Glasgow coma scale

Cruz J, Minoja G, Okuchi K, Facco E. Successful use of the new high-dose mannitol treatment in patients with Glasgow Coma Scale scores of 3 and bilateral abnormal pupillary widening a randomized trial. J Neurosurg 2004 100(3) 376-383. 

Glasgow Coma Scale (GCS) A scale for evaluating level of consciousness after central nervous system injury (evaluates eye opening and verbal and motor responsiveness). 

Neurologic function should be assessed by the Cerebral Performance Category and the Glasgow Coma Scale. 

Further clinical evidence of the role of free radicals in head injury has been provided by the recently published results of a phase II trial of polyethylene glycol-conjugated SOD in severe head injury (Glasgow Coma Scale = 3-8). In the SOD-treated patients, there was a significant decrease in the number of patients who had died or persisted in a vegetative state at 3 or 6 months post-injury [67]. A phase III trial is underway. 

A 9-month-old girl presented with extreme lethargy and a modified Glasgow coma scale of 10, after having been exposed to cigarette and cannabis smoke at the home of her teenage sister s friend (141). The physical examination and laboratory results were unremarkable. Cannabinoids were detected in a urine screen. 

Grade Glasgow Coma Scale Motor or language deficit... 

Perform an integumentary assessment, including a burn assessment Perform a pain assessment Perform a trauma assessment from head to toe Perform a mental status assessment, including a Glasgow Coma Scale... 

Grmec, S., Mally, S., Klemen, P. (2004). Glasgow Coma Scale score and QTc interval in the prognosis of organophosphate poisoning. Acad. Emerg. Med. 11 925-30. 

This Glasgow coma scale with its score points can be... 

ACLS advanced cardiac life support AED automatic external defibrillator AMI acute myocardial infarction CPC cerebral performance category CPR cardiopulmonary resuscitation D5W dextrose 5% in water ECC emergency cardiovascular care ECG electrocardiogram GCS Glasgow Coma Scale IV intravenous... 

CCS, Glasgow Coma Scale CSF, cerebrospinal fluid TBI, traumatic brain injury ABC, arterial blood gas Pa02, partial pressure of arterial blood oxygen PaC02, partial pressure of arterial blood carbon dioxide CT, computed tomography. 

The clinical presentation of acute brain injmy is summarized in Table 56-1. The Glasgow Coma Scale (GCS) is the most widely used system to grade the arousal and functional capacity of the cerebral cortex. The GCS defines the level of consciousness according to eye opening, motor response, and verbal response (Table 56-2). A GCS score of 15 corresponds to a normal neurologic examination. A GCS score of 3-8, 9-12, and 13-15 is consistent with severe, moderate. 

Authors from the Kelo University Hospital described 113 patients, one of which was dead on arrival and 15 of which were admitted. The article contains a detailed report on the most severe case hospitalised [22]. This 29-year-old patient was admitted one hour after poisoning, i.e. at 9.05 a m. in a coma (Glasgow coma scale E1M1V1), frothing at his mouth, sweating and with marked cyanosis. His blood pressure and heart rate were 150/80 mm Hg and 155/min, respectively. He had a respiratory arrest due to strong fasciculation of respiratory muscles. His trachea was immediately intubated. His body temperature was 36.1°C, he had pinpoint pupils and convulsions. Since a carbamate or oiganophosphate poison-... 

Treatment of the victims exposed to sarin and VX in the Japanese terrorist incidents is similar in many ways to the descriptions of the Sidell casualties . All victims were seen in hospital emergency rooms where treatment was initiated. In cases of severe poisoning, atropine therapy was given IV, which insures maximum therapeutic effect within minutes. Nozaki and Aikawa (1995) described the treatment of one severely poisoned patient of the Tokyo subway exposures at Keio University Hospital. The patient arrived at the hospital in a coma 1 h after exposure (Glasgow coma scale El M1V1), displaying profuse sweating and oral secretions, convulsions,... 

The highest possible score on the Glasgow Coma Scale is 15. Therefore, a 13 indicates the client is getting better and the medication is effective. 

Flaccid paralysis is the client s worst response to painful stimuli, equivalent to a 3 on the Glasgow Coma Scale. Decorticate posturing would receive... 

The Glasgow Coma Scale assesses the client s neurological status, and this cannot be delegated to an NA. 

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