Coma Checklist

A patient is typically considered comatose when they do not open their eyes and do not respond to stimulation. They should be transported by an ambulance and brought to a major trauma center that follows the BTF Guidelines.

Treatment for a coma includes:

  • Initial Treatment — Treatment begins as soon as the patient is in the ambulance and in the Emergency room and includes resuscitation, stabilization and supportive care. ABC principles are followed from the moment of the TBI- Airway, Breathing and Circulation.
  • Acute Treatment — The goals are to reduce secondary brain injury and include medical ventilation, brain pressure monitoring and treatment to maintain oxygen and blood flow to the brain.
  • Surgical Treatment — Surgery is needed in some cases to evacuate blood clots or to decompress the brain.

TBI Click and Learn™ is an online interactive severe TBI guidelines compliance reporting tool used by medical professionals. The patient treatment data will be measured against BTF’s Traumatic Brain Injury Guidelines. Click and Learn can then generate a detailed compliance report. BTF also provides an advanced online compliance tracking tool, TBI-Trac®.

Click here to download a treatment wallet card.


  • Insure an open airway, breathing, and circulation to maintain adequate oxygen and blood pressure for my brain.
  • Do a CAT scan as soon as possible and have it evaluated by a neurosurgeon.
  • If I am in a coma and my CT scan is abnormal, monitor my brain pressure. If possible, drain cerebrospinal fluid in order to relieve elevated brain pressure.
  • Make sure my blood pressure and my brain pressure are balanced to insure that my brain receives adequate blood and oxygen.

Prognostic Model for Predicting Outcome After Traumatic Brain Injury

TBI Impact (International Model for Prognosis and Analysis of Clinical Trials in TBI

National Institute of Neurological  Disorders and Stroke (NINDS), National Institute of Health (NIH), Common Data Elements (CDE)

June 8, 2010: New AAN Guideline on Determining Brain Death Provides More Clarity and Direction
View Press Release here

NEW: August 18, 2010: Trauma Center Care Cost-Effective, John Hopkins Bloomberg School of Public Health