A coma is a state of deep unconsciousness that a person cannot be woken from. A person in a coma cannot react to events in the environment.
Information about your environment is normally passed from the brainstem into the rest of the brain. This feedback allows a person to be aware of and react to the environment. A coma is caused by a breakdown in this system.
Brain injury is more common in men. Age groups that are more likely to experience brain injury include 5 years or younger, 15-24 years old, and 75 years or older. Risk factors for brain injury include:
Traveling in a vehicle at a high rate of speed or at night
Lack of sleep
A previous head injury
Symptoms of a coma include the following:
No response to stimulus, such as:
Spontaneous body movements, such as:
Eyes opening and closing
Since the patient cannot speak,
information will need to be gathered from other sources, including friends, family members, and people who witnessed an accident if one occurred. This is important to help with diagnosis. The doctor will also need to know about the person’s medical history and any
alcohol use. It is important to provide honest information in order to help with treatment.
The doctor will test reflexes, listen to breathing, and examine the eyes. A physical exam will also be done, including tests of the nervous system.
The patient's bodily fluids will be tested. This can be done with:
Clinical findings of comatose patients can be rated according to the Glasgow Coma Scale (GCS). This scale assesses 3 different functions: eye opening, motor response, and verbal response. Scores can range from 15 to 3. A lower score indicates less responsiveness. Scores are interpreted as follows:
15-13—mild brain injury
12-9—moderate brain injury
8 or less—a severe brain injury
A coma is a medical emergency. Any unconscious person should be taken to the emergency room right away.
Doctors will work quickly to determine the cause of the coma. Further treatment will depend on the cause of the coma.
Supportive care may include:
Monitoring of vital signs
Delivering fluids directly into the blood through an IV
If a specific cause of the coma is suspected, supportive care may also include:
Glucose delivered through IV—in case low blood sugar is causing the coma
Naloxone—if a narcotics overdose is suspected
Thiamine (vitamin B1) may be given with glucose if
alcohol use disorder
or malnutrition is suspected
In some cases, surgery may correct the cause of a coma.
If the coma persists after emergency care, ongoing care may be needed. After the person is stabilized, treatment will focus on providing nutrition and preventing infections. The care staff will also work to prevent
To help reduce your chance of a coma:
seatbelt. Make sure infants and small children are securely fastened in a child safety seat.
Children aged 12 years and under should ride in the back seat of a vehicle.
Wear an appropriate helmet while biking, rollerblading, playing contact sports, skiing, snowboarding, and riding a motorcycle.
Last reviewed November 2018 by
EBSCO Medical Review Board
Rimas Lukas, MD
Last Updated: 3/21/2017
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