Recording of the live webinar by Dr. Mobeen in the series of neurological examination of a patient in coma. This video presents glasgow coma scale.
This is the second part of the neurological examination.
Definition of Stupor and Coma
We will discuss the immediate management approach of a comatose patient.
We will discuss Glasgow Coma Scale (GCS)
Notes
- Every hospital (at least in the US) has their own guidelines towards the assessment, labeling, and the management approach of the patients that may have neurological disorders especially in an acute state.
- Make sure that you consult your hospital’s guidelines and approaches towards the assessment and management protocols.
- Your hospital’s guidelines will supersede the approaches discussed here. The information in this lecture is for educational purpose only.
Presentation is here
In this video we will discuss:
1.Stupor and coma.
2.Levels of conciousness.
3.Assesment and immediate management of comatose patient.
4.Glasgow coma scale scoring system.
5.Elements of GCS
6.Calculation and interpretation of GCS score.
Faculty
In addition to the presenter, following authors may have helped with the content writing, review,
or approval:
CME, CE, CEU and Other Credit Types:
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The DrBeen Corp is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to
provide continuing medical education for physicians.
AMA Credit Designation Statement
The DrBeen Corp designates this enduring material for a maximum of 0.75 AMA PRA Category 1
Credits™.
Physicians should claim only the credit commensurate with the extent of their participation in the
activity.
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In accordance with the disclosure policies of DrBeen Corp and the ACCME (Accreditation Council for
Continuing Medical Education), we are committed to upholding principles of balance, independence,
objectivity, and scientific rigor in all of our Continuing Medical Education (CME) and Continuing
Education (CE) activities. These policies include the careful management and mitigation of any relevant
financial relationships with organizations that are not eligible.
All members of the Activity Planning Committee and presenters have disclosed their relevant financial
relationships. The DrBeen Corp CE Committee has thoroughly reviewed these disclosures and determined
that these relationships are not deemed inappropriate in the context of their respective presentations.
Additionally, they are found to be consistent with the educational objectives and the integrity of the
activity.
Faculty |
Disclosures |
Dr. Mobeen Syed |
Author declares no conflict of interest. |
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2 Comments
22knowing@*.com
Mar 15 2023, 7:50 pm
Fun. As an OTR of 25 years I agree with your initial assessment however enviromental or positioning pain, and basic stressors like hunger or need to urinate/constipation(or sitting in a wet/soiled diaper can affect this scale as patient's progress. I found hip stabilization and posteral security makes a profound difference and can skew results. I Taught the Allen Cognitive battery around the US (1992 -2000) to OT's, RNs, and MSWs). Claudia Allen and her team as well as advanced practitioners we're also teaching it around the US starting in 1980's and even overseas at that time too, but they needed more instructors to help and they now have a certification program for instructors. I used it in all of the various fields I worked in(hospitals, ICU, TBI, psychiatry, pediatrics, geriatrics and Home Health and feel is the most functional cognitive assessment from coma to functionally independent. It can be correlated with the Glasgow coma scale but has an additional 5 delineations in each of the 6 levels. It also has tabels on what to expect or look for in improvements or decline for vision, communication, Motor skills and problem-solving. The most valuable part of this battery is it charts progress and provides caregivers and or therapist activities to enhance all of these skills at the patients best ability to function, so you don't overwhelm them, and or bore them. Tina BLUE OTR helped with a Sensory module for the lower level ICU/coma type patients and I had a good fortune to be present when she presented it to the college/hospital staff that developed and or traines staff in Califorina. the facility that trains people in the Glasgow Coma scale. Claudia was a professor and created this battery at University of Southern California to assess mental patients and their titrations on medication's and found that it can be used for absolutely any person at any level. I am looking forward to the next in this series as this is just a hobby now for me. My focus these days are on your FLCCC lectures and following Frontline doctors all over the world for treatment strategies and understanding of Covid and Long-Haul. Thanks for all that you do. Sherry Koning retired OTR due to long-haul Covid
twinky.grimacres@*.com
Jul 20 2020, 1:14 pm
medication