Key messages

• If intubation is required the stability of the cervical spine must be assessed.

• A key part of the immediate evaluation is the patient's vital signs, which may themselves help decide the cause of unconsciousness.

• Hypoglycemia can be catastrophic to the central nervous system, with the degree of injury determined by the length of time and level of the low blood glucose.

• Prior to giving glucose, thiamine 1 mg/kg must be administered intravenously to prevent precipitation of acute Wernicke's encephalopathy.

• Specific causes of unconsciousness such as elevated intracranial pressure, drug intoxication, seizures, meningitis, or metabolic encephalopathy must be sought and treated.

Sleep Apnea

Sleep Apnea

Have You Been Told Over And Over Again That You Snore A Lot, But You Choose To Ignore It? Have you been experiencing lack of sleep at night and find yourself waking up in the wee hours of the morning to find yourself gasping for air?

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