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Coma Scales. The primary goal of the neurologic examination in an unresponsive patient is to localize the lesion and thereby narrow the differential diagnosis. The examination should proceed in a stepwise fashion and be familiar to the neurologist because of constant repetition.
In an unconscious/unresponsive adult, the preferred pulse point is the carotid artery. There are several reasons for this, some of which are complementary points to those of the conscious patient: Unlike a conscious patient, the chief question we're trying to answer when checking the pulse is if they have one.