These factors could lead to an inaccurate score on the GCS. The GCS is usually not used with children , especially those too young to have reliable language skills. The PGCS still uses the three tests — eye, verbal, and motor responses — and the three values are considered separately as well as together. Pediatric brain injuries are classified by severity using the same scoring levels as adults, i. As in adults, moderate and severe injuries often result in significant long-term impairments.
The Glasgow Coma Scale: an update after 40 years. Nursing Times ; Teasdale G, Jennett B. Assessment of coma and impaired consciousness. A practical scale. Lancet , PMID Retrieved February 13, , from www. Please remember, we are not able to give medical or legal advice. If you have medical concerns, please consult your doctor. All posted comments are the views and opinions of the poster only. Dear My czn is toom accident that date 9 almost done 5 days and his scale is 7 and he is 26 years old can anyone tell me its possible to recovers thanks.
Hi Jan. I was placed in an induced coma for 2 days and has d. Reading through these comments bring back so much pain, I just lost my dad to a horrible car accident. He lost control of his vehicle and suffered many injuries, his whole left side of his brain had a stroke, he literally started swelling within 24hrs of his car accident.
His GCS score was 3 and writhing the days of him being in the trauma center he was not on any sedation and his score remained a 3. I hate thinking that drs did not do everything in their power to save him.
He was so young and it hurts so bad, I guess I just hate knowing that a lot of my family members who I have lost have died in that hospital. Please do everything you can for him! Remember to you he is just a check, you will have another case today tomm the next but to me that is my dad a brother a grandpa a husband. I guess it was just so hard because through the entire process because of covid we were not allowed to be by his side. We only got one hr one hr before he passed. I am so very sorry to hear of your dad's accident and his death.
May he rest in peace and may you and your family find peace also. My brother-in-law has a GSC of 5 and has been between a for 8 days. He was found unconscious for unknown amount of time with fever of He is in acute renal failure, on a ventilator, no sedation, and still unresponsive. They said his crit level is a 7 and climbing and want to start dialysis. Not sure he will pull thru with a constant GSC of 5 of 8 days. Any feedback? He is a drug addict and did have meth laced with fentanyl in his system.
I was in a bad car wreck going 65mph in a head on collision in Alaska. I lost consciousness and woke up when the first responders got there. I lost consciousness at 5 times. They ended up intubating me and putting me on a ventilator. I have migraines on a daily basis and the migraines vary in severity.
I have dizziness. When I woke up, I could only see 6 inches in front of my face. I now wear glasses with prescription, prisms due to convergence difficulty, and tint due to light sensitivity. I used to be intelligent. I graduated at 16 from high school and went to college for pre med.
I have difficulty remembering details and recent things that happened when before I had a photographic memory and could remember everything that I was told once.
If the PA over my case is not the subject matter expert then why is she working at a physician in the TBI clinic? I live in San Antonio, TX.
You seem pretty intelligent now based off your response. I hope you were able to find someone who could actually help you. My daughter was recently in a major car crash.
After a while, it just seems like they write their patients off. Like nothing more can be done. Despite all the newest and latest research out there! I feel you. Highly intelligent; technical job. My concussion was also classified as mild because concussions are measured on the Glasgow Coma Scale.
The test result should be NT not testable and the total score doesn't include eyes assessment. My husband was in a motorcycle accident, he was thrown from his bike he was not helmeted, he had gave his helmet to a passenger.
Well he was GCS 3. The severity of his injury was so bad that he had 3 hemorrhages which was non-operable The neurologist advised us that his prognosis was very poor. He had 5CT Scans with no change. He was swelling on day 2, the family decided without me to take him off the ventilator..
I just got his medical records and read through them I believe if he lasted 9hrs before he passed, if they only left him on for a week to really see if there would be any changes, but because the swelling was so severe and they could not relieve the swelling the family decided to take him off. He had an hemorrhagic stroke as well and some brain bleed. Keep us in your prayers if you can. I am sorry for your loss. My year-old cousin is in a deep coma, GCS 3.
She is also on a ventilator and has no response to light, pain or anything. Her brain has swollen due to homerrhage and had 2 cardiac arrests in the same day. Doctors said her condition is inoperable and that she may die any minute. We are very devastated and hope that she will wake up one day. I am a motorcycle rider as well. It makes me so sad to read this. So sorry for your loss! Stay strong! Greetings from Austria, Wick. So sorry that happened to you Rebecca. My son was hit by a car Dec.
Drs said I need to put him in a care home where he can age safely and securely We could not accept that. As a family we did every possible thing to help him recover I stayed in that province for almost a year. Every time he made a bit of progress the dr would say that was coincidence or that's all he will be able to do.
I took over his complete care so he wouldn't be a burden on the nurses as I was scared they were going to xfer him to a care home. Almost one year later Corey walked out of that hospital with the exact same personality he had before.. He will always have to live with us as the accident left him with short term memory loss and some cognitive impairments so he's on disability but his sight came back after about a year! We also weaned him off all the antipsychotic medications they had him on Everyone out there..
Thank you, I needed to hear this. I have faith, but it's hard to keep that up all the time. I scream, I cry, I have a breakdown every day on my way home from the hospital. So thank you, I really needed these words. Thank you for sharing. I almost died 4 years ago. Slipped and fractured skull, I remember hearing the sound of ocean waves and knew I was dying.
I lived alone and remained unconscious for 4 days. I felt as just what you said - the doctors arent god and I was alive by a miracle. It was incredibly difficult to do but foods and herbs helped. But after I woke I had vomiting, dizziness, hearing problems, eyesight issues. My hair sheds out a lot today and I still have a soft spot where my skull fractured. I have a touch of dyslexia and have a hard time concentrating on reading but I knew I survived by a miracle and am back to myself but actually more improved.
I believe something saved me so I could fulfill a purpose. I hope you will believe me when I say it's best not to dwell on the "what ifs. I worked in an ICU and saw some people recover from horrible injuries, but most did not. If they weren't able to relieve the pressure on his brain, he would have herniated and the results would be the same. The eye response score is a 4 b C c 2 d 0. The questionnaire used in this study is replicated from previous study in Singapore with permission.
It has been tested for reliability and validity [ 9 ]. Data was collected from July to September One hundred and thirty-five questionnaires were distributed, to nurses that met the inclusion criteria. Each nurse was given 15—20 minutes to answer the questionnaire, which was then returned. Ethical approval was obtained from the Research Ethical Committee. Permission was given by nursing administration and nursing officials. To the question pertaining to the part of the brain involved in assessing eye opening, The majority Only Only about one-fifth While the vast majority Overall only 2.
The result on the association between knowledge and education level shows that there was statistically significant significant level is value less than 0. Therefore, this concludes that the two variables are associated. This shows that skill and critical thinking are important in assessing GCS.
The result on association between knowledge and age group shows that there was a statistically significant significance level is less than 0. Nurses in age group of 41—60 had good knowledge This shows experiences and skill is important when assessing GCS.
Glasgow Coma Scale GCS is a reproducible tool used by nurses in almost every healthcare facility to assess level of consciousness in a patient with a neurological problem. It is important to have the skill and knowledge when assessing and applying critical thinking to interpret the findings. Our survey showed 2. This is comparable to the finding by Teles et al. Educational level is not the primary factor needed in assessing the GCS as shown in this study. Similar to the study by Heron et al.
Skill comes in handy with experience as shown in this study. The limitation of the study was that only nurses participated in this study. Further study should be conducted on all healthcare personnel practicing at the Emergency and Outpatient Departments. This study found that only 2. This finding raises concerns on the importance of knowledge and skill in assessing GCS. Continuing education and practice on use of the GCS tool are important.
This indicates that midage nurses with lower education level have higher skill and experience on using the GCS tool. The authors declare that there is no conflict of interests regarding the publication of this paper. The authors would like to dedicate their appreciation to Mr. Shaikh Ihsan B. Idris Mattar, S. Liaw, and M. Chan for giving them the permission to use their questionnaire.
This is an open access article distributed under the Creative Commons Attribution License , which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Article of the Year Award: Outstanding research contributions of , as selected by our Chief Editors. Read the winning articles. Journal overview. Special Issues. Academic Editor: Marja L. Received 28 Jul Accepted 01 Nov Published 01 Dec Introduction Traumatic brain injury TBI is a leading cause of death and disability worldwide. Material and Methods 2. Study Design This is a quantitative descriptive cross-sectional study design using convenience sampling.
Selection of Participants The eligibility criteria for this study were all nurses working, during data collection. Instrument Questionnaires were used to collect data. Part B consists of 15 multiple choice questions related to knowledge on Glasgow Coma Scale GCS ; see the following: Instrument to Assess the Knowledge on Glasgow Coma Scale 1 The Glasgow Coma Scale was initially devised to a locate brain tumour b assess the depth of coma c facilitate care for stroke patients d monitor the extent of meningitis 2 What part of the brain is being assessed when you are assessing eye opening?
Validity and Reliability The questionnaire used in this study is replicated from previous study in Singapore with permission.
Knowledge on GCS Association between Knowledge and Demographic Variables The result on the association between knowledge and education level shows that there was statistically significant significant level is value less than 0. Diploma 1 1. The minimum expected count is 0. Table 1. The minimum expected count is 1. Table 2.
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