him unresponsive with agonal breathing. Basic life support was started. There was a restoration of spontaneous circulation and spontaneous breathing, but he still had a Glasgow Coma Scale of 3. His pupils were fixed and dilated. A Helicopter Emergency Medical Service intubated and ventilated him at the scene. It was estimated that his loss of consciousness had been no more than 10 minutes. He was transferred to an Emergency Department.

Type
Chapter
Information
55 Cases in Neurology
Case Histories and Patient Perspectives
, pp. 345 - 350
Publisher: Cambridge University Press
Print publication year: 2023

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References

The Resucitation Council. Epidemiology of cardiac arrest guidelines authors out of hospital cardiac arrest (OHCA) in the UK in-hospital cardiac arrest (IHCA) in the UK. Available from: www.resus.org.uk/library/2021-resuscitation-guidelines/epidemiology-cardiac-arrest-guidelines.Google Scholar
Fugate, JE, Rabinstein, AA, Claassen, DO, White, RD, Wijdicks, EFM. The FOUR score predicts outcome in patients after cardiac arrest. Neurocrit Care. 2010 Oct.;13(2):205–10.CrossRefGoogle ScholarPubMed
Wijdicks, EFM Bamlet, WR, Maramattom, BV, Manno, EM, McClelland, RL. Validation of a new coma scale: the FOUR scale. Ann Neurol. 2005;58(4):585–93.CrossRefGoogle Scholar
Spiers, M, Finnegan, OC. Near death due to inhalation of slurry tank gases. Ulster Med J. 1986;55(2):181–3.Google ScholarPubMed

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