Evidence-based On-call

internal medicine

Coma

Causes
Clinical features
Investigations
Immediate management
Prevention
Prognosis

Immediate management

Give thiamine 100 mg ^d iv ^c

to alcoholics or malnourished patients ^d

Note:

Few patients develop adverse effects when thiamine iv (0.1%: 95% CI: 0.0% to 0.3%) ^c

Expiry date: September 2003
Levels of Evidence used in grading these guides

Authors	W Whiteley , CM Ball
Reviewer	M Daniel
CAT Writers	W Whiteley , CM Ball