GCS

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NO!

> They do not specify how to apply stimulus to these areas but 
> supra-orbital
> pressure seems as good as any to start with.

if the patient flinches or turns away you have plunged your firmly pressing finger into the eye. Press upwards on 
the mastoid styloid. Good and painful, in a high distribution and localised to side. For standard work, a nearby site 
is squeezing the trapezius. Avoid rubbing the sternum as this leaves ugly bruises 4 days down the line that 
relatives are upset by and avoid rolling pens over fingernails or pinching as these too leave marks.

Best wishes,


Rowley Cottingham

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

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