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Inter-observer Variability in Assessing GCS in Emergency department of a level I Trauma Centre in India
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Inter-observer Variability in Assessing GCS in Emergency department of a level I Trauma Centre in India

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Inter-observer Variability in Assessing GCS in Emergency department of a level I Trauma Centre in India Inter-observer Variability in Assessing GCS in Emergency department of a level I Trauma Centre in India Presentation Transcript

  • 9/30/2013
  • 9/30/2013 Neurosurgical patients,particularly of severe head injuries require frequent assessment of Glasgow coma score (GCS).
  • 9/30/2013 As fresh residents are regularly posted in the Emergency department (ED), there is a possibility of inter-observer variability between the GCS assessed by Ed resident, ED nurse & Neurosurgery resident.
  •  This was a prospective study carried out over one month period from 1st June 2013 to 30th June 2013 .  As a protocol, the GCS of head injury patients has been observed by ED junior residents, nurse/triage nurse and neurosurgeons independently. 9/30/2013
  • 9/30/2013 • •This data was compiled for all patients triaged as red and yellow in the study period.
  • 9/30/2013 6
  • 9/30/2013 7 Red =68 [60%] Y TO R =22 [19.29% ] Yellow =24 [21.05% ]
  • The patients whose initial GCS score assessed by ED junior resident did not correlate with neurosurgeons were 32 [28.07%]. Discordance between nurses & neurosurgeons assessment were seen in only 5 patients [4.38%] (p<0.001). 9/30/2013
  • 9/30/2013
  •  Nurses being more experienced than fresh junior residents can play a vital role in correctly assessing the GCS of patients coming to ED, thereby preventing wrong triage of patients. 9/30/2013
  • 9/30/2013 THANK YOU