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AVPU trivia

Bjorn, Pret trauma-list@trauma.org
Tue, 26 Feb 2002 18:24:30 -0500 

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No.  And "7T" or "3P" is useless, diagnostically, prognostically, and
descriptively.  These terms have identical meaning: "all bets are off."

For acute care purposes, it should suffice to inform clinicians that the
patient is chemically disqualified from coma assessment: they'll have to
assume the worst, or prove otherwise by discontinuing the paralysis.  As has
been discussed, however, it is important for the 'upstream' clinician to
carefully observe and record a GCS prior to sedation and/or paralysis.  It's
very useful for the receiving physician to know whether or not the patient
was comatose, had airway jeopardy, or was simply too combative to treat
otherwise.

Pret

-----Original Message-----
From: Sheree Joyce [ mailto:shereej@gmp.usyd.edu.au
<mailto:shereej@gmp.usyd.edu.au> ]
Sent: Tuesday, February 26, 2002 4:42 PM
To: trauma-list@trauma.org
Subject: Re: AVPU trivia


Is it possible to complete a comprehensive GCS on a pt who is chemically
paralysed??


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<P><FONT size=2><FONT color=#800000 face=Arial>No.&nbsp; And "7T" or "3P" is 
useless, diagnostically, prognostically, and descriptively.&nbsp; These terms 
have identical meaning: "all bets are off."<BR><BR>For acute care purposes, it 
should suffice to inform clinicians that the patient is chemically disqualified 
from coma assessment: they'll have to assume the worst, or prove otherwise by 
discontinuing the paralysis.&nbsp; As has been discussed, however, it is 
important for the 'upstream' clinician to carefully observe and record a GCS 
prior to sedation and/or paralysis.&nbsp; It's very useful for the receiving 
physician to know whether or not the patient was comatose, had airway jeopardy, 
or was simply too combative to treat 
otherwise.<BR><BR>Pret<BR></FONT><BR>-----Original Message-----<BR>From: Sheree 
Joyce [<A 
href="mailto:shereej@gmp.usyd.edu.au">mailto:shereej@gmp.usyd.edu.au</A>]<BR>Sent: 
Tuesday, February 26, 2002 4:42 PM<BR>To: trauma-list@trauma.org<BR>Subject: Re: 
AVPU trivia<BR><BR><BR>Is it possible to complete a comprehensive GCS on a pt 
who is chemically<BR>paralysed??<BR><BR><BR>--<BR>trauma-list : TRAUMA.ORG<BR>To 
change your settings or unsubscribe visit:<BR><A 
href=http://www.trauma.org/index.php/community/list/url/http:list.ftech.net/pipermail/trauma-list/2002/"http://www.trauma.org/traumalist.html" 
target=_blank>http://www.trauma.org/traumalist.html</A><BR></FONT></P></BODY></HTML>

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