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Topic: Glasgow Coma Score

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	Glasgow Coma Scale Quiz
		A score of 15 is indicative of a poor prognosis
		A Glasgow Coma Scale score of 9 to 12 is an indication of
		A Glasgow Coma Scale score of 13 to 15 is an indication of
	school.discovery.com /quizzes28/mtrgroup/GCS.html (570 words)

	Glasgow Coma Scale - Wikipedia, the free encyclopedia
		The Glasgow Coma Scale is a neurological scale which seems to give a reliable, objective way of recording the conscious state of a person, for initial as well as continuing assessment.
		The scale was published in 1974 by Graham Teasdale and Bryan J. Jennett, professors of neurology at the University of Glasgow.
		Consequently the Pediatric Glasgow Coma Scale, a separate yet closely related scale, was developed for assessing younger children.
	en.wikipedia.org /wiki/Glasgow_coma_scale (478 words)

	Coma
		Coma is a state of profound unconsciousness in which the patient is incapable of conscious behavior.
		Coma implies dysfunction of the cerebral hemespheres, the upper brain stem, or both areas.
		A Coma Score of 13 or higher correlates with a mild brain injury, 9 to 12 is a moderate injury and 8 or less a severe brain injury.
	www.headinjury.com /coma.htm (1166 words)

	Clinical Trials of Drug for Coma Patients
		A coma scoring system is used by physicians to initially assess a comatose patient to determine the severity of the brain injury, to monitor the patient?s ongoing progress, and to determine the best treatment during a coma.
		Scores also help physicians determine whether a patient is likely to live, and if so, how disabled the patient might be upon recovery.
		Wijdicks tested the FOUR Score prospectively at Mayo Clinic in 120 intensive care unit patients and compared scores by neurologists specializing in treatment of patients in intensive care, neuroscience nurses and neurology residents to scores using the Glasgow Coma Score.
	www.neuroskills.com /pr-comameasure.shtml (636 words)

	Congress of Neurological Surgeons - Medical Student Curriculum in Neurosurgery
		In addition, the Glasgow Coma Scale score is correlated with outcome in that patients with a higher Glasgow Coma Scale score have a statistically better outcome than patients with a lower Glasgow Coma Scale score.
		In patients with prolonged coma, the prognosis is generally poor, with a 50% mortality and with an approximately 25% incidence of favorable outcome.
		A cerebral contusion is a focal brain injury caused primarily by impact of the brain surface and the bony ridges of the calvarium.
	www.neurosurgeon.org /education/medstudcur/curriculum.asp?inPage=b1 (4200 words)

	Coma
		The difference between coma and stupor is that a patient with coma cannot give a suitable response to either noxious or verbal stimuli, whereas a patient in a stupor can give a rough response (like screaming) to a noxious stimulus.
		Coma is also to be distinguished from the persistent vegetative state which may follow it.
		The Glasgow Coma Scale is used to quantify the severity of a coma.
	www.mrsci.com /Intensive-Care-Medicine/Coma.php (1564 words)

	brain injury .com \| Coma traumatic brain injury -- Brain Injury Coma
		In patients who have a scale from 11 to 15, only 7% will be expected to die or remain in a coma, while 87% would expect to have at least a moderate disability and/or good recovery (remembering again that this is not an exact science).
		There is a syndrome which occurs in children, who after waking from the coma, display delayed recovery of consciousness in response to the psychological stresses of being in the hospital, rather then continued biological cause.
		Follow-up on 14 patients showed that one remained in a vegetative state, 2 exhibited severe neurological deficits and were dependant on care, 6 sustained major functional deficits but were able to return to perform the task of everyday life on their own.
	www.braininjury.com /coma.html (1336 words)

	TRAUMA.ORG: Trauma Scoring: Glasgow Paediatric Coma Score (Site not responding. Last check: 2007-10-30)
		The Paediatric GCS is scored between 3 and 15, 3 being the worst, and 15 the best.
		Note that the phrase 'GCS of 11' is essentially meaningless, and it is important to break the figure down into its components, such as E3V3M5 = GCS 11.
		A Coma Score of 13 or higher correlates with a mild brain injury, 9 to 12 is a moderate injury and 8 or less a severe brain injury.
	www.trauma.org /scores/gpcs.html (93 words)

	LEGAL NURSE CONSULTING SERVICES, INC. - Glascow Coma Scale
		The Glasgow Coma Scale, which is based upon eye opening, verbal, and motor responses is a practical means of monitoring changes in level of consciousness.
		Initial Glasgow Coma Scale scores of 3-5 are associated with mortality rates of 60%.
		Initial Glasgow Coma Scale scores of 13-15 have mild head injuries and deaths related to head injury are rare according to the research of Marshall and Bowers.
	pages.prodigy.net /bobstein/legalnurse/ISS-Part1.htm (915 words)

	Data overview_Severity of the patient's condition
		In both cases the clinician was asked for their first score on admission to ICU but this may have been at one hour or 24 hours and there was no consistency to when it would have first been recorded.
		The score was incomplete in three cases and not answered in 162 cases.
		The unusual distribution of Glasgow Coma Score is probably a reflection that many sedated patients were incorrectly assigned to a Glasgow Coma Score of three, rather than the pre-sedation Glasgow Coma Score, as it is unlikely that such a high number of patients actually had such a low coma score.
	www.ncepod.org.uk /2005report/data_overview_8.html (529 words)

	Neurology -- Correspondence for Chalela et al., 56 (4) 481-485 (Site not responding. Last check: 2007-10-30)
		All patients had a Glasgow Coma Scale scoring and Galactosylceramide level determination at admission and every second day, until discharge or death.
		Glasgow coma score and coma etiology as predictors of 2 weeks outcome.
		Glasgow coma score and coma etiology as predictors of 2- week outcome.
	www.neurology.org /cgi/eletters/56/4/481 (925 words)

	Mayo Clinic - Mayo Clinic Develops New Coma Measurement System
		A coma scoring system is used by physicians to initially assess a comatose patient to determine the severity of the brain injury, to monitor the patient's ongoing progress, and to determine the best treatment during a coma.
		Scores also help physicians determine whether a patient is likely to live, and if so, how disabled the patient might be upon recovery.
		Wijdicks tested the FOUR Score prospectively at Mayo Clinic in 120 intensive care unit patients and compared scores by neurologists specializing in treatment of patients in intensive care, neuroscience nurses and neurology residents to scores using the Glasgow Coma Score.
	www.mayoclinic.org /news2005-rst/3023.html (886 words)

	Glasgow Coma Scale (Site not responding. Last check: 2007-10-30)
		The Glasgow coma scale (GCS) is a reliable and universally comparable way of recording the conscious state of a person.
		The lowest score for each category is 1, therefore the lowest score is 3 (no response to pain + no verbalisation + no eye opening).
		A GCS of 8 or less indicates severe injury, one of 9-12 moderate injury, and a GCS score of 13-15 is obtained when the injury is minor.
	www.le.ac.uk /pathology/teach/va/case_1/gcs.html (182 words)

	The Medical Algorithms Project, Chapter17
		The Glasgow coma scale is used to assess patients in coma.
		One of the components of the Glasgow coma scale is the best verbal response which cannot be assessed in nonverbal small children.
		The Blantyre coma scale is a modification of the Glasgow coma scale suitable to use in preverbal children.
	www.medalreg.com /www/xdocs/docs_ch17/doc_ch17.01.html (1263 words)

	Correlation of in-hospital mortality with CD4 count and acute physiology score in hospitalized patients with HIV ...
		The acute physiology score APS) is a component of the APACHE II and is based on vital signs, Glasgow coma score and selected laboratory values.
		The APS was calculated from the worst vital sign, Glasgow coma score and selected laboratory values obtained within 24 hours of hospital admission.
		Conclusion: Although the CD4 count is a strong predictor of long term survival, the acute physiology score correlates better with in-hospital mortality of hospitalized patients with HIV infection.
	www.aegis.com /aidsline/1997/jan/M9715862.html (550 words)

	JAMA -- Usefulness of the Glasgow Coma Score in Survivors of Cardiac Arrest--Reply, May 19, 2004, Booth and Detsky 291 ...
		Usefulness of the Glasgow Coma Score in Survivors of Cardiac Arrest—Reply
		Score to be useful in predicting outcome in comatose survivors
		Usefulness of the Glasgow Coma Score in Survivors of Cardiac Arrest
	jama.ama-assn.org /cgi/content/extract/291/19/2313-a (236 words)

	Guideline 46 Section 2: Assessment and classification
		The Glasgow Coma Scale is difficult to apply to the young (under 5 years) child.
		The Glasgow Coma Scale provides a framework for describing the state of a patient in terms of three aspects of responsiveness: eye opening, verbal response, and best motor response, each stratified according to increasing impairment.
		The notation for the score was derived from the extended scale, incorporating the distinction between normal and abnormal flexion movements, producing a total score of 15 (see Table 1).
	www.sign.ac.uk /guidelines/fulltext/46/section2.html (609 words)

	CT findings in children following blunt trauma - computed tomography - Tips from Other Journals American Family ...
		The hypoperfusion complex was defined as a diffuse fluid-filled dilatation of the intestine, with abnormally intense contrast material enhancement of the bowel wall, mesentery, kidneys, aorta and inferior vena cava, and diminished caliber of the abdominal aorta and inferior vena cava.
		Children were evaluated using the Glasgow Coma Score, which is based on verbal and motor responses and level of neurologic functioning, and the Trauma Score, which is based on physiologic impairment.
		Of the children who presented with a Trauma Score of 10 or less, 24 percent had the hypoperfusion complex on CT examination, and of the children with a Glasgow Coma Score of 6 or less, 20 percent had the hypoperfusion complex.
	www.findarticles.com /p/articles/mi_m3225/is_n3_v46/ai_12645058 (428 words)

	Royal Hospital for Neuro-disability
		Glasgow Coma Scale predicts coagulopathy in pediatric trauma patients.
		A prospective population-based study of pediatric trauma patients with mild alterations in consciousness (Glasgow Coma Scale score of 13-14).
		Giuliani G. Cenni P. Nanni A. Importance of a reliable admission Glasgow Coma Scale score for determining the need for evacuation of posttraumatic subdural hematomas: a prospective study of 65 patients.
	www.rhn.org.uk /doc.asp?docId=427&catId=239 (801 words)

	Coma and unconsciousness
		Coma (or unconsciousness) is a state in which a patient is totally unaware of both self and external surroundings, and unable to respond meaningfully to external stimuli.
		These scales and scores are most useful in allowing the assessment of changing levels of consciousness, either improvement or deterioration.
		Often, if the causes of coma are not treated, or cannot be treated, then it will progress to the point of irreversible brain damage and then brain death.
	www.ncl.ac.uk /nsa/coma.html (1314 words)

	Glasgow Coma Scale
		The Glasgow Coma scale evaluates a person's level of consciousness and degree of brain injury.
		The Glasgow Coma Scale was first published in 1974 (Teasdale G, Jennett B. Assessment of coma and impaired consciousness.
		The Glasgow Coma Scale evaluates visual, motor, and verbal responses to stimuli from three categories.
	www.allabouttbi.com /glasgow-coma (310 words)

	Brain Injury Solicitor / Brain Injury Lawyer / Head Injury Compensation / UK
		The term "mild traumatic brain injury" is used to describe an injury to the brain, caused by relatively mild trauma.
		The effects of such an injury may not include incontinence, coma or physical problems, but so-called "mild" cognitive impairments can still cause significant disruptions of personal or family life, or total disability from competitive employment.
		The fact that a person may be walking and talking at the scene of a collision does not rule out the presence of a traumatic brain injury.
	www.theheadinjurylawyers.co.uk /faqs.php (3182 words)

	NABIS Help Line Glasgow Coma Scale -Text Version
		The Glasgow Coma Score is the most reliable of the various coma scales currently in use.
		The Glasgow Coma Scale was designed to meet a need for a standardized initial evaluation.
		This state is often characterized by periods of the day during which the person's eyes are open, giving the appearance of wakefulness, but shows no signs that he or she is aware of the environment around him or her.
	www.abihelp.org /NABIS_Information_Line-GlasgowT.htm (378 words)

	Glasgow Coma Score (Site not responding. Last check: 2007-10-30)
		This is used to rate the level of response of a partially or fully unconscious casualty.
		The casualty is given a score in each of three categories and these scores are added together to give a GCS of between 3 and 15: 3 is the minimum, 15 the maximum level of response.
		The painful stimulus should be something like pressing down hard on the bed of the person's middle fingernail, using a pen or similar object.
	www.suslik.org /FirstAid/Survey/gcs.html (111 words)

	Glasgow coma scale (adult)
		Original description of Glasgow* Coma Scale (see first reference) did not distinguish "Flexion (abnormal) to pain (3 points)" and "Withdraws to pain (4 points)".
		Consequently, maximum score for Best motor response was 5 and maximum score for Glasgow Coma Scale was 14.
		Teasdale G, Jennett B. Assessment of coma and impaired consciousness.
	www.sfar.org /scores2/glasgow2.html (64 words)

	Glasgow Coma Scale
		The Glasgow Coma Scale is the most widely used scoring system used in quantifying level of consciousness following traumatic brain injury.
		The score represents the sum of the numeric scores of each of the categories.
		For this reason, many prefer to document the score by its individual components; so a patient with a Glasgow Coma Score of 15 would be documented as follows: E4 V5 M6.
	www.ssgfx.com /CP2020/medtech/glossary/glasgow.htm (283 words)

	Overdose: Flumazenil increased Glasgow Coma Score.
		Patients who were in a coma due to overdose with benzodiazepines and who were given flumazenil, were more likely to wake up compared with those given placebo.
		Change of Glasgow Coma Score by 2 points indicated ability to act adequately.
		EEG was recorded in 13 patients where the waveform was comparable to the clinical status estimated by the Glasgow Coma Score.
	www.eboncall.org /CATs/252.htm (270 words)

	Glasgow Coma Scale (Site not responding. Last check: 2007-10-30)
		The Glasgow Coma Scale is based on responses to stimuli in three areas: motor, verbal performance and eye opening.
		The scale assesses the depth and duration of coma and impaired consciousness.
		The Glasgow Coma Scale helps to gauge the impact of brain damage caused by traumatic and/or vascular injuries or infections, metabolic disorders, such as hepatic or renal failure, hypoglycemia, or diabetic ketosis.
	www.head-trauma-resource.com /glasgow-coma-scale.htm (255 words)

	Glasgow Coma Scale - Wheeless' Textbook of Orthopaedics
		Glasgow Coma Scale - Wheeless' Textbook of Orthopaedics
		- the Glasgow Coma Scale is a strong predictor of outcome;
		Use of admission glasgow coma score, pupil size, and pupil reactivity to determine outcome for trauma patients.
	www.wheelessonline.com /ortho/glasgow_coma_scale (62 words)

	Which Factors Predict Shock in Febrile Patients With Infection?
		The progression from infection and sepsis to shock is poorly understood, but a new study suggests that several clinical variables can help predict shock in febrile patients with infection.[1] Peak respiratory rate, nadir Glasgow Coma Scale score, and the presence of bacteremia were among the most useful predictors.
		Ailko W. Bossink, MD, and colleagues from the Free University Hospital in Amsterdam conducted a study to evaluate the role of clinical and microbiologic information in predicting the development of shock in patients with fever and infection.
		Other variables that were strong predictors of shock were the nadir Glasgow Coma Scale score, the presence of bacteremia, and a low peak ESR.
	www.pulmonaryreviews.com /may01/pr_may01_febrile.html (416 words)

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