ALTERED LEVEL OF CONSCIOUSNESS: GCS ≤ 7

Altered Mental Status ALTERED LEVEL OF CONSCIOUSNESS: GCS ≤ 7 Altered LOC GCS ≤ 7 Coma Other • Locked-in Syndrome •Stupor •Persistent Vegetative State • Hemorrhage • Traumatic • Ischemia/ Infarction • Neoplastic Abscess • Skull fracture • Subdural hematoma • Intracranial Bleeding Brain Involvement Focal Lesions Diffuse Lesions Hemispheri c Brain Stem Vascular Infection Other Systemic Involvement • Hemorrhage • Traumatic • Ischemia/ Infarction • Neoplastic Abscess • Herniation • Brain stem Lesion • Hypertensive encephalopathy • Vasculitis • TTP • DIC • Hypoxemia • Multiple emboli • Meningitis • Encephalitis • Trauma/ Concussion • Post-ictal Excesses • Liver/Renal Failure • Carbon Dioxide Narcosis • Metabolic Acidosis • Hypernatremia • Hypercalcemia • Hypermagnesemia • Hyperthermia • Thyroid Storm Deficiencies Drugs/Toxins • Hypoxemia • Hypoglycemia • B12/Thiamine deficiency • Hyponatremia • Hypocalcemia • Hypomagnesemia • Hypothermia • Myxedema Coma • Alcohols • Barbiturates • Tranquilizers • Other Potentially acutely life-threatening presentation *NB – must be direct or indirect bi-hemispheric involvement