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Fri, 1 Mar 2002 09:53:15 -0500

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Tabi, et al:

Back up just a bit.  Break it down:

G.C.S. 
Glasgow (this word is, for whatever you might make of it, functionally
irrelevant).
Coma (Un-consciousness).
Scale (Measuring device).

Use it for describing coma (chemically-induced or otherwise), and marking
trends in same.  Pretty simple, if you let it be.

One note: PARALYSIS is not coma, and therefore the GCS cannot apply to the
assessment, trending, or evaluation of folks who are paralyzed.

Still beats the daylights out of AVPU.

Regards,

Pret Bjorn

-----Original Message-----
From: Tabi Valenzuela [ mailto:tabi@caribe.net.mx
<mailto:tabi@caribe.net.mx> ]
Sent: Friday, March 01, 2002 7:43 AM
To: trauma-list@trauma.org
Subject: Re: trauma-list digest,GCS

Hello to all:
As far as I know the GCS score is intended to be used ONLY in trauma.
It is not to be used in patients  who have any other thing, as  overdoses or
alcohol...or sickness,, and only as an ongoing evaluation tool.
And thank you  for pointing out that below 8 we SHOULD consider intubation
(I agree that my kids  would have to be intubated most of the time)
Some ER doctors will try to trip us, specially the new ones, asking about
the GCS in an obviously intoxicated patient
Keep safe!
--
Tabi Valenzuela
EMT
Red Cross
Cancun, Mexico

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<P><FONT size=2><FONT color=#800000 face=Arial>Tabi, et al:<BR><BR>Back up just 
a bit.&nbsp; Break it down:<BR><BR>G.C.S.&nbsp;<BR><STRONG>G</STRONG>lasgow 
(this word is, for whatever you might make of it, functionally 
irrelevant).<BR><STRONG>C</STRONG>oma 
(Un-consciousness).<BR><STRONG>S</STRONG>cale (Measuring 
device).</FONT></FONT></P>
<P><FONT size=2><FONT color=#800000 face=Arial>Use it for describing coma 
(chemically-induced or otherwise), and marking trends in same.&nbsp; Pretty 
simple, if you let it be.</FONT></FONT></P>
<P><FONT size=2><FONT color=#800000 face=Arial>One note: PARALYSIS is not coma, 
and therefore the GCS cannot apply to the assessment, trending, or evaluation of 
folks who are paralyzed.</FONT></FONT></P>
<P><FONT size=2><FONT color=#800000 face=Arial>Still beats the daylights out of 
AVPU.</FONT></FONT></P>
<P><FONT size=2><FONT color=#800000 face=Arial>Regards,</FONT></FONT></P>
<P><FONT size=2><FONT color=#800000 face=Arial>Pret 
Bjorn<BR><BR></FONT>-----Original Message-----<BR>From: Tabi Valenzuela [<A 
href="mailto:tabi@caribe.net.mx">mailto:tabi@caribe.net.mx</A>]<BR>Sent: Friday, 
March 01, 2002 7:43 AM<BR>To: trauma-list@trauma.org<BR>Subject: Re: trauma-list 
digest,GCS<BR><BR><BR>Hello to all:<BR>As far as I know the GCS score is 
intended to be used ONLY in trauma.<BR>It is not to be used in patients&nbsp; 
who have any other thing, as&nbsp; overdoses or<BR>alcohol...or sickness,, and 
only as an ongoing evaluation tool.<BR>And thank you&nbsp; for pointing out that 
below 8 we SHOULD consider intubation<BR>(I agree that my kids&nbsp; would have 
to be intubated most of the time)<BR>Some ER doctors will try to trip us, 
specially the new ones, asking about<BR>the GCS in an obviously intoxicated 
patient<BR>Keep safe!<BR>--<BR>Tabi Valenzuela<BR>EMT<BR>Red Cross<BR>Cancun, 
Mexico<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></P></FONT></BODY></HTML>

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