Emergency neurological life support: Approach to the patient with coma

J. Stephen Huff, Robert D. Stevens, Scott D. Weingart, Wade S. Smith

Research output: Contribution to journalReview articlepeer-review

12 Scopus citations


Coma is an acute failure of neuronal systems governing arousal and awareness and represents a neurological emergency. When encountering a comatose patient, the clinician must have an organized approach to detect easily remedial causes, prevent ongoing neurologic injury, and determine a hierarchy of diagnostic tests, treatments, and neuromonitoring. Coma was chosen as an Emergency Neurological Life Support (ENLS) protocol because timely medical and surgical interventions can be life-saving, and the initial work-up of such patients is critical to establishing a correct diagnosis.

Original languageEnglish (US)
Pages (from-to)S54-S59
JournalNeurocritical care
Issue numberSUPPL. 1
StatePublished - Sep 1 2012


  • Coma
  • Herniation
  • Hypertonic saline
  • Mannitol
  • Osmolar therapy

ASJC Scopus subject areas

  • Clinical Neurology
  • Critical Care and Intensive Care Medicine


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