Glasgow Coma Scale at 40 | The new approach to Glasgow Coma Scale assessment
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- Опубликовано: 4 сен 2014
- www.glasgowcomascale.org
The Glasgow Coma Scale provides a practical method for assessment of impairment of conscious level in response to defined stimuli.
This video shows the new approach to the assessment of the Glasgow Coma Scale.
"Forty years since it was first described, the GCS has become an integral part of clinical practice and research across the World. We have now devised a new structured approach to assessment of the GCS to improve the accuracy, reliability and communication of the GCS. "
- Sir Graham Teasdale
Clearly explains exactly how to perform this examination without using complex terminology; exceptionally clean cinematography is exceptionally helpful. This video seems accepting of the chance some may be distressed while trying to view and understand the GCS. Thank you.
Excellent video - good to have a single resource to refer to as every doctor seems to do it differently.
Absolutely stunning! Informative and has nice cinematography!
Thanks Sir Teasdale and team!
Espetacular !!!
vídeo incrível, para nós estudantes é um Esclarecimento enorme
Excellent explanation of the 15 parts of the scale and how we should always look at every part and not just the summaries.
Wonderful video! Thank you for clarifying something I have always had difficulty understanding how to perform.
Precise, very good explanation :) thank you
This is the best explanation of GCS thank you!
Perfect for to study. Thanks!
Thank you so much for this vid. It's perfect and very enlightening.
From a French nurse in intensive care :)
This is an excellent video .Thank you guys .
I will be using this for my PBL, thank you. :)
This was amazingly helpful. Thank you!
Great, informative video. Used in my research. Many thanks!
An Excellent video very concise and a good resource for clinical examinations.
Excellent Video! Thank you so much!
Excelente recurso al alcance de todos . Felicidades.
Speechless how good is this video
Very helpful and detailed !
Best vid on GCS,thanks!
Best explanation so far
very informative video! thank you
Excellent explanation. 🙏
thanks for your helping .
Thank you very much that was very helpful.
Perfect for study. Thanks
Great video, thank you!
very helpful, thank you!!!
Really such a great and informative video
That's good educational. Tks you for tranning by video :)
Fantastic, many thanks
thank you. It is very informative
Brilliant, thanks a lot
sehr gut gemacht!!
I had the pleasure of working for the Royal College Of Physicians And Surgeons of Glasgow and Sir Graham was our president at the time. I also had the pleasure of working with Sir Graham on the Wedding of one of his sons in the College Hall which turned out to be a very successful day and night and Sir Graham couldn't thank me enough. He was our President for 3 years and his successor was Dr Brian Willams who was another very nice President to work for
Thank you so much Very helpful
Very helpful thank you for the teaching.
Well done lads
Explicação excelente ❤❤❤
excellent video
excellent explanation
Wonderful to have Graham Teasdale introduce this clip. An excellent explanation (of course) but I would love to have additional explanation provided in terms of noting when a patient responds to Shout & SHAKE, as opposed to requiring 'pressure' stimulus; and to have the use of assessing limb strength explained in addition to best motor response. I find it can get messy with critically ill patients who may exhibit normal flexion response and then limb strength is assessed without a purposeful movement.
legal! parabéns pela atualização.
just perfect.. thank u so much.
Is a very useful video, thank you
Excellent
The best. Thank you alotttt.
Perfect!!
very clear thank you
Absolutely this videos is helpful.....
great job thank you
so easy to understand
Thank you
Thanks will help me in practice :)
Vry nyc explanation..thnq u
Thank u so much
Thanku❤❤❤
very clear .
thanks chief
Interactive recap.
Thanx alot
nice, thanks a lot
thanks!
Perfect and effective way to learn ...tracheostomy seems mistaken for ET tube...
* supraorbital notch stimulation I read that it might encourage grimace and may not get pt to open eyes..
It is a tracheostomy. And supraorbital notch stimulation is for the motor response portion of the GCS. For the eyes, it is suggested you apply pressure to a nail.
This video is good
Best educational GCS video, thanks
p/s : neuosurgeon :P
Muhammad Nur Islam Zahari eh islam😂
Great video! A more realistic example of decerebrate and decorticate posturing would be helpful. In my experience it looks much more abnormal than this...more like a slow reflex action and not as brisk. Thanks for putting this together.
love the voice-over and the video itself, very easy to remember d(^-^)
thanh you
great thnk u
Excelente
Eye opening to pain
"I'm a wonderful actress" - my sister. Kelsey you do make me laugh.
is she the girl in this video?
tnx
When called by using name, if the patient does not open his eyes, does not respond by sound and does not respond by any bodily movement can it be taken as least score in the GCS indicating coma?
Pupillary size has been added GCS
Thank you very much, this is very informative and very helpful.
will be used in my presentation.
if paralyze from shoulder below how's the motor response ?
is there a document type of the info?
Ni ka video yg madam suruh tengok?
I thought we are no longer allowed to do a nail pinch?
The video is great but I just noticed something that needs to be corrected. Applying pressure at the tip of the nail as a peripheral pain stimulus won't work. Pressure should be applied on the nailbed instead.
The voice actor sounds exactly like the voice in the podcast Unexplained.
It's awesome 👏🏻 the best method of education
But please can anyone write it just like an essay to understand it more ,because i can't speake English fluently !!! So it will be more easy to read it rather than hearing it
Anyone respond to me please because i have an exam 😭😭😭
Tyy
Very useful video, but I have a question: if the patient respond well to the command of opening mouth and stiching out his/her tongue but not respond to grasp and release my hand,should I examine him/her for localization or can l give him/her 6points for motor response and the same thing for trapezius pinch (positive response )and pressure to the supraorbital notch (negative response)should i give him/her the points or go to the next step ?
TEM EM PORTUGUÊS?
We aren't allowed to do nail pressure anymore (UK)
Can you do sternum rubs?
💐💐💐👏🏾👏🏾👏🏾👏🏾
I usually get the fist on the chest
Sternal rub is not a good way to assess response. After repeated assessments over days, the skin can break down and provides a portal for infection. I have seen this many times in my 30years + in ICU. The bruising and injuries caused by sternal rubs are in my opinion unacceptable and unnecessary. It constitutes assault. If I woke up in hospital with a chest injury caused by repeated sternal rubs, I would sue.
cheers graham, but please make sure every institution is doing this right as they are not
I don't know if this is relevant or will be helpful??? I was in a coma almost 2 years ago, I did rather well with the verbal response questions before my release from the hospital. But I only knew the right answers because I'd heard others talking about them, but the fact I remembered was still great. I have the attention span of a gnat now, and a speech impediment. If I might make a suggestion, the worst part, even above the pain, was waking up surrounded by people that assumed I knew what was going on (who I was, what I was, where I was), maybe let a person know there human, and they have a name, and what it is???
So what if a patient has a Verbal score of say, 4... what if they are perfectly alert but are too confused to follow the commands for the motor skills assessment -- seems strange that if they can't follow a 2-part movement request that we would just escalate the situation to a trap squeeze. Imagine hurting a patient with dementia, just because they couldn't perform a 2-part movement request.
Withdraws, abnormal flexion, abnormal extension.
3:47
5:15
😅❤
oh
Demo is good but the narration is very bad. @4:50 couldn't understand the term what he said. English is not hard but it's hard when the person speaking doesn't speak clearly.
H