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What is GCS ?Glasgow Coma Scale
Glasgow Coma Scale, or a thirty (GCS) criterion is to determine the depth of the in other words, the intensity drop of consciousness in the patients above 5 years. This scale is usually in traumatic brain injury, etc., EMS, and other items disturbed by a consciousness goes to work. The maximum rating a coma, 15 is and at least it 3. if the person is intubated, is the possibility to check the word, does not exist, and therefore, a minimum of 2T and maximum of 10T. Usually, in the absence of these criteria, less than 8 is recommended.
a CD of the three parts is composed. The first part related to the opening of the eyes is with the 4 score. Sector second verbal response is 5 score. The third part of the answer is motor with 6 score. In the description below, any number of equivalent scores is that patient in part the acquisition.
reply, (Eye response)-(E):
the lack of open eyes
in reaction to irritation, painful eyes open, the best mode of stimulating the use of the peripheral areas of the body is like squeezing the area of the crescent of the nail. It is better than stimulate the central areas, like squeezing the edge of the muscle is a trapezoid, because of the reaction of the fret (grimacing effect) is avoided.
in reaction to the sound eye open. Shouldn't this mode by waking up the patient sleeping wrong " because in this case the score is 4, Not 3
spontaneous and without external stimulation,
verbal response (V)-(Verbal response):
no response will not be given
having the word unintelligible, in this case the patient, a dictionary ADA does not, and only the sounds of does not like a disease that moaning.
the use of the vocabulary, irrelevant, etc., the patient talking to Ada but can't express these words in connection with a conversation targeted not.
The Conversation indicate confusion (Confusion) Have but able to answer questions, etc. of the patient, such as ADA does not, and these sentences in reply to questions, States, but, though these sentences in the context of a conversation, expression. some degree of confusion (confusion) or lack of awareness to time, place, or entities (disorientation) update gives
According to the word of the person absolutely to the environment, aware of and knowledgeable () . Reply, in answer to the questions consciously and correctly express can be
movement response (M)-(Motor response):
lack of motor response
unzip the limb in response to pain (situation ), in this mode the patient to the pain as the open up the elbow joint along with opening the knee joint and bend the joints of the feet to the soles of the feet respond
roll up the limb in response to pain (situation ) In this mode the patient to pain, as bend the elbow joint, along with open knee joint and bend the joints of the feet to the soles of the feet respond
so, the drag member in response to the pain. in this case, the patient his hand when the crescent of the nail he pressure can be applied, since it takes in a way that will be of operating as wouldn't away, and if the upper edge of the bowl, press Enter. Patient your hand to the side of, and examination into the location of the pain, move the data, but too much chin higher does not
do move in response to stimuli, painful, etc. the movements targeted for Round-Up factor painful to do and if the upper edge of the bowl, press enter. patient your hand to the side of, and examination into the location of the pain moving data to and from a limit chin higher
run command examination for moving the different parts of the body
After evaluating the three cases above, the numbers obtained are gathered together and as a thirty SS expression can be, for example: ji si SS person is quite vigilant against 15 (E4V5M6 = GCS15).
whence that reply ك in person, intubated, a reliable evaluation cannot. main resources in surgery and surgery of the brain and nerves, and the reference all the scores, 3T to 10T in person, intubated emphasis have, but at the same time say that the reply ك after 1 the calculation can be why is no sound TST, the patient production not. But here a problem of a mathematical update for him: if that the word score 1 crime in the Netherlands, whereby the minimum and maximum the person intubated, 3T and 11T will be if we score the word to such items and remove them in the Netherlands, whereby the minimum and maximum the person intubated, 2T, and 10T would be. In any case, the scores of 3T to 10T gotten not have been the issue in many cases place a question to the students and even the teachers were....