Upon reassessment, the same casualty slaps your hand away when you pinch the back of her arm. She will look at you only if you yell to get her attention and is giving inappropriate responses. She will not show you two fingers.
Moderate GCS = 9 to13 10% of head injuries Most are admitted /observed due to potential for deterioration. Severe GCS = < 9 10% of head injuries Mortality approx. 40% Most occur in 48 hrs Long-term disability is common.
Your casualty has suffered a head injury and had an initial GCS of 11. First reassessment the score is 9 and on second the score is 6. What do you know about the level of TBI the casualty is demonstrating?
This is a severe TBI.
Accounts for 10% of head injuries suffered.
He has a 40% chance of dying in the next 48 hours. Long-term disability for this casualty is very probable.