DDx of Coma: IT'S COMA

I nfection -> meningitis, encephalitis, sepsis
T rauma
S eizures

C VA, e.g. stroke
O verdose -> Opioids, poisoning, e.g. CO
M etabolic, e.g. hypoglycemia, hyponatremia
A lcohol


Coma cocktail = TONS:
T hiaminie
O 2
N aloxone
S ugar, e.g. D50W


Glasgow Coma Scale (GCS) = MOVE:
M otor assessment
O pens eyes ?
V erbal assessment
E stimate the score