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AVPU trivia

trauma-list@trauma.org trauma-list@trauma.org
Tue, 26 Feb 2002 10:10:30 EST 

In a message dated 26-Feb-02 06:01:50 Central Standard Time, pbjorn@emh.org 
writes:

> Charles,
>  
>  I think Jean is referring specifically to the motor component; I suspect
>  this mostly because that's precisely what she wrote.  
>  
>  Further, I believe that her concern relates to the fact that this 
particular
>  motor score was '1' (as would be verbal score, and probably, though not
>  certainly, the eye-opening) not as a result of coma, but rather from
>  chemical paralysis.  In this case, as in all such cases, there is simply no
>  accurate means of assessing level of consciousness.  GCS is "N/A."  So is
>  AVPU, for that matter.  Just another example of inconvenient consequences
>  arising from perfectly good decisions.
>  
>  Pret
>  

OK...point taken...another point would be to emphasize the need to do a 
decent Neuro eval and GCS *prior* to paralysis for rapid sequence intubation 
for the same reason.

ck

Charles S. Krin, DO