Neurological Examination of the Unconscious Patient

Demonstration and discussion of the physical examination of the unconscious patient by Peter T. Skaff, M.D., Neurologist with the Mercy Neurological Institute of Greater Sacramento

[@Kaeineir]

Why is Borat examining this pt?!

[@juzerlokhandwala5032]

Amazing video! Very methodical and easy to understand, very informative.

[@cassiamercaldo6088]

As a new provider in neurocritical care I am so greatful for this video!!

[@adambailey7932]

Very nice, thank you for the refresher. It's nice to have some confirmation that I actually am being pretty thorough with my coma assessments.

[@dontmindme5290]

When the doctor/nurse opens your eyes to check and stuff can you see?

[@lol91387]

great video. very great in summarizing a neuro exam. exceptionally helpful.

[@arlyhelm6219]

This is excellent, thank you. I had some trouble with the volume being low. This could be adjusted.

[@sharonmccauley980]

Me too; I can't hear it at all. Volume is on in each place. Hmmm.

[@noble-quran_hadith]

Injecting Saline in the tube? Wouldn''t that risk an aspiration pneumonia? Thank you for the wonderful information

[@Sama7941]

This was everything I needed 😭😭😭💯💯…..thank you. Video was very informative sir.

[@jakepconpc4612]

He's right you can do a exam when you have a unconscious patient....how ever waking up to fined Frank Zappa is your doctor is enough to do it anyway.

[@merlinsrobe4621]

Actually, a corneal reflex is elicited by touching the cornea, not conjunctiva. The cornea overlies the iris.

[@richricogranada9647]

What is the best treatment for pt who had cardiac arrest due to hypoxia and now is unconscious at the hospital?
The pt does not respond to touch, eyes are glassy. He just moves his toes.

[@Carabin33fr]

it's helpful for diagnosis : Coma is a symptom.. a cause must be found.. Without knowing the cause, we cannot treat. Little details orientate doctors.. example.. calm comas orientates toward a drug induced coma .. agitated comas orientate towards a hypoglycemic or a CO intoxication.. If there are asymetries in the motor response we can expect something organic (and not metabolic).. Example, Intra cerabral hematoma, or a tumor..
IT's also helpful for prognosis..

[@XVideosSeekerX]

I would be happy if someone explains me the difference between nystagmus and bobbing, because I know that vertical nystagmus exist or is it that vertical nystagmus and bobbing are the same thing?

[@eglantinalan1]

This is a great video, thank you.

[@ugurkaankalem3869]

respect the nurse for being able to mimic the babinski reflex. that must be pretty challeging :)

[@Mistfall254]

Well with the assistant being a nurse she more than likely has encouraged that breathing pattern many times.

[@doc_susi5222]

Whether comatose patient respond to sternal rub ? In this video she is responding right?

[@nerviantone]

Thank you very much. This is a really great video.

[@mercyjames1471]

Thank you very much ,Dr.Peter.

[@norahcharon4390]

How do unconvenience patient heavyweights provide bedpans at home?

[@alwonner]

Very nicely done. Thank you very much.

[@abirehmani]

my gf is in coma since last 12 days (CO poisoning) and during this times she moves her fingers and open her eyes for some time and than she closes it back.. doc said we cant say anything for now but those are good signs.. please console me on this and give me some information are these good signs and whats gonna happen next? if any one had any idea share it with me or any experience!!! im waiting replies

[@teodolfo100]

your gf com is alive???

[@MrKiraBR]

Hi...is she ok now?

[@majdal_98]

What happened to your gf"..?

[@sandradominguezcarames5858]

Wonderful explanation ! thank you for posting !

[@pcortezzi]

Why is it mute?

[@davidw.9711]

thanks for the explanations, that was helpful!

[@Shamiterrific]

I may be wrong but I think this is a conscious person (hence the amazing demonstration of the various reflexive responses). My reasoning is her eyes don't lag in the doll's eye test, and she isn't incubated (so her brain stem seems functional). Also not sure how many coma patients have shaved legs (it's possible but a little unexpected... prior laser hair removal is possible too)

[@tezassss]

Incubated...lol

[@tukangtipu7048]

+Sharon Mitchell Duh...everybody watching this knows that the woman is clearly a nurse helping the doctor with the recording. She even follow every doctor's 'instructions to demonstrate each type of reflex responses. The real question is: Were you conscious when watching this?

[@HulaBottler]

That was funny

[@marissarasmussen5828]

Sharon mitchell this is only a role play the dr explained to the viewers how to do neurological exam.

[@ladojashi]

Thank you for this great video. Good job!

[@kabindraification]

very very good video . .thanks

[@TheRezhwanDrummer]

Thank your for this great video 👍👍

[@Akeakamai]

Very educational. The video's sound was only audible on the left. Also, they physician should have been wearing gloves!

[@zizmanjones3189]

Why?

[@jelly221]

Why should he have been wearing gloves? This is only indicated if contact with blood/bodily fluids is anticipated. Otherwise, simple hand hygiene will suffice.

[@Akeakamai]

+ThatGunnerGuy MD
I stand corrected. :)

[@ultimateqmazing2537]

Thyroid Storm jeez dude. All he said was he should be wearing gloves. Even I thought he should have been wearing gloves. Just seemed like he should.

[@tomthumb9839]

Volume way too low.

[@shajwanakram6505]

Excellent explanation, thank you

[@bcxii9684]

My nephew nearly drowned in a pool last weekend he was submerged in water for 4 mins and was resuscitate by paramedics. Now he remains in a coma state but he eyes remain open eyes rolled upwards in a fixed state. He is responsive if u tell him to lift his arms. Doctors rated him 7-8 Glasgow coma scale. Will he be able to recover?

[@MrKiraBR]

Hi!!! Unfortunatelly, I can't answer that. But I was wondering, is he better now?

[@bcxii9684]

@@MrKiraBR No, unfortunately he has past but thank you for your reply

[@MrKiraBR]

@@bcxii9684 That's sad =[

[@rubexcube1457]

this was amazing, thank you soo much this will definitely prepare me for my exam :)!!!!

[@Ingablah]

Great teaching points!!!

[@eloisa181]

is there somebody, can help me translate to spanish... please

[@psagar]

this guy is a gun at reflexes!

[@puneetsandhu9999]

Very helpful, thank you

[@madridista3927]

GREAT Video!!

[@Amalioji2]

Tremendo. Excelente. Gracias...

[@octaviafrazile1768]

Thank you.

[@fitriisa4804]

Thank you Dr Skaff :)

[@No11Scalpel]

Yeslamo Edeek ....Much appreciated

[@pearlbrown05]

I can’t hear anything 🤨

[@annhamer2734]

Thank you so much!

[@mostafabaghdadi2506]

I remember the mnemonics COWS for caloric test which stands for "cold opposite,warm same".

[@jennifertaylor8978]

Great video thank you!

[@sunlulyal5937]

thank you

[@coolso0oz]

thank you so much

[@mycitygirl1]

thanks! very helpful!

[@bamagal6791]

Nice video! Thanks :)

[@stuartclark3998]

Reminds me of Frank Zappa!

[@ratballbag]

I was going to explain the reason for his sure and solid moves but then I read your comment history :D

[@dodyhamed1724]

Iow voise but great job

[@troyaforever7893]

Nice

[@shwetasingh-oz9nc]

Right

[@robinpintado1383]

I just hope that the lady wakes up and slap the sht out of him LOL

[@NicoleMarie.]

The more you know...

[@MySiva01]

👍👍👍

[@SuperWarking]

I'm sorry but this title of the video threw me off. Had no idea it was possible to perform neuro exam while pt is in a coma which pretty much answers that question and not sure what the point of progressing the exam is and unsure how thats going to help or prove useful at some point...

[@crazysox305]

Okay, so while he's making all this money doing what he loves, you just sit in your little corner and cry.

[@Mikoyan_MiG-29]

1st mic quiet as fuck
2nd mic my ears are murdered

[@lukereynolds5663]

Michaela boos sureyDr Dr

[@lukereynolds5663]

Michaela surey Dr I'm sore boobs for sex could you message he wants me to have sex with her and I've become Luke Dr Reynolds I messed up

[@missylou82]

She wasn't in no coma.

[@andrewvanvelsor7426]

Someone is learning what acting is... (slowly)

[@marissarasmussen5828]

Buttercup estes that is only a role play

[@ts-eq6to]

I JUST WASTED 12:28 MINUTES OF MY TIME!

[@shantarao7563]

very poor video!