What's the point of unconscious/comas?

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Discussion Overview

The discussion centers on the nature and purpose of comas, particularly in relation to shock and unconsciousness. Participants explore whether comas serve a protective function for the body or if they are merely a result of physiological damage. The conversation touches on various types of unconsciousness, including fainting and medically induced comas, and considers both evolutionary and physiological perspectives.

Discussion Character

  • Debate/contested
  • Conceptual clarification
  • Technical explanation

Main Points Raised

  • Some participants propose that comas following shock may be a subconscious protective mechanism of the body.
  • Others argue that comas can result from physical injury to the brain, suggesting that the brain does not choose to enter a coma but rather is unable to function normally due to damage.
  • A participant shares an anecdote about breath-holding spells, suggesting that unconsciousness might mitigate damage from extreme stress responses.
  • One participant questions the idea that comas can result from purely psychological stress, asking for references to support this claim.
  • Another participant distinguishes between coma and fainting, emphasizing that fainting can serve a temporary mitigation function, while coma is a serious condition with no inherent benefit.
  • Some participants express skepticism about the notion of a "point" to going into a coma, suggesting that it may not confer any evolutionary advantage and could be detrimental.
  • There are mentions of medically induced comas, with a note that these do not relate to the evolutionary context of early humans.

Areas of Agreement / Disagreement

Participants generally disagree on the purpose and implications of comas. While some suggest potential protective functions, others argue that comas do not imply any inherent benefit and may even be detrimental.

Contextual Notes

There are unresolved distinctions between different states of unconsciousness, such as coma, fainting, and medically induced comas. The discussion also highlights the complexity of physiological responses and the lack of consensus on their evolutionary significance.

SleepyFin
This question is specifically about comas after shock, as I think this relates to a subconscious decision of the body to do this to protect itself, as a pose to, for instance, alcoholic comas, where a toxin has shut down the brain. So; my question is, as a caveman style safety system, why does it make sense to put all your defences down to protect yourself?

Thanks in advance for any knowledge you can share, and don't be afraid to tell me I'm completely wrong!

Fin
 
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Sometimes, it's not a choice. A coma can result from physical injury to the brain; it's not that the brain chooses to function at a minimal level, it may not be physically possible for the brain to function otherwise. In those cases where coma results, survival of the individual depends on how quickly care is rendered. If no one is available to care for someone who is unconscious, death will likely result.

Some days, you get the bear; other days, the bear gets you. :(
 
An anecdote. My youngest had breath holding spells. She would hold her breath when she got really upset. When she passed out, she'd resume breathing.

So maybe one benefit of unconsciousness is that it can help mitigate damages caused by over-reactive fight-or-flight responses.

But, as SteamKing has implied, it doesn't have to be adaptive behavior, it could just be a byproduct of having adapted something as complicated as a brain.
 
SleepyFin said:
This question is specifically about comas after shock, as I think this relates to a subconscious decision of the body to do this to protect itself...
I have actually never heard of this. Can you link to anything that asserts a coma can result from purely psychological stress? (Coma is different than fainting or passing out, mind you.)
 
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SleepyFin said:
So; my question is, as a caveman style safety system, why does it make sense to put all your defences down to protect yourself?

Not so much to address your coma question (a coma is extremely serious), but to address your loss of consciousness (LOC) question... Most causes of shock can be temporarily mitigated by laying the patient (Pt) down flat. So feinting accomplishes that mitigation task. (Well, except that in those situations the Pt often sustains a serious head injury from the fall -- oops).

Pythagorean said:
So maybe one benefit of unconsciousness is that it can help mitigate damages caused by over-reactive fight-or-flight responses.

zoobyshoe said:
(Coma is different than fainting or passing out, mind you.)
 
I'm with Zooby - this is a confusing thread. Coma is a serious problem, the body loses resources to the point where consciousness is no longer possible.

Fainting is not a coma.

First off there is generally no "point" to most severe physiological responses. A "point" involves the concept of some pre-defined benefit. Ain't none. Going into a coma state does not imply some inherent benefit. 200,000 years ago if a human went into a coma state s/he became predator food. So, unless some other poster can assert differently, with a good reference, I would submit this to be tantamount to dying and convey no special benefit. End of point.
 
zoobyshoe said:
(Feinting is different than fainting or passing out, mind you.)

Oops, thanks for the spelling correction, zooby! I'm just used to writing LOC on my PCRs... :-)

jim mcnamara said:
Going into a coma state does not imply some inherent benefit.

There are some indications and benefits for medically induced comas, but those certainly don't apply to our caveman ancestors! :-)

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

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