Glasgow Coma Scale: Difference between revisions

TOstryzniuk (talk | contribs)
TOstryzniuk (talk | contribs)
mNo edit summary
Line 1: Line 1:
The '''Glasgow Coma Scale''' (GCS) [http://en.wikipedia.org/wiki/Glasgow_Coma_Scale] is a neurological assessment scale which aims to give a reliable, objective way of quantifying level of consciousness.  
The '''Glasgow Coma Scale''' (GCS) [http://www.brainline.org/content/2010/10/what-is-the-glasgow-coma-scale.html] or [*[http://simple.wikipedia.org/wiki/Glasgow_Coma_Scale] is a neurological assessment scale which aims to give a reliable, objective way of quantifying level of consciousness.  


The '''Glasgow Coma Score''' is also used as part of the [[:Category:APACHE II|APACHE II]] assessment score for Critical Care Program and the [[MOST]] assessment score for Medicine Program. Due to this use as part of APACHE we need the '''best''' GCS in the first 24 hrs (unlike all other APACHE elements). Consciousness is greatly affected by sedative drugs, and many/most patients get such drugs.  So being totally unconscious can easily be a result of being sedated, not brain-injured.  Since this issue is even bigger than the issue of waxing/waning mental status due to fluctuating/changing illness, we use the '''best''' value in the 1st 24 hrs.
The '''Glasgow Coma Score''' is also used as part of the [[:Category:APACHE II|APACHE II]] assessment score for Critical Care Program and the [[MOST]] assessment score for Medicine Program. Due to this use as part of APACHE we need the '''best''' GCS in the first 24 hrs (unlike all other APACHE elements). Consciousness is greatly affected by sedative drugs, and many/most patients get such drugs.  So being totally unconscious can easily be a result of being sedated, not brain-injured.  Since this issue is even bigger than the issue of waxing/waning mental status due to fluctuating/changing illness, we use the '''best''' value in the 1st 24 hrs.