This question came up at work last night and I'm curious as to what you all think. Some thought of it as snowed, blotto. Essentially, drunk or high. Others thought of it as one step away from a coma. We had a pt on psych meds and guaifenesin whose VS were normal but as for alertness was out of it. Did not arouse to voice, required touch and voice. Even when awakened, didn't really wake up all the way. You could wake him up but you couldn't have had a conversation with him. Most people are little out of it when you wake them up in the middle of the night - this was beyond that. Like someone who was, well, snowed. He knew who he was, where he was, there did not seem to be an issue of orientation, just LOC. "Obtunded"? Or no?