Coma in infants and children: initial management Abstract Coma is a frequent condition in children, usually consecutive to trauma or neuromeningeal infection. Central nervous system aetiologies tend to be less frequent in infants, who may suffer from other rare specific diseases.

Prognosis varies with the age and the underlying diseases. Intensivists should aim to diagnose both frequent and odd diseases as well as to administer emergent treatments without being iatrogenic. Here we describe the aetiologies of coma in children (newborns excluded) and present practical guidelines for initial patient management in the emergency room and intensive care unit.

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