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{{See also|Unconscious mind}} {{Short description|Loss of awareness of self and environment}} {{More citations needed|date=June 2007}}{{Infobox medical condition (new) | name = Unconsciousness | synonyms = | image = Recovery Position.JPG | alt = | caption = An unconscious male human lying in a [[recovery position]] | synonym = | pronounce = | field = [[Psychiatry]]<br>[[Neurology]]<br>[[Cardiology]]<br>[[Pulmonology]]<br>[[Emergency medicine]] | symptoms = | complications = | onset = | duration = | types = | causes = | risks = | diagnosis = | differential = | prevention = | treatment = | medication = | prognosis = | frequency = | deaths = }} '''Unconsciousness''' is a state in which a living [[individual]] exhibits a complete, or near-complete, inability to maintain an [[consciousness|awareness of self and environment]] or to respond to any human or environmental [[Stimulus (physiology)|stimulus]].<ref>{{Cite web |title=MeSH Browser |url=https://www.nlm.nih.gov/cgi/mesh/2009/MB_cgi?field=uid&term=D014474 |access-date=18 March 2018 |website=www.nlm.nih.gov}}</ref> Unconsciousness may occur as the result of [[traumatic brain injury]], [[Cerebral hypoxia|brain hypoxia]] (inadequate oxygen, possibly due to a brain [[infarction]] or [[cardiac arrest]]), severe intoxication with drugs that [[Depressant|depress the activity of the central nervous system]] (e.g., [[Alcohol (drug)|alcohol]] and other [[hypnotic]] or [[sedative]] drugs), severe [[fatigue]], [[pain]], [[Anesthesia|anaesthesia]], and other causes. Loss of consciousness should not be confused with the notion of the [[Unconscious mind|psychoanalytic unconscious]], cognitive processes that take place outside awareness (e.g., [[implicit cognition]]), and with [[altered states of consciousness]] such as [[sleep]], [[delirium]], [[hypnosis]], and other altered states in which the person responds to stimuli, including [[trance]] and [[psychedelic experience]]s. ==Causes== This is a complete list. ===Cardiovascular system=== * [[Arrhythmia]] (irregular heart beat) * [[Bleeding]] * [[Cardiac arrest]] * [[Cardiomegaly]] * [[Heart failure]] (HF) (congestive heart failure (CHF)) * [[Myocardial infarction]] (MI) (heart attack) * [[Myocarditis]] * [[Pericarditis]] * [[Shock (circulatory)|Shock]] ===Nervous system=== * [[Brain abscess]] * [[Brain tumor]] * [[Encephalitis]] * [[Intracranial pressure|Increased intracranial pressure]] * [[Intracerebral hemorrhage]] (hemorrhagic stroke) * [[Stroke#Ischemic stroke|Ischemic stroke]] * [[Meningitis]] * [[Seizure]] * [[Subarachnoid hemorrhage]] * [[Traumatic brain injury]] (TBI) (intracranial injury) ===Respiratory system=== * [[Acute respiratory distress syndrome]] (ARDS) * [[Choking]] * [[Drowning]] * [[Lung cancer]] (lung carcinoma) * [[Pneumonia]] * [[Pulmonary embolism]] (PE) * [[Respiratory arrest]] * [[Respiratory failure]] ===Other=== * [[Drugs]] * [[Electrocution]] * [[Kidney failure]] * [[Liver failure]] * [[Poison]] or [[venom]] * [[Sepsis]] ==Law and medicine== [[File:Person passed out on sidewalk photographed with a dutch angle NYC.tif|thumb|Person passed out on a sidewalk in New York City, 2008]]In [[jurisprudence]], unconsciousness may entitle the [[criminal defendant]] to the [[defense (legal)|defense]] of [[automatism (law)|automatism]], i.e. a state without control of one's own actions, an [[excuse|excusing condition]] that allows a defendant to argue that they should not be held criminally [[Legal liability|liable]] for their actions or [[omission (criminal law)|omissions]]. In most countries, courts must consider whether unconsciousness in a situation can be accepted as a defense; it can vary from case to case. Hence [[epileptic seizure]]s, [[neurology|neurological]] dysfunctions and [[sleepwalking]] may be considered acceptable excusing conditions because the loss of control is not foreseeable, but falling asleep (especially while driving or during any other safety-critical activity) may not, because natural sleep rarely overcomes an ordinary person without warning. In many countries, it is presumed that someone who is less than fully conscious cannot give [[consent]] to anything. This can be relevant in cases of [[sexual assault]], [[euthanasia]], or patients giving [[informed consent]] with regard to starting or stopping a medical treatment. ==See also== {{col div|colwidth=25em}} * [[Coma]] * [[Do not resuscitate]] * [[Greyout]] * [[Hypnosis]] * [[Living will]] * [[Shallow water blackout]] * [[Sleep]] * [[Somnophilia]] * [[Syncope (medicine)|Syncope]] (fainting) * [[Trance]] * [[Traumatic brain injury]] * [[Twilight sleep]] {{colend}} == References == <references />{{Wikitionary|Unconsciousness}}{{Medical resources | ICD11 = {{ICD11|MB20.1}} | ICD10 = {{ICD10|R|40.2}} | ICD9 = {{ICD9|xxx}} | ICDO = | OMIM = | DiseasesDB = | MedlinePlus = | eMedicineSubj = | eMedicineTopic = | MeSH = | GeneReviewsNBK = | GeneReviewsName = | Orphanet = }} {{Disorders of consciousness}} {{Consciousness}} [[Category:Consciousness]] [[Category:Symptoms and signs of mental disorders]]
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