Glasgow Coma Scale: Difference between revisions

Medicated/Sedated Patients: This is duplication of the section #Special notes regarding sedated patients: and it is inconsistent with that. And we are stopping GCS sedated field
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<onlyinclude>The '''Glasgow Coma Scale''' (GCS) ([http://www.brainline.org/content/2010/10/what-is-the-glasgow-coma-scale.html], [http://simple.wikipedia.org/wiki/Glasgow_Coma_Scale]) is a commmon neurological assessment scale used to quantify the level of consciousness in a person following a '''traumatic brain injury'''. </onlyinclude> Basically, it is used to help gauge the severity of an acute brain injury.  
<onlyinclude>The '''Glasgow Coma Scale''' (GCS) ([http://www.brainline.org/content/2010/10/what-is-the-glasgow-coma-scale.html], [https://en.wikipedia.org/wiki/Glasgow_Coma_Scale]) is a commmon neurological assessment scale used to quantify the level of consciousness in a person following a '''traumatic brain injury'''. </onlyinclude> Basically, it is used to help gauge the severity of an acute brain injury.  


* The '''Glasgow Coma Score''' is also used as part of the [[:Category:APACHE II|APACHE II]] assessment score for Critical Care Program and the [[ALERT Scale]] for Medicine Program.  
* The '''Glasgow Coma Score''' is also used as part of the [[:Category:APACHE II|APACHE II]] assessment score for Critical Care Program and the [[ALERT Scale]] for Medicine Program.  
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* The '''data collector''' will enter the GCS as per [[Selection and timing of APACHE components]]
* The '''data collector''' will enter the GCS as per [[Selection and timing of APACHE components]]


==Special notes regarding sedated patients: ==
== Special Cases ==
The below are only meant to help you '''use your judgement''' keeping in mind that the purpose of the GCS is to assess the severity of a '''brain injury''', within the first 24hrs of admission.
 
===Sedated patients ===
<!-- These instructions were given by Dr Garland utilizing the APACHE manual created by APACHE Medical Systems. --[[User:LKolesar|LKolesar]] 09:02, 2013 January 16 (EST) -->
<!-- These instructions were given by Dr Garland utilizing the APACHE manual created by APACHE Medical Systems. --[[User:LKolesar|LKolesar]] 09:02, 2013 January 16 (EST) -->
# If a pt is an overdose, use the worst score because the sedative effect and the potential injury to the brain due to the drug overdose is part of the acuity score.  
# If a pt is an overdose, use the worst score because the sedative effect and the potential injury to the brain due to the drug overdose is part of the acuity score.  
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# If a non-sedated GCS is unavailable in the first 24 hours, use the previous un-sedated GCS if possible.   
# If a non-sedated GCS is unavailable in the first 24 hours, use the previous un-sedated GCS if possible.   
# If there is absolutely no un-sedated GCS available (e.g. [[Lost/missing chart]]), default to a '''normal GCS'''.
# If there is absolutely no un-sedated GCS available (e.g. [[Lost/missing chart]]), default to a '''normal GCS'''.
== Special Cases ==
The below are only meant to help you '''use your judgement''' keeping in mind that the purpose of the GCS is to assess the severity of a '''brain injury''', within the first 24hrs of admission.


=== Patients with normally limited communication ability===
=== Patients with normally limited communication ability===
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==GSC dropdown list and scores ==
==GSC dropdown list and scores ==
=== Best Eye ===
=== Best Eye ===
* stored in the [[AP_Eye field]]:
{| class="wikitable" border=1  
{| class="wikitable" border=1  
|-  
|-  
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=== Best Motor ===
=== Best Motor ===
* stored in the [[AP_Motor field]]
{| class="wikitable" border=1  
{| class="wikitable" border=1  
|-  
|-  
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=== Best Verbal ===
=== Best Verbal ===
* stored in the [[AP_Verbal field]]
{| class="wikitable" border=1  
{| class="wikitable" border=1  
|-  
|-  
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{{Related Articles}}
{{Related Articles}}


[[Category: APACHE II Physiological Variables]]
[[Category:APACHE II Physiological Variables]]
[[Category: ALERT Scale Elements]]
[[Category:ALERT Scale Elements]]
[[Category: Glasgow Coma Scale | *]]
[[Category:Glasgow Coma Scale | *]]