Unconsciousness
Unconsciousness is a state in which an individual lacks awareness of their environment and does not respond to external stimuli such as light or sound. While sleep is a common and natural form of unconsciousness that can be easily disrupted, medical unconsciousness is more serious and can arise from various causes. These may include respiratory difficulties, shock, the influence of drugs or poisons, and significant imbalances in bodily electrolytes. A critical factor in many cases is a lack of oxygen reaching the brain, which can result from injuries, strokes, seizures, brain tumors, or infections. The duration of unconsciousness can vary, ranging from brief fainting spells to prolonged states like coma.
The approach to treatment is contingent upon the underlying cause and the severity of the condition. While some brief instances may not require medical intervention, especially if they stem from identifiable and non-threatening sources, many cases necessitate prompt emergency care. Treatment strategies can include immediate life-saving measures like cardiopulmonary resuscitation (CPR) and may extend to comprehensive supportive care in a hospital setting for longer-term management. Understanding unconsciousness requires a nuanced perspective on its medical implications and the importance of timely care.
Unconsciousness
Anatomy or system affected: Brain, head, nervous system
Definition: A state in which an individual is unaware of either surroundings or self and lacks response to stimuli
Causes and Symptoms
Unconsciousness occurs when the mind lacks awareness of that individual’s environment, and the body does not respond to external stimuli such as light and sound. Sleep can be seen as a common, natural example of such a state, although it can be interrupted easily with sufficient stimuli. Unconsciousness as a medical condition, however, is more profound. It can be caused by a variety of events or situations, including breathing difficulty, shock, drugs, poisons, or electrolyte imbalances. Often, it results from a lack of oxygen to the brain. Other causes include injury, strokes, seizures, brain tumors, or infection. Unconsciousness can range from brief fainting to more prolonged states, such as coma.
![Hospital Corpsman 2nd Class Bobby Ferrell applies emergency medical technician (EMT) skills to a simulated unconscious patient during a mass casualty drill By US Navy photo by Amanda Woodhead. [Public domain], via Wikimedia Commons 89093572-60351.jpg](https://imageserver.ebscohost.com/img/embimages/ers/sp/embedded/89093572-60351.jpg?ephost1=dGJyMNHX8kSepq84xNvgOLCmsE2epq5Srqa4SK6WxWXS)
Treatment and Therapy
The treatment of unconsciousness depends on the cause. A brief episode may not require medical attention if it was induced by an identifiable external or internal source that no longer presents a danger and the individual did not suffer an injury as a result.
In many cases, however, the cause of a loss of consciousness is not easily diagnosed. In others, any known precipitating factors are clearly dangerous, or such an event may be a symptom of an underlying condition. Therefore, in most cases of unconsciousness, emergency care should be sought. Treatment will depend on cause and duration and may range widely from cardiopulmonary resuscitation (CPR) at the scene to long-term supportive care in a hospital.
Bibliography
American Academy of Orthopaedic Surgeons. Emergency Care and Transportation of the Sick and Injured. Edited by Benjamin Gulli, Les Chatelain, and Chris Stratford. 9th ed. Sudbury, Mass.: Jones and Bartlett, 2005.
American Heart Association. Heartsaver CPR. Dallas, Tex.: Author, 2006.
Bledsoe, Bryan E., Robert S. Porter, and Bruce R. Shade. Brady Paramedic Emergency Care. 3d ed. Upper Saddle River, N.J.: Brady/Prentice Hall, 1997.
Carson-DeWitt, Rosalyn. "Fainting." Health Library, March 18, 2013.
"Coma." Health Library, September 30, 2012.
Handal, Kathleen A. The American Red Cross First Aid and Safety Handbook. Boston: Little, Brown, 1992.
Krohmer, Jon R., ed. American College of Emergency Physicians First Aid Manual. 2d ed. New York: DK, 2004.
Markovchick, Vincent J., and Peter T. Pons, eds. Emergency Medicine Secrets. 4th ed. Philadelphia: Mosby/Elsevier, 2006.
“Unconsciousness - First Aid.” MedlinePlus, 1 Feb. 2023, medlineplus.gov/ency/article/000022.htm. Accessed 23 July 2023.