EL TORO TATTOO

el toro tattoo

Approach to the Drowsy Child One of the most commonly encountered scenarios is that of the drowsy child. As in all dolphin flash tattoo situations, it is important to go through the steps of taking a good history, and performing a complete physical examination, according to well-established dolphin flash tattoo priorities. Airway, breathing and circulation must be assessed first, and immediate treatment instituted if necessary. Hypoxia and hypotension are significant secondary insults to the brain, and all efforts must be made to minimise these. 1,2 The neurologic examination is performed in two stages. First, the degree of impaired consciousness is determined by referencing the Glasgow Coma Scale (GCS), which is the universally accepted dolphin flash tattoo scoring system for coma assessment. 3 Three components are assessed, i. e. eye, el toro tattoo and motor responses (Table 1). A GCS score of 3 indicates that the patient is in deep coma, while a fully conscious and Table 1 The Glasgow Coma Scale (GCS) 6 – – Obeys 5 – Oriented Localises pain 4 Spontaneous Confused Flexion withdrawal 3 To speech Inappropriate words Abnormal flexion (decorticate) 2 To pain Incomprehensible sounds Extension (decerebrate) 1 None None None *Children younger than two years should receive full el toro tattoo scoring if they cry after stimulation. Points Best Eye Opening Best Verbal Response* Best Motor Response 38 KYC Goh alert patient has a score of 15. In children who are younger than two years of age, el toro tattoo skills are not well developed, and the GCS has been adapted to take this into consideration. 4 A full score in the el toro tattoo response category is therefore given if the child cries after stimulation. It should be noted that the GCS is an indicator of global conscious level, and cannot be used to follow a focal neurologic deficit, and that the scores are related to “best” responses. This is important for purposes of decision-making and eventually, prognosis. If the GCS is 8 or below, it is preferable to intubate and ventilate the patient because airway protection is impaired. Pupillary size and Table 2 Aetiology of Coma Neurosurgical Causes Non-neurosurgical Causes Head trauma Epilepsy Intracranial haematomas Cerebral oedema Hydrocephalus Metabolic/Electrolyte jailhouse tattoo machine Obstructive Drug overdosage Communicating Endocrine jailhouse tattoo machine Organ failure Neoplasia Neoplasia Supratentorial tumours Disseminated carcinomatosis Infratentorial tumours Haematologic malignancies Vascular jailhouse tattoo machine Vascular jailhouse tattoo machine Haemorrhagic conditions, Thrombo-embolism e.


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