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- What’s their GCS? : r ems - Reddit
While a GCS score is an arbitrary number, treatments should never be delivered, based solely off that arbitrary number Just use it as a loose guide and it's fine As for the telemetry jockey in the ER asking for a GCS score, just give them an estimate You shouldn't feel shame in saying something like, "Maybe 10?"
- GCS score on non-verbal quadriplegic patients? : r NewToEMS - Reddit
GCS is a pretty useless number outside of trauma but nurses and CQI specialists seem to love it What I've always done is calculate the GCS based on what you have (for example, Eyes-4, Verbal-1, and Motor-6 to equal 11) and then document and explain during hand-off that the patient is GCS=11 as their normal baseline GCS due to whatever underlying condition they have (example: "Patient is non
- How do you remember GCS? : r emergencymedicine - Reddit
I always ask my residents to call out each part, eyes 4, verbal 4, motor 6, GCS 14 My diatribe on GCS It was never meant to be an aggregate score, it was originally intended to be individual scores trended over time from post-op brain surg Also, a recent paper from Annals shows a motor score <6 was slightly superior to GCS<13
- GCS Question : r medicine - Reddit
We would typically score for the best motor response on a GCS for any of the extremities If flexing upper extremities and you are waffling on whether this is normal vs abnormal flexion or something but you get a very clear volitional withdrawal in the lowers, I would score this person higher because this truly MEANS something regarding their
- Trick for remembering motor portion of GCS : r medicalschool - Reddit
Neat memory device for remembering the motor portion of the GCS score Most of them rhyme (except for 5 - this is an alliteration) 6 - Do this (Follows commands) 5 (Five) - Focal (Purposeful movement to painful stimuli, including crossing midline) 4 - No more (Withdraws from painful stimuli) 3 - To me
- Anyone else think the GCS is stupid for the prehospital setting?
GCS may not be particularly useful for you on the ambulance, but evaluating the trend over time has important prognostic value When you’re evaluating trends, you need to know where the patient started, which is why it’s helpful to get a GCS score in the field, even if it is useless to you during your 15 mins with the patient
- Glasgow Coma Scale for baseline dementia patients : r NewToEMS - Reddit
From my understanding the GCS is an objective scale of a pt’s mentation, not something that’s relative to the patient 5 for verbal is “oriented and appropriate” If grandpa is asking you every ten minutes where he is and what’s happening, that’s not oriented and appropriate, even if it’s his baseline
- GCS lt;9 intubate in medical patients? : r emergencymedicine - Reddit
GCS 8 intubate only caught on because it rhymes, it’s crappy medicine to follow as a rule Adding to that: the only real contraindications to intubation are complete obstruction to the glottis requiring surgical airway access, clinical situations where RSI would cause further deterioration in shock states (aka resuscitate before intubate
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