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DEFINITION OF COMA
"A Coma is a state of unconsciousness where a person is unresponsive and cannot be woken."
WHEN YOU ARE IN A COMA
Someone who is in a coma is unconscious and has minimal brain activity. They're alive but can't be woken up and show no signs of awareness.
The person's eyes will be closed and they'll appear to be unresponsive to their environment. They won't normally respond to sound or pain, or be able to communicate or move voluntarily, and basic reflexes, such as coughing and swallowing, will be greatly reduced.
They may be able to breathe on their own, although some people require a machine to help them breathe.
Over time, the person may start to gradually regain consciousness and become more aware. Some people will wake up after a few weeks, while others may go into a vegetative or minimally conscious state.
The outcome of a patient can be associated with their best response in the first twenty-four hours after injury. Using the Glasgow Coma Scale (3 to 15, with 3 being a person in a coma with the lowest possible score, and 15 being a normal appearing person) research shows that if the best scale is 3 to 4 after twenty four hours, 87% of those individuals will either die or remain in a vegetative state and only 7% will had a moderate disability or good recovery. In patients with a scale from 5 to 7, 53% will die or remain in a vegetative state, while 34% will have a moderate disability and/or good recovery. In patients with a Glasgow Coma Scale of 8 to 10, 27% will die or remain in a Coma, while 68% will have a moderate disability and/or good recovery. In patients who have a scale from 11 to 15, only 7% will be expected to die or remain in a coma, while 87% would expect to have at least a moderate disability and/or good recovery (remembering again that this is not an exact science).
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Depending on the cause and the extent of damage, a Coma can occur rapidly or gradually, and it can last from several days to several years, though most last from days to weeks.
Causes for a coma vary, but they all involve some level of injury to the brain or Central Nervous System.
If the blood sugar levels of a person with diabetes rise too much, this is known as hyperglycemia. If they become too low, this is hypoglycemia. If hyperglycemia or hypoglycemia continue for too long, a coma can result.
Hypoxia, or lack of oxygen:
If the supply of oxygen to the brain is reduced or cut off, for example, during a heart attack, stroke, or near drowning, a coma may result.
Toxins and drug overdose:
Exposure to carbon monoxide can result in brain damage and coma, as can some drug overdoses.
Traumatic brain injuries:
Road traffic accidents, sports injuries, and violent attacks that involve a blow to the head can cause coma.
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