The essential neurological examination of the unconscious patient in the emergency room

Brain and Behavior
Jochen BrichMichel Rijntjes

Abstract

To determine whether neurologists with long-term experience in the emergency room are in general agreement about the essential components of the neurological examination (NE) used on unconscious patients in whom an obvious cause for coma is lacking. We surveyed 31 board-certified practicing neurologists who regularly examine unconscious patients in the emergency room and asked them to list the specific components of the NE that they would normally choose to apply in at least 80% of cases. Twenty-seven neurologists rated 24 of 38 items as essential steps of the neurological examination of the unconscious patient, with a high level of agreement amongst survey participants. There was a high degree of consensus amongst the neurologists surveyed about which steps are essential for the NE of the unconscious patient. These findings provide an important source of validation for teaching this particular NE to medical students, as well as nonneurologists working in an emergency setting.

References

Jul 13, 1974·Lancet·G Teasdale, B Jennett
Jan 1, 1969·Acta Neurologica Scandinavica·C M Fisher
Jan 1, 1980·Neurology·L R Caplan
Mar 27, 2002·Neurology·D J GelbUNKNOWN Consortium of Neurology Clerkship Directors and the Undergraduate Education Subcommittee of the American Academy of Neurolog
Nov 21, 2002·The American Journal of Emergency Medicine·William KanichC Thomas Carter
Oct 29, 2004·The New England Journal of Medicine·Diederik van de BeekMarinus Vermeulen
Sep 24, 2005·Annals of Neurology·Eelco F M WijdicksRobyn L McClelland
Dec 8, 2005·Medical Teacher·Marietjie R de VilliersAthol P Kent
Dec 24, 2005·Critical Care Medicine·Robert D Stevens, Anish Bhardwaj
Jun 10, 2009·Neurology·Fraser G A Moore, Colin Chalk
Oct 22, 2011·Lancet Neurology·Heinrich P MattleGerhard Schroth
Jan 9, 2013·Arquivos de neuro-psiquiatria·Marco A Lima, Péricles Maranhão-Filho
Oct 22, 2013·The American Journal of Emergency Medicine·Jolene H NakaoDavid H Newman
Nov 30, 2013·AJNR. American Journal of Neuroradiology·M MöhlenbruchM Pham
Jun 8, 2014·Journal of the Neurological Sciences·Sandra Patricia Isaza JaramilloGustavo C Román
Oct 7, 2015·Neurocritical Care·Robert D StevensJose Pineda
Jan 27, 2016·Neurosurgical Review·Calvin Hoi-Kwan MakGeorge Kwok-Chu Wong
Jan 7, 2018·Neurology·Virender SachdevaBeau B Bruce

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