List Archives

Thu Sep 6 14:41:45 BST 2007

Someone uses the FOUR score? It is a new proposed coma scale (2005), devised
by Wijdicks et al. to overcome some of the problems with GCS, especially the
verbal subscale in intubated patients.

Eduardo

2007/9/6, Aruni Sen <ARUNI.SEN at new-tr.wales.nhs.uk>:
>
> Score is likely  to be = 3, but really cannot be done.
>
> There is some confusion in this context. GCS is the best possible score.
> If someone is intubated and so cannot speak (but could have if the tube
> was out), then GCS cannot be scored. Score has to be done before
> intubation. Similarly, bilateral fractured arm cannot influence motor
> score.
>
> In this example, score before intubation is likely to be 3, as a patient
> who is not opening eye, not moving is unlikely to have verbal function -
> but may have some if the tube was out.
>
> -----Original Message-----
> From: trauma-list-bounces at trauma.org
> [mailto:trauma-list-bounces at trauma.org] On Behalf Of Ronald Simon
> Sent: 05 September 2007 19:37
> To: Trauma &amp; Critical Care mailing list
> Subject: GCS scoring question
>
> Just a quick question for the group.
> What is the GCS of this patient:
> No spont eye opening
> No movt to deep pain
> Intubated
> Is it 3, 3T or 2T?
> Thanks
> ron simon
>
>
> North East Wales NHS Trust Email Disclaimer
>
> Cymraeg
> www.newalesnhstrust.org.uk/index.php?page=emaildisclaimer&lang=w
>
> English
> www.newalesnhstrust.org.uk/index.php?page=emaildisclaimer&lang=en
> --
> trauma-list : TRAUMA.ORG
> To change your settings or unsubscribe visit:
> http://www.trauma.org/index.php?/community/
>

-- 
Eduardo Palencia Herrejón
Servicio de Medicina Intensiva
Hospital Gregorio Marañón, Madrid, Spain
palenciahccml at gmail.com

List Archives

For your convenience, find the Trauma List Archive Below

GCS scoring question