Glasgow Coma Scale: Difference between revisions
Ttenbergen (talk | contribs) →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 |
Ttenbergen (talk | contribs) m Text replacement - "[[Category: " to "[[Category:" |
||
| (2 intermediate revisions by the same user not shown) | |||
| Line 1: | Line 1: | ||
<onlyinclude>The '''Glasgow Coma Scale''' (GCS) ([http://www.brainline.org/content/2010/10/what-is-the-glasgow-coma-scale.html], [ | <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. | ||
| Line 5: | Line 5: | ||
* 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 | == 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. | ||
| Line 11: | Line 14: | ||
# 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'''. | ||
=== Patients with normally limited communication ability=== | === Patients with normally limited communication ability=== | ||
| Line 24: | Line 24: | ||
==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 | ||
|- | |- | ||
| Line 38: | Line 39: | ||
=== Best Motor === | === Best Motor === | ||
* stored in the [[AP_Motor field]] | |||
{| class="wikitable" border=1 | {| class="wikitable" border=1 | ||
|- | |- | ||
| Line 62: | Line 64: | ||
=== Best Verbal === | === Best Verbal === | ||
* stored in the [[AP_Verbal field]] | |||
{| class="wikitable" border=1 | {| class="wikitable" border=1 | ||
|- | |- | ||
| Line 101: | Line 104: | ||
{{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 | *]] | ||