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#drabhishekshukla

Dr. Abhishek Shukla discussed the structured approach to managing an unconscious patient in the hospital setting. The first step remains prompt assessment and history taking, if available from bystanders or records. In the case discussed, the diagnosis was acute exacerbation of COPD. Immediate management includes administration of bronchodilators, typically via nebulisation, followed by oxygen support, theophylline, and steroids such as hydrocortisone. Simultaneously, vital signs like blood pressure, pulse, respiratory rate, and temperature must be recorded to guide further action. If the patient's consciousness does not improve or worsens, it becomes essential to assess for alternate or co-existing conditions. One such possibility is hepatic encephalopathy, especially if ABG parameters are not severely deranged. To explore this, ammonia levels should be checked. Management includes giving laxatives (like lactulose) to achieve 4–5 bowel movements daily, thereby reducing systemic ammonia levels. Evaluation of cardiovascular function is also crucial, as underlying heart conditions can influence prognosis and guide further care. Depending on the response to initial treatment and the overall clinical picture, decisions may include intubation, ventilatory support, or transfer to a higher center for ICU care. Every case reminds us of the delicate balance required in acute care, acting fast, but thinking broad. Wishing all the doctors a very Happy Doctors' Day , your dedication saves lives, every single day. #AasthaCares #DrAbhishekShukla #UnconsciousPatientCare #COPDExacerbation #EmergencyMedicine #HepaticEncephalopathy #CriticalCare #MedicalManagement #DoctorsDay #RespectForDoctors #PulmonaryCare