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This document discusses the Glasgow Coma Scale (GCS), which is used to assess head injuries. It provides background on head injuries and their causes before explaining the components of the GCS. The GCS assesses eye opening, verbal response, and motor response on a scale of 1-6 to determine a patient's level of consciousness following a head injury. Scores are categorized as mild, moderate, or severe injury. Though widely used to predict outcomes, the GCS does not account for all factors like focal signs or intoxication.
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The Glasgow Coma Scale (GCS)
The GCS is an important assessment tool that provides a common language for communication between multi-disciplinary groups
GCS is applicable for paediatrics as well as adults
Glasgow coma scale
The Glasgow Coma Scale is a neurological scale used to assess and record a person's state of consciousness after brain injury. It evaluates motor response, verbal response, and eye opening on a scale of 1 to 6 for motor, 1 to 5 for verbal, and 1 to 4 for eye opening. The scores are added up to give a total between 3 and 15, with lower scores indicating more severe brain injury and worse prognosis. The scale categorizes levels of injury from mild to severe disability, vegetative state, and brain death.
GLASGOW COMA SCALE
The Glasgow Coma Scale (GCS) is a neurological scale used to assess conscious state and severity of head injuries. It evaluates eye, verbal, and motor responses on a scale of 3-15, with lower scores indicating more severe brain injury. The GCS was developed in 1974 by neurosurgeons to provide an objective way to record a patient's state both initially and over time to evaluate interventions. Factors like drug/alcohol use, low oxygen, or intubation can impact scores.
Glasgow Coma Scale Presentation
The Glasgow Coma Scale (GCS) was developed as a simple, practical tool for assessing neurological injury and monitoring patients. It evaluates eye opening, verbal response, and motor response on a scale of 3-15. A lower score indicates a lower level of consciousness and worse prognosis. While initially created for adults, modified versions have been made for children who cannot communicate verbally. Though developed decades ago, the GCS remains the standard for initial assessment of brain injury severity and predicting outcomes.
Gcs
The Glasgow Coma Scale is a neurological scale used to assess a person's level of consciousness after brain injury. It was developed in 1974 by Graham Teasdale and Bryan Jennett. The scale consists of 3 components - eye opening, verbal response, and motor response - each of which are assigned a score between 1-5. The scores from each component are added to give a total score between 3-15, with lower scores indicating a worse level of consciousness. The Glasgow Coma Scale provides a standardized measure for initial assessment and ongoing monitoring of patients with brain injuries.
3 levels-of-consciousness-gcs
After completion of this unit, students will be able to apply knowledge of emergency and trauma management principles in nursing patients with Cerebrovascular problems using the Glasgow coma scale.
GCS ppt
The Glasgow Coma Scale (GCS) is used to assess the level of consciousness in patients with traumatic brain injuries. The GCS evaluates eye opening, verbal response, and motor response on a scale of 3-15, with lower scores indicating more severe brain injury. A score of 8 or less represents a severe brain injury, 9-12 is moderate, and 13-15 is mild. The document then provides details on scoring each component of the GCS.
Glasgow coma scale.ppt
The document discusses the Glasgow Coma Scale (GCS) and its use in assessing level of consciousness. The GCS evaluates three criteria: eye opening, verbal response, and motor response on a scale of 1 to 6. It is commonly used to evaluate head injuries and monitor for changes in consciousness. A score of 12 for the patient described indicates a moderate head injury with intact brainstem function.
Recommended
The Glasgow Coma Scale (GCS)
The GCS is an important assessment tool that provides a common language for communication between multi-disciplinary groups
GCS is applicable for paediatrics as well as adults
Glasgow coma scale
The Glasgow Coma Scale is a neurological scale used to assess and record a person's state of consciousness after brain injury. It evaluates motor response, verbal response, and eye opening on a scale of 1 to 6 for motor, 1 to 5 for verbal, and 1 to 4 for eye opening. The scores are added up to give a total between 3 and 15, with lower scores indicating more severe brain injury and worse prognosis. The scale categorizes levels of injury from mild to severe disability, vegetative state, and brain death.
GLASGOW COMA SCALE
The Glasgow Coma Scale (GCS) is a neurological scale used to assess conscious state and severity of head injuries. It evaluates eye, verbal, and motor responses on a scale of 3-15, with lower scores indicating more severe brain injury. The GCS was developed in 1974 by neurosurgeons to provide an objective way to record a patient's state both initially and over time to evaluate interventions. Factors like drug/alcohol use, low oxygen, or intubation can impact scores.
Glasgow Coma Scale Presentation
The Glasgow Coma Scale (GCS) was developed as a simple, practical tool for assessing neurological injury and monitoring patients. It evaluates eye opening, verbal response, and motor response on a scale of 3-15. A lower score indicates a lower level of consciousness and worse prognosis. While initially created for adults, modified versions have been made for children who cannot communicate verbally. Though developed decades ago, the GCS remains the standard for initial assessment of brain injury severity and predicting outcomes.
Gcs
The Glasgow Coma Scale is a neurological scale used to assess a person's level of consciousness after brain injury. It was developed in 1974 by Graham Teasdale and Bryan Jennett. The scale consists of 3 components - eye opening, verbal response, and motor response - each of which are assigned a score between 1-5. The scores from each component are added to give a total score between 3-15, with lower scores indicating a worse level of consciousness. The Glasgow Coma Scale provides a standardized measure for initial assessment and ongoing monitoring of patients with brain injuries.
3 levels-of-consciousness-gcs
After completion of this unit, students will be able to apply knowledge of emergency and trauma management principles in nursing patients with Cerebrovascular problems using the Glasgow coma scale.
GCS ppt
The Glasgow Coma Scale (GCS) is used to assess the level of consciousness in patients with traumatic brain injuries. The GCS evaluates eye opening, verbal response, and motor response on a scale of 3-15, with lower scores indicating more severe brain injury. A score of 8 or less represents a severe brain injury, 9-12 is moderate, and 13-15 is mild. The document then provides details on scoring each component of the GCS.
Glasgow coma scale.ppt
The document discusses the Glasgow Coma Scale (GCS) and its use in assessing level of consciousness. The GCS evaluates three criteria: eye opening, verbal response, and motor response on a scale of 1 to 6. It is commonly used to evaluate head injuries and monitor for changes in consciousness. A score of 12 for the patient described indicates a moderate head injury with intact brainstem function.
Glasgow coma scale
The Glasgow Coma Scale is a clinical scale used to measure a person's level of consciousness after a brain injury, consisting of assessments of eye, verbal, and motor responses. It was developed in 1974 at the University of Glasgow to reliably evaluate brain injury severity. While widely used, the scale has limitations for assessing those with swollen eyes, tracheostomies, or who are intubated, and is less applicable to young children under 3 years old.
Gcs( GLASGOW COMA SCALE)
The Glasgow Coma Scale (GCS) is a neurological scale which aims to give a reliable and objective way of recording the conscious state of a person for initial as well as subsequent assessment. A patient is assessed against the criteria of the scale, and the resulting points give a patient score between 3 (indicating deep unconsciousness) and either 14 (original scale) or 15 (more widely used modified or revised scale).
Glasgow Coma Scale
The Glasgow Coma Scale (GCS) was developed to assess the level of neurological injury from brain trauma. It assesses eye opening, verbal response, and motor response on a scale of 3 to 15, with lower scores indicating more severe brain injury. The GCS provides a practical and consistent way to monitor head injury patients and indicates their level of impairment, prognosis, and likelihood of recovery. It is an important tool used worldwide in hospitals to evaluate brain injury.
Neurological assessment.
This document provides guidance on performing a neurological assessment. It defines a neurological exam and explains that it is used to evaluate a patient's brain function and motor response. The assessment includes checking the patient's level of consciousness using the Glasgow Coma Scale, pupillary response, limb movement, strength, and vital signs. It outlines how to perform each part of the exam and what to note for things like eye opening, best verbal response, motor response, and limb movement. The neurological observation form is used to record the assessment findings. Any changes in neurological status should be reported immediately to the physician.
Neurological assessment For Nurses
This document provides information on performing a neurological assessment for patients with altered levels of consciousness. It describes tools like the AVPU scale and Glasgow Coma Scale to assess a patient's consciousness. It outlines common causes of decreased consciousness like head injuries, infections, and metabolic disturbances. It also discusses nursing management considerations for patients with neurological injuries, focusing on airway protection, monitoring vital signs, managing seizures or increased intracranial pressure, and preventing secondary injuries.
Glasgow coma scale
The Glasgow Coma Scale (GCS) is a neurological assessment tool used to determine the severity of brain injury or dysfunction. It assesses three factors: eye opening, verbal response, and motor response, with scores ranging from 3 to 15. Lower scores indicate more severe brain injury. The GCS aids in classifying brain injuries as mild, moderate, or severe and helps identify potential causes of decreased consciousness like hypoxemia or hypotension. Signs of increased intracranial pressure include deteriorating consciousness, headache, pupil abnormalities, and motor or sensory deficits. The GCS is a widely-used assessment for monitoring acute medical and trauma patients.
Glasgow coma scale : what is new ?
The document summarizes the Glasgow Coma Scale (GCS), a tool used to assess impairment of consciousness. It describes the origins and components of the GCS and discusses developments like the Glasgow Coma Scale-Pupils score (GCS-P), which combines GCS and pupil reactivity, and the GCS-Pupils Age (GCS-PA) charts and GCS-PA-CT charts, which incorporate age and CT scan findings to improve prognostic accuracy. The document outlines strategies to standardize GCS assessment and limitations but emphasizes the scale's importance in clinical practice and research worldwide.
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Glasgow coma scale
The Glasgow Coma Scale (GCS) was developed in 1974 as a standardized means to assess consciousness and monitor patients with brain injuries. It evaluates eye opening, verbal response, and motor response on a scale of 3-15, with lower scores indicating worse neurological function or coma. The scale was created by Graham Teasdale and Bryan Jennett to provide a consistent, structured way for doctors to classify a patient's state of consciousness and predict outcomes after head injuries. It is still widely used today in trauma and critical care settings to monitor patients' recovery from brain injuries or illnesses affecting consciousness.
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The Glasgow Coma Scale (GCS) is a neurological scale used to assess consciousness after brain injury. It evaluates eye opening, verbal response, and motor response on a scale of 3 to 15, with lower scores indicating worse condition. The GCS was developed in 1974 and provides a standardized way to record a patient's state and classify brain injuries as mild, moderate or severe based on the total score. Limitations include inability to fully assess intubated or facially injured patients.
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Head injuries can range from minor scalp lacerations to major brain trauma. Common causes include motor vehicle accidents, falls, and sports injuries. Diagnosis involves CT or MRI imaging to identify fractures and intracranial bleeding. Treatment depends on injury severity but may include reducing intracranial pressure, surgical evacuation of hematomas, and preventing complications like seizures. Outcomes range from full recovery to permanent disability or death depending on the nature and extent of brain damage.
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Care of the unconscious client deepani
This document outlines assessment and nursing care for patients experiencing altered levels of consciousness ranging from alertness to coma. It discusses assessing neurological function using the Glasgow Coma Scale and monitoring vital signs. Nursing interventions are aimed at maintaining airway, cerebral perfusion, fluid balance, nutrition, mobility, and preventing complications like pressure ulcers, contractures and pneumonia. Care of the eyes, mouth, skin, elimination and providing emotional support to families is also covered.
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The Glasgow Coma Scale is a neurological scale which aims to give a reliable and objective way of recording the state of a person's consciousness for initial as well as subsequent assessment.
GCS-SCTE.ppt
Glasgow Coma Scale (GCS) assessment is an important aspect in neurological assessment and its management. It helps in the objective assessment of the patients and facilitates accurate interpersonal communication.
gcs(Glasgow Coma Scale) ppt to understand.pptx
The Glasgow Coma Scale (GCS) is a standardized system used to assess consciousness by evaluating eye opening, verbal response, and motor response. Each category is scored from 1 to 4 or 6 and the total score ranges from 3 to 15, with lower scores indicating worse neurological function or coma. The GCS is used to assess patients with impaired consciousness due to head injuries, seizures, overdoses, or other neurological impairments. It provides important information about a patient's brain functioning that can help determine if their condition is stable, improving, or deteriorating over time.
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Glasgow coma scale
The Glasgow Coma Scale is a clinical scale used to measure a person's level of consciousness after a brain injury, consisting of assessments of eye, verbal, and motor responses. It was developed in 1974 at the University of Glasgow to reliably evaluate brain injury severity. While widely used, the scale has limitations for assessing those with swollen eyes, tracheostomies, or who are intubated, and is less applicable to young children under 3 years old.
Gcs( GLASGOW COMA SCALE)
The Glasgow Coma Scale (GCS) is a neurological scale which aims to give a reliable and objective way of recording the conscious state of a person for initial as well as subsequent assessment. A patient is assessed against the criteria of the scale, and the resulting points give a patient score between 3 (indicating deep unconsciousness) and either 14 (original scale) or 15 (more widely used modified or revised scale).
Glasgow Coma Scale
The Glasgow Coma Scale (GCS) was developed to assess the level of neurological injury from brain trauma. It assesses eye opening, verbal response, and motor response on a scale of 3 to 15, with lower scores indicating more severe brain injury. The GCS provides a practical and consistent way to monitor head injury patients and indicates their level of impairment, prognosis, and likelihood of recovery. It is an important tool used worldwide in hospitals to evaluate brain injury.
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This document provides guidance on performing a neurological assessment. It defines a neurological exam and explains that it is used to evaluate a patient's brain function and motor response. The assessment includes checking the patient's level of consciousness using the Glasgow Coma Scale, pupillary response, limb movement, strength, and vital signs. It outlines how to perform each part of the exam and what to note for things like eye opening, best verbal response, motor response, and limb movement. The neurological observation form is used to record the assessment findings. Any changes in neurological status should be reported immediately to the physician.
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This document provides information on performing a neurological assessment for patients with altered levels of consciousness. It describes tools like the AVPU scale and Glasgow Coma Scale to assess a patient's consciousness. It outlines common causes of decreased consciousness like head injuries, infections, and metabolic disturbances. It also discusses nursing management considerations for patients with neurological injuries, focusing on airway protection, monitoring vital signs, managing seizures or increased intracranial pressure, and preventing secondary injuries.
Glasgow coma scale
The Glasgow Coma Scale (GCS) is a neurological assessment tool used to determine the severity of brain injury or dysfunction. It assesses three factors: eye opening, verbal response, and motor response, with scores ranging from 3 to 15. Lower scores indicate more severe brain injury. The GCS aids in classifying brain injuries as mild, moderate, or severe and helps identify potential causes of decreased consciousness like hypoxemia or hypotension. Signs of increased intracranial pressure include deteriorating consciousness, headache, pupil abnormalities, and motor or sensory deficits. The GCS is a widely-used assessment for monitoring acute medical and trauma patients.
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The document summarizes the Glasgow Coma Scale (GCS), a tool used to assess impairment of consciousness. It describes the origins and components of the GCS and discusses developments like the Glasgow Coma Scale-Pupils score (GCS-P), which combines GCS and pupil reactivity, and the GCS-Pupils Age (GCS-PA) charts and GCS-PA-CT charts, which incorporate age and CT scan findings to improve prognostic accuracy. The document outlines strategies to standardize GCS assessment and limitations but emphasizes the scale's importance in clinical practice and research worldwide.
Head injury med surg presentation
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Glasgow coma scale
The Glasgow Coma Scale (GCS) was developed in 1974 as a standardized means to assess consciousness and monitor patients with brain injuries. It evaluates eye opening, verbal response, and motor response on a scale of 3-15, with lower scores indicating worse neurological function or coma. The scale was created by Graham Teasdale and Bryan Jennett to provide a consistent, structured way for doctors to classify a patient's state of consciousness and predict outcomes after head injuries. It is still widely used today in trauma and critical care settings to monitor patients' recovery from brain injuries or illnesses affecting consciousness.
Glasco coma scale
The Glasgow Coma Scale (GCS) is a neurological scale used to assess consciousness after brain injury. It evaluates eye opening, verbal response, and motor response on a scale of 3 to 15, with lower scores indicating worse condition. The GCS was developed in 1974 and provides a standardized way to record a patient's state and classify brain injuries as mild, moderate or severe based on the total score. Limitations include inability to fully assess intubated or facially injured patients.
Management of-unconscious-patient
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Definition of unconsciousness
Common causes
Diagnosis and treatment of unconscious patient
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.
Head injury and medical tratment
Traumatic brain injury (TBI) is a major health problem in India, with over 1 million injuries and 200,000 deaths reported annually. The leading causes of TBI in India are road traffic accidents, which account for 60-70% of cases. Common types of TBI include concussions, skull fractures, and contusions. Initial treatment focuses on stabilizing the airway, breathing, and circulation, with diagnostic tests like CT scans used to further evaluate injuries. Management involves measures to reduce cerebral edema as well as medical therapies tailored to the specific injuries. Long-term rehabilitation is often needed to address physical, cognitive, and behavioral impairments resulting from TBI.
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The document provides statistics on pediatric burn injuries in Israel and worldwide, noting that scalding from hot liquids is a leading cause of burns for children under age 4. It also outlines the classification of burn severity, common treatment approaches like silver sulfadiazine and hydrofiber dressings, and general principles for burn management in hospitals such as providing pain medication and high-calorie meals.
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this topic explains the nature of pain, signs and symptoms of pain, different types of pain, factors influencing pain, assessment of pain and pharmacological and non pharmacological management of pain.
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Care of the unconscious client deepani
This document outlines assessment and nursing care for patients experiencing altered levels of consciousness ranging from alertness to coma. It discusses assessing neurological function using the Glasgow Coma Scale and monitoring vital signs. Nursing interventions are aimed at maintaining airway, cerebral perfusion, fluid balance, nutrition, mobility, and preventing complications like pressure ulcers, contractures and pneumonia. Care of the eyes, mouth, skin, elimination and providing emotional support to families is also covered.
Pain management ppt
The document discusses pain management and defines pain as an unpleasant sensory and emotional experience arising from actual or potential tissue damage. It describes various theories of pain including the gate control theory, specificity theory, and pattern theory. It also outlines the physiology of pain, effects of pain, and assessments and strategies for pain management, including both pharmacologic interventions like medications and non-pharmacologic methods like heat/cold therapy, exercise, acupuncture, acupressure, TENS, and relaxation techniques. The nurse's role in comprehensive pain management is also discussed.
Case study on 2 degree burns
A 13-year-old male patient presented with second degree burns on his left gluteal and lumbar regions from accidentally pouring hot water two days prior. On examination, his vitals were normal but lab work showed elevated ESR and low hemoglobin. He was diagnosed with second degree burns and treated with antibiotics, analgesics, collagen dressing, and silver sulfadiazine ointment. The patient was discharged after two weeks of treatment with advice to follow up and continue medications, and counseled on diet and lifestyle to support healing.
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Glasgow Coma Scale (GCS) assessment is an important aspect in neurological assessment and its management. It helps in the objective assessment of the patients and facilitates accurate interpersonal communication.
gcs(Glasgow Coma Scale) ppt to understand.pptx
The Glasgow Coma Scale (GCS) is a standardized system used to assess consciousness by evaluating eye opening, verbal response, and motor response. Each category is scored from 1 to 4 or 6 and the total score ranges from 3 to 15, with lower scores indicating worse neurological function or coma. The GCS is used to assess patients with impaired consciousness due to head injuries, seizures, overdoses, or other neurological impairments. It provides important information about a patient's brain functioning that can help determine if their condition is stable, improving, or deteriorating over time.
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The Glasgow Coma Scale (GCS) is a neurological scale used to assess level of consciousness. It evaluates eye opening, verbal response, and motor response on a scale of 3-15. Though widely used, it has limitations like not assessing brainstem function or distinguishing mild injuries. Several other scales have been developed, like the FOUR score which also evaluates brainstem reflexes and eye movements, and the Glasgow Outcome Scale which measures long-term recovery. The GCS remains valuable for initial assessment, monitoring changes, and predicting outcomes in various conditions like traumatic brain injury and stroke.
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The document discusses neurological scales used to assess consciousness. It describes the Glasgow Coma Scale (GCS), which evaluates best eye opening, best verbal response, and best motor response on a scale of 3 to 15. The Full Outline of UnResponsiveness (FOUR) score is also discussed, which measures eye responses, motor responses, brainstem reflexes, and respiratory patterns on a scale of 0 to 16. The FOUR score is presented as having advantages over the GCS in certain clinical situations. A new scale, the FIVE score, is also mentioned which builds upon the FOUR score.
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The Glasgow Coma Scale provides a standardized method to assess consciousness and monitor responses in brain injury patients. It tests eye opening, verbal response, and motor response on a scale of 3 to 15, with lower scores indicating more severe brain dysfunction. Assessment allows for initial decision making and monitoring of trends over time. While valuable, the GCS may not always evaluate all components due to pre-existing factors, current treatments, or other injuries affecting response.
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1. Severe head injury is a leading cause of mortality and disability worldwide, especially in children under 5, teens and young adults, and those over 70. In Kenya it accounts for 10-14% of brain injuries.
2. The pathophysiology of brain injury involves both primary injury on impact and secondary injury developing over hours to days from processes like edema, increased intracranial pressure, and ischemia.
3. Treatment involves stabilizing the patient's airway, breathing, and circulation according to ATLS protocols, assessing neurological status including Glasgow Coma Scale, monitoring for increased intracranial pressure, and managing complications like seizures. S
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Group 3 presented to nursing students on unconsciousness and head injuries. They defined unconsciousness as being unaware of oneself and surroundings and unable to respond, and defined head injury as any trauma to the head other than superficial facial injuries. Causes of head injuries included motor vehicle accidents, falls, assaults, and sports. Signs of head injuries included altered consciousness, bleeding from ears/nose, bruising around eyes. Management followed the SAFE approach of securing airway, breathing, circulation, disability assessment, and environment. Unconsciousness could be caused by problems with oxygen, circulation, metabolism, or the central nervous system.
Coma
1) The unconscious patient depends on intact brain stem and reticular formation. Causes include localized masses, diffuse neuronal injuries from infection, drugs, trauma, ischemia.
2) Examination assesses Glasgow Coma Scale, respiratory pattern, pupillary size/reaction, eye movements, motor responses to localize injuries.
3) Investigations include CT/MRI, angiography, CSF analysis, blood tests to identify structural lesions or metabolic disorders.
4) Management focuses on airway, ventilation, IV access and treating the underlying cause while preventing complications.
COMA
1) Coma is defined as a state of unresponsiveness where a patient cannot be aroused even with vigorous stimulation. It involves a lack of arousal and awareness.
2) The ascending reticular activating system and cerebral cortex are the two main anatomical components involved in consciousness. Damage or disturbances in these areas can result in altered mental states ranging from confusion to deep coma.
3) Causes of coma include structural injuries, lack of oxygen/substrates, toxicity from substances, and infections/inflammation of the central nervous system.
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Unconsciousness
1) Consciousness is defined as awareness of oneself and one's environment, while unconsciousness is a lack of awareness or responsiveness.
2) Causes of unconsciousness include structural brain lesions, metabolic abnormalities, and psychogenic factors.
3) Assessment of an unconscious patient involves evaluating their Glasgow Coma Scale score, respiration, pupils, brainstem reflexes, and ordering diagnostic tests.
4) Initial management of an unconscious patient focuses on ABCs - airway, breathing, and circulation to optimize oxygen and glucose delivery to the brain while minimizing increased intracranial pressure.
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Glassgow
- 1. GLASGOW COMA SCALE Dr.Faisal K A Tutor Malabar Dental College and Research Centre
- 2. introduction Head injuries are one of the common causes of death in road traffic accidents It can be open or closed injuries depending on whether there is fracture skull with meningeal injuries causing CSF leak or not . CSF can leak through scalp wound/ear/nose based on site of injury After initial steps for preservation of life are taken satisfactorily and patient has been stabilized ,then a full examination of patient is carried out to detect the presence of associated important injuries
- 3. Triage Means ‘to sort out’ in French It was a system to attend patients with trauma Assessing 4 component i. Physiologic assessment ii. Anatomical injury iii. Biomechanical injury iv. Comorbid factors
- 4. Clinical approach of a patient with head injury Detail history of injury-process of deterioration-rapid or gradual History of alcohol intake Neurological assessment: by a. Level of consciousness- Glasgow coma scale b. Pupillary reaction to light and size c. Pulse d. Temperature e. Blood pressure f. Respiratory rate g. Reflexes h. Limb movements- normal/mild weakness/severe weakness/spastic flexion/extension/no response Status and protection of airway General assessment for other injuries
- 5. Glasgow coma scale This scale relates clinical observations for motor response, verbal response, and eye examination and its response Level of consciousness should be assessed: Fully conscious Drowsy patient with disorientation , but responds irrationally to spoken questions Semiconscious patient Semi coma(unconscious but responds to painful stimuli) coma
- 6. history Developed in 1974 by Teasdale and Jennet First attempt to quantify the severity of head injury Include 3 variables 1. Best motor response(reflects level of CNS function) 2. Best verbal response(CNS ability to integrate information) 3. Eye opening (function of brain stem activity)
- 8. Glasgow coma scale Eye opening 4-opens eyes spontaneously 3-opens eyes to voice 2-opens eyes to pain 1-no eye opening C-unable to open eyes due to any swellings
- 9. Glasgow coma scale Motor response 6-obeys commands 5-localises to pain 4-withdraws to pain 3-abnormal flexor response 2-abnormal extensor response 1-no movement
- 10. Extensor Flexor
- 11. Glasgow coma scale Verbal response 5-oriented 4-confused 3-inappropriate words 2-incomprehensible sounds 1-no sounds D-unable to speak coherently T- tracheostomy
- 12. inference Total score -15 Mild head injury:- 13-15 Moderate head injury :-9-12 Severe head injury :- less than 8(3-8) In a prospective multicenter study GCS of 9 or less-higher mortality rates Used to predict outcomes
- 13. Weaknesses of GCS Does not take in to account focal or lateralizing sign Diffuse metabolic processes intoxication
- 14. References SRB’ s manual of surgery Peterson’s principles of oral and maxillofacial surgery Textbook of oral and maxillofacial surgery- S M balaji
- 15. THANKYOU