assessing - uw health

@CMGrffn

Assessing

Hx of GCS

• Initially developed for clinical eval of Head Trauma pts 6 hrs post injury

• Pts must be fully resuscitated, w evacuation of all surgical lesions, remain HD stable, and not be intoxicated before GCS can predict their prognosis.

• In intubated patients, the maximum GCS score is 10T and the minimum score is 2T.

• Assess the BEST response to EVM

Brennan et al. J of NSGY, June2018

16% When both reacted

38% When 1 reacted

59% When neither reacted

Assoc. ↑ in Mortality w/Pupil LOSS of reactivity:

GSP-Pupil Score

References

• Kupas, Douglas F. et al. Glasgow Coma Scale Motor Component (“Patient Does Not Follow Commands”) Performs Similarly to Total Glasgow Coma Scale in Predicting Severe Injury in Trauma Patients. Annals of Emergency Medicine , Volume 68 , Issue 6 , 744 -750.e3

• Gill MR, Reiley DG, Green SM. Interrater reliability of Glasgow Coma Scale scoresintheemergencydepartment.AnnEmergMed.2004;43:215-223.

• Hopkins, Emily, MSPH; Green, Steven M., MD. A Two-Center Validation of “Patient Does Not Follow Commands” and Three Other Simplified Measures to Replace the Glasgow Coma Scale for Field Trauma Triage. Annals of Emergency Medicine 2018

• Brennan et al. Simplifying the use of prognostic info in TBI: Part 1 the GCS-Pupil score; an extended index of clinical severity. J of NSGY, Vol 128 No 6 1612-1620, June2018

• Rosen’s

• http://www.glasgowcomascale.org/