Drug misuse should always be considered in young people with impaired consciousness

BMJ 2003; 326 doi: https://doi.org/10.1136/bmj.326.7385.396/b (Published 15 February 2003) Cite this as: BMJ 2003;326:396
  1. Kim Whelan (kim.whelan@gsst.sthames.nhs.uk), registrar in toxicology,
  2. Alison Jones, consultant physician,
  3. Paul Dargan, registrar in toxicology
  1. National Poisons Information Service, Guy's and St Thomas' NHS Trust, London SE14 5ER

    EDITOR—We agree with Ikeda et al that the absence of systolic hypertension may provide some discriminatory power towards exclusion of brain lesions, be they ischaemic, haemorrhagic, or space occupying in nature.1 However, we disagree with them that neurological examination of patients with impaired consciousness is often a waste of time …

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