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Fri, 1 Mar 2002 08:33:56 -0500

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"Enroute, I have absolutely no way of knowing if this person has had 0, 1,
or 100 drinks. I can only indicate that his GCS=3 so he is avpU. I cannot
rule out stroke, cardiac complications, hypoxic conditions, diabetic
complications or trauma. Is not this what GCS is for? Other then just
describing the s/s of the pt (which you can do for anyone- who really needs
the GCS?) I gave the appropriate GCS for this pt."

Nick,

The GCS is a reliable descriptor of level of consciousness, which happens to
have extraordinary predictive value in discrete brain injury, and can be
used for triage.  Three features, of which you were arguably able to use
two.  What do you want?

Pret

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<DIV><FONT size=2><FONT face=Tahoma><SPAN 
class=310252713-01032002>"</SPAN>Enroute, I have absolutely no way of knowing if 
this person has had 0, 1, or 100 drinks. I can only indicate that his 
GCS=3&nbsp;so he is avpU. I cannot rule out stroke, cardiac complications, 
hypoxic&nbsp;conditions, diabetic complications or trauma. Is not this what GCS 
is for? Other then just describing the s/s of the pt (which you can do for 
anyone- who really needs the GCS?) I gave the appropriate GCS for this pt.<SPAN 
class=310252713-01032002>"</SPAN></FONT></FONT></DIV>
<DIV><FONT size=2><SPAN class=310252713-01032002></SPAN></FONT>&nbsp;</DIV>
<DIV><FONT size=2><FONT color=#800000 face=Arial><SPAN 
class=310252713-01032002>Nick,</SPAN></FONT></FONT></DIV>
<DIV><FONT size=2><FONT color=#800000><SPAN 
class=310252713-01032002></SPAN></FONT></FONT>&nbsp;</DIV>
<DIV><FONT size=2><FONT color=#800000 face=Arial><SPAN 
class=310252713-01032002>The GCS is a reliable descriptor of level of 
consciousness, which happens to have extraordinary predictive value in discrete 
brain injury, and can be used for triage.&nbsp; Three features, of which you 
were arguably able to use two.&nbsp; What do you 
want?</SPAN></FONT></FONT></DIV>
<DIV><FONT size=2><FONT color=#800000 face=Arial><SPAN 
class=310252713-01032002></SPAN></FONT></FONT>&nbsp;</DIV>
<DIV><FONT size=2><FONT color=#800000 face=Arial><SPAN 
class=310252713-01032002>Pret</SPAN></FONT></FONT></DIV></BODY></HTML>

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A return to GCS and intoxication