ABSTRACT
Management follows the ABC priorities. Specific therapy should be directed to the underlying problem. Tracheal intubation may be required to enable airway protection in those who remain deeply comatose for a prolonged period. Ensure adequate ventilation, avoid excessive hyperventilation and maintain adequate circulating volume. Avoid hypotonic solutions, which will increase cerebral oedema. Hypoglycaemia is corrected with 50ml of intravenous (i.v.) 50% glucose. If alcoholism is suspected, give thiamine 100mg i.v.
