Select a Community
Are you sure you want to trigger topic in your Anconeus AI algorithm?
You are done for today with this topic.
Would you like to start learning session with this topic items scheduled for future?
7
0%
0/14
6
7%
1/14
5
64%
9/14
4
3
21%
3/14
Select Answer to see Preferred Response
The patient in this vignette has suffered a traumatic brain injury. The correct GCS would be 5, with the lowest scores (1) for both verbal response and eye opening and a score of 3 for motor response. Generally, brain injury is classified into three categories: severe (GCS < 8-9), moderate, GCS (8 or 9–12), and minor (GCS > 13). Any patient with a severe brain injury, as in this case, should be intubated. It should be noted that tracheal intubation and severe facial/eye swelling or damage do not allow testing of the verbal and eye responses. In these circumstances, the score in that category is written as "1" with noted modifier specifying the confounder. Kushner discusses mild traumatic brain injury (GCS >13), or concussion, in the setting of sports. Concussion is defined as an acute alteration of mental function as a result of trauma lasting fewer than 24 hours. Loss of consciousness is not required for a patient to be considered concussed. Importantly, concussion may be complicated by cerebral edema as a result of second impact syndrome, cumulative neuropsychologic deficits, intracranial bleeding or the post-concussion syndrome. Matis and Birbilis discuss the Glasgow Coma Scale (GCS), which was introduced to standardize the assessment of consciousness in patients with traumatic brain injury. Principally, it has been used to evaluate prognosis, to compare different groups of patients, and to monitor the neurological status. Illustration A displays the GCS scoring system. Incorrect Answers: Answers 1,2,4,5: These are not correct scores in this clinical situation.
5.0
(1)
Please Login to add comment