Coma Due To An Accident And Bleeding In The Brain?
Hello,. Sorry, I want to ask about someone who had a severe accident. When he arrived at the hospital the accident victim immediately got surgery. Then afterwards the doctor stated that the victim was in a coma due to bleeding in the brain. My question is, what steps did the team of doctors take to help patients regain consciousness? Whether to determine the level of a patient’s coma, doctors also use the Glaslow Coma Scale? Previously, I thank you. Please explain in detail because I need this information for research.
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Bleeding in the brain, or brain haemorrhage, is one condition that causes reduced blood flow to brain tissue. This bleeding can occur due to rupture of blood vessels that can occur due to various causes, such as head injuries, blood pressure that is too high and uncontrolled, aneurysm, blood vessel deformities, tumors, cancer, and blood disorders themselves such as hemophilia and cell anemia sickle.
Regarding your question, if the doctor finds someone suspected of having a brain hemorrhage, for example judged by his history of being taken to the emergency room for being unconscious after a severe accident, or having a history of uncontrolled high blood pressure, and showing related symptoms such as severe headaches sudden, seizures, weakness in the limbs, nausea and vomiting, visual disturbances, difficulty speaking, amnesia, loss of balance, spinning dizziness, etc., the doctor will conduct a supporting examination to confirm it, namely with the help of CT-scan or MRI. With this examination, it can be seen if there really is bleeding in the brain, where is the exact location, and how wide.
At this stage the treatment can actually vary greatly depending on the overall condition of the patient. Because if the coma is due to cerebral hemorrhage and cerebral hemorrhage requires surgery, then to handle the coma must be treated first with cerebral hemorrhage. But if the bleeding is actually not too widespread and can be absorbed by the brain itself, and the comman is due to other reasons, for example, because many toxic substances enter the brain because the kidneys are damaged, surgery may not be needed and enough with drugs that are given intravenously.
Then regarding the Glasgow Comma Scale or the Glasgow Comma Scale (GCS), this is a measuring tool to determine one's level of consciousness. This measurement uses three components, namely eye, verbal and motor, each of which has a minimum value of 1 and a different maximum value, 4 for the eye component, 5 for the verbal component and 6 for the motor component which is then added up. So that the overall minimum value of GCS is 3 (because each is at least 1 / comma) and the maximum is 15 (compos mentis / fully aware). The range between values 15 and 3 also has various levels of consciousness, ranging from compos mentis, apathy, somnolence, stupor and finally coma. For more details, see the image below.
Again we remind you that indeed through this forum we cannot provide information that has a high value of trust by research, so even if there is something new that you can get through our answers, you should still look for sources in literature such as journals or books. So, hopefully answering your question.