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Algorithm for triaging ALF patients. The initial step is to establish the diagnosis as ALF, then the etiology and then the severity. Time is of the essence if transplantation is an option. Patients may rapidly deteriorate so frequent neuro checks and consideration of intubation is indicated for any significant degree of drowsiness (Coma grade 2+ or higher). Sedation is avoided in early coma grades to allow for continued observation of CNS function.
