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#1283

Rowley Cottingham trauma-list@trauma.org
Mon, 25 Feb 2002 06:12 +0000 (GMT Standard Time) 

> On Sun, 24 Feb 2002, Nick Macartney wrote:
> > I entirely recognise that AVPU is not as good as GCS , when GCS is 
> > done by a
> > DR NJD Macartney FRCA
> 
> Just a shout on that one!!!  Using GCS, my pet rock gets a 3.... Guess
> He's not sooo bad off....
> 
> Jeremy F. Weiss
> Albert Einstein Medical Center
> Center for EMS Education
> 
> 
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> 
I asked the author of the Coma Scale (Prof Bryan Jennet) over dinner one evening why he had chosen to start at one. He 
couldn't remember, but did appreciate that it was odd to ascribe a positive value to something being absent! Incidentally, 
the GLASGOW coma scale as originally described is no longer in use. It was scored out of 14, and the 15th point was an 
American addition. If I remember correctly, it was the third point of the best limb movement scale. It should therefore 
simply be called the Coma Scale, or CS.

Best wishes,


Rowley Cottingham

rowley@cix.co.uk
http://www.emergencyunit.com