GCS 3 but vitally stable?
Hey guys,
Had a weird call recently. Something was of course wrong but I’ve never seen it before. Wondering if someone can shed some light on this.
80s male from home. Normal day, no complaints. Then suddenly becomes unresponsive. Eyes open, just not tracking anything, 1000 yard stare. Not talking or making sounds, not obeying commands.
His reflexes were present. He closed his eyes when I tried to check pupils, again when we would suddenly snap in front of his eyes. Zero response to nail Ed pressure or sternum rub. All vitals within normal limits.
No falls or head injuries. No slurred speech, weakness, headache etc prior to this episode. But he wasn’t limp. He was able to maintain an upright posture. His arms fell, but in a controlled manner.
Medically, he’s diagnosed with the usual suspects, HTN, high cholesterol. Also Parkinson’s, however he is not on meds for Parkinson’s.
Anyone come across this before? I’m wondering if it’s maybe locked in syndrome, but I assumed there’d be zero muscle tone with that.