Coma After Car Accidents: Recovery Chances and Support - Neurosurgery

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Coma caused by a car accident?


On the evening of June 2nd, my boyfriend was crossing the street when he was suddenly hit by a car that ran a red light.
That night, he was taken to Wan Fang Hospital for brain surgery to remove a blood clot.
The main impact was on the upper left side of his forehead.
Today marks the fifth day since the surgery, and there has been some reduction in swelling around his eyes and mouth (he had internal bleeding due to the impact from the accident, but it was controlled before the surgery).
However, his intracranial pressure remains high, and his vital signs are stable.
Given this situation, what is the likelihood of him waking up? What can we do for him?

Miss Lin, 10~19 year old female. Ask Date: 2016/06/08

Dr. Zhang Junwei reply Neurosurgery


Insufficient information provided, unable to offer an online response!

Reply Date: 2016/06/08

More Info


I'm very sorry to hear about your boyfriend's accident. It sounds like a very challenging situation for both him and you. When it comes to understanding coma after a car accident, there are several factors to consider regarding recovery chances and the support you can provide.

First, it's important to understand that the level of consciousness and the potential for recovery from a coma can vary significantly based on the severity of the brain injury, the location of the injury, and how quickly medical intervention was provided. In your boyfriend's case, since he underwent surgery to remove a blood clot, this indicates that the medical team is actively addressing the complications from the injury. The fact that his vital signs are stable is a positive sign, but high intracranial pressure (ICP) is a serious concern that needs to be monitored closely.

The Glasgow Coma Scale (GCS) is often used to assess a patient's level of consciousness after a brain injury. A higher score on this scale indicates a better level of consciousness and a potentially better prognosis. If your boyfriend's GCS score is improving, that would be a hopeful sign. However, if he remains in a deep coma, the prognosis can be more uncertain.

Recovery from a coma can take time, and the timeline can vary widely. Some patients may begin to show signs of recovery within days, while others may take weeks or even months. Factors that can influence recovery include the extent of the brain injury, the patient's age, overall health, and the presence of any pre-existing conditions.

In terms of what you can do to support him during this time, here are some suggestions:
1. Stay Informed: Keep in close contact with the medical team. Ask questions about his condition, treatment plan, and what to expect in the coming days and weeks.

2. Provide a Calm Environment: If possible, create a calm and soothing environment around him. Soft music, gentle voices, and familiar scents can sometimes help stimulate awareness.

3. Talk to Him: Even if he is unresponsive, talking to him can be beneficial. Share stories, read to him, or simply express your feelings. Familiar voices can sometimes help in the recovery process.

4. Physical Touch: Holding his hand or gently stroking his arm can provide comfort. Touch is a powerful way to connect, even when someone is in a coma.

5. Encourage Family Visits: If appropriate, encourage family members to visit and talk to him. Familiar faces can have a positive impact.

6. Monitor Changes: Keep track of any changes in his condition, whether positive or negative. This information can be valuable for the medical team.

7. Take Care of Yourself: Caring for someone in a coma can be emotionally draining. Make sure to take breaks, seek support from friends or family, and consider talking to a counselor if needed.

As for the chances of waking up, it's difficult to provide a specific percentage or timeline without knowing more about the specifics of his injury. Each case is unique. The medical team will be the best source of information regarding his prognosis as they monitor his condition closely.

In summary, while the situation is undoubtedly serious, there is still hope for recovery. Your support and presence can make a significant difference in his healing process. Stay strong, and continue to advocate for him as he navigates this challenging journey.

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