GCS scoring question

[Eduardo Palencia]

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