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.

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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

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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.