Glasgow Coma Scale

(Ventilation in PICU, n.d.), with tidal volumes of 6-8mls/kg to ensure optimal systemic and cerebral perfusion, circulation, evaluation of level of consciousness using Glasgow Coma Scale (GCS), pupil sizes and response to light. The GCS was devised in 1974 as a universal tool to assess “the depth and duration of impaired consciousness and coma” (Jennett & Teasdale, 1974, as cited in Braine & Cook, 2016) and the numerical score based on three parameters provides an indication of the potential…

compromised airway and requires urgent airway control and protection to prevent hypoxaemia and secondary brain damage. Unlike in anaesthesia these patients are often none staved, unstable and critically ill. Although they present with a low Glasgow Coma Scale scores their airway protective reflexes might still be intact which increases the risk of aspiration on an intubation attempt. However, with RSI aided intubation the risk of aspiration is reduced due to eradication of the airway protective…

The ISS, Glasgow Coma Score, and APACHE II Score, which were calculated at the time of arrival to the emergency department, were available for each data set. Measurement Data was collected by clinical personnel and entered into a database for study. Both data sets contained…

prescribed for the patient was an immediate-release (IR), twice-daily, tablet formulation where each tablet contains 2mg of tolterodine tartrate. Patient had the following symptoms: “blood pressure at 175/80 mmHg, pulse rate at 82 beats per minute, Glasgow Coma Scale score was 13/15 (E4V4M5), body temperature was 38.3 degrees Celsius (tympanic), respiratory rate was 10 breaths per minute and oxygen saturation by pulse oximetry was 96% while he was put on oxygen through a non-rebreathing mask,…

Decompressive Craniectomy and the Return of Functionality in Traumatic Brain Injury Patients with Increased Intracranial Pressure The brain and its surrounding protective bony layer provide for a unique situation with regards to traumatic brain injuries (TBI). Unlike other tissue in the body, which are free to expand outwards when inflammation or trauma occurs, the brain cannot. In the average adult, the cranial vault has the ability to accommodate for up to 1500mL of volume. When cerebral…

Traumatic brain injury (TBI) is the leading cause of death and disability around the world. Every year, about 1.7 million people in the United States suffer head injuries, leading to 275,000 hospitalizations and 52,000 deaths (Curry, Viernes & Sharma, 2011). According to the Centres for Disease Control and Prevention (CDC) (2015), falls among children and elderly are the leading cause of TBI, accounting for 40% of all TBI in the United States, whereas young adult males in motor vehicle…

Primary objective of this article was to illustrate the connection between a closed head injury patient with a severe amnestic syndrome and the significant effects on frontal and thalamic memory structures. According to Collinson, Meyyappan & Rosenfeld (2009), amnesia result from an injury to the part of the brain such as diencephalon. There are other studies suggested that thalamic injuries can result in retrograde and anterograde amnesia, confabulation and severe personality changes. In…

The World Health Organization (WHO) maintains the International Classification of Disease (ICD). This system design is a healthcare classification system that provides diagnostic codes for classifying disease, sign and symptoms, abnormal finds, etc. The ICD-9 system has been in use for over 30 years now is replaced by ICD-10. The change from ICD-9 to ICD-10 has received much opposition from the United States as well as the medical industry. The benefits of using the ICD-10 are the in depth…

Pros related to the use of restraints: There are limited resources with the idea of restraint. Like (Ministry of Health, 2012) was mentioned that the restraint has a benefit on patients, for example, in the situation of a patient with dementia who have been aggressive and harming himself and others, the restraint become mandatory to prevent him from falling and from removing devices. So according to ethical theory (consequentialism) that focuses on patient safety Regardless of the action that…

responsible for the full record of the trauma call. The scribe must document: Time of arrival and trauma team response. Records all observations, fluids administered, drugs administered, survey findings and procedures. Vital signs. Urine output. Glasgow Coma Scale. Documents results of X-rays and other investigations. Documents medical history from paramedics. Summary of injuries. Paediatric orthopaedic consultant: Evaluates/treats musculoskeletal (bone, joint, or muscle) problems in…