Stimulate a person in a coma via their sense(s)

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Discussion Overview

The discussion centers on the potential for stimulating a person in a coma through various sensory modalities—touch, taste, hearing, vision, and smell—with the aim of eliciting a response that could lead to awakening. The scope includes theoretical considerations, practical applications, and references to existing therapies.

Discussion Character

  • Exploratory
  • Debate/contested
  • Technical explanation

Main Points Raised

  • Some participants question whether sensory stimulation can effectively awaken someone in a coma, noting that coma patients do not respond appropriately to sensory stimuli, which is part of their diagnosis.
  • Others mention the reticular formation as a brain area that might be manipulated to awaken a comatose individual.
  • There is mention of Coma Arousal Therapy, which may have varying success depending on the patient's level of brain function as assessed by scales like the Glasgow Coma Scale.
  • One participant expresses concern over the methods suggested for sensory stimulation, emphasizing that the intensity of stimuli is crucial and that certain techniques may be necessary to elicit a response.
  • Specific sensory stimulation techniques are discussed, including the use of loud noises, deep pressure massage, and noxious substances for taste, with caution advised regarding the patient's medical condition.

Areas of Agreement / Disagreement

Participants exhibit disagreement regarding the effectiveness of sensory stimulation in waking someone from a coma, with some asserting it is unlikely while others cite therapies that may show promise depending on individual circumstances.

Contextual Notes

Limitations include the varying degrees of brain function in coma patients, the dependence on specific definitions of coma and consciousness, and the potential risks associated with certain stimulation methods.

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Could you stimulate a person in a coma via their sense(s) of touch/taste/hearing/vision/smell and have them wake up as a result?
 
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I know there is a part of the brain called the reticular formation that may be able to be manipulated to awake someone.
 
Wikipedia does a decent job of explaining what a coma is.

http://en.wikipedia.org/wiki/Coma

Someone in a coma is not "asleep" they are unconscious. They don't respond appropriately to sensory stimuli, that is part of how they are diagnosed as being in a coma in the first place. So, the answer is no.
 
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Yikes! I don't like the sound of this:


"The startle reflex is the lowest level of auditory functionÂ*22 and as with visual stimulation, the type of response is dependent on the intensity of the stimulus. Noises that might cause conscious people to startle will not stimulate the comatosed. Therefore very loud noises (such as banging two saucepans together, ringing a bell or blowing a loud whistle directly near the patient) are needed to achieve a response. This noise stimulus should be irregular as the brain has the ability to "turn-off" continual sound.
The third sensory modality, touch, can be achieved by deep pressure massage, pinching and slapping, and use of a vibrator, loofah sponge and brushes is also suggested.Â*23 Whatever type of tactile stimulus is used it is important that it be "rough" as the intensity of the stimulus is the important factor in gaining a response.
Facial grimacing is an indicator that the taste sense is working and like other sensory modalities the intensity of the stimulus is important. HunterÂ*24 suggests the use of such substances as vinegar, lemon juice, mustard, soy sauce, chilli and salt as an intensive or noxious stimuli. Caution should be employed if the patient has an endotracheal or tracheostomy tube in situ. Smell may be stimulated with the use of peppermint oil, eucalyptus oil, garlic, strong perfumes, rubbing alcohol and spirits of ammonia.Â*25 Stimulus has been achieved if the patient grimaces or attempts to withdraw."
 

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