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Conciousness - Coggle Diagram
Conciousness
Causes
Traumatic brain injury
diffuse axonal injruy
Vascular event
ICH
SAH
Iscahemic stroke
Toxic/ metabolic
Alcohol
Drugs of abuse
Anaesthetics
Glucose
Infection
Encephalitis
Sepsis
HYpoxia/ hypoperfusion
Cardiorespiratory arrest
Drowning
Systemic disease
Liver
Renal
Myoedema
European resuscitation council
72 hours post ROSC
Somatosensory evoked potentials
bilateral absence of N20 wave
EEG
Absence of reactivity
Burst suppression
Status epilepticus
Neuron specific enolase (NSE)
MRI/CT head
Donation after Circulatory Death
Masstricht Classification
Uncotrolled
Dead on arrival
Unsuccesful resuscitation
Inpatient cardaic arrest
Controlled
WLST
Cardiac arrest of brain dead patient
Warm ischaemic time (<50mmHg Sp02<70)
liver = 30 mins
OPancreaseas = 30mins
Lungs = 60 mins
Kidney 120mins
Must be confirmed (5mins) independent of the transplant team
Contraindications
Absolute
HIV disease
CJD
Relative
Active invasive cancer
Haematological malignancy
Untreated systemic infection
TB
West Nile Fever/ Ebola
Disorders
Coma
Arousal -ve
Awareness -ve
Vegetative state
Arousal +ve
Awareness -ve
Minimally concious state
Arousal +ve
Awareness +ve
Definition
Arousal
Awareness