Talk:Glasgow Coma Scale

Wiki Education Foundation-supported course assignment

This article was the subject of a Wiki Education Foundation-supported course assignment, between 23 November 2020 and 20 December 2020. Further details are available on the course page. Student editor(s): Quokkarobocop. Peer reviewers: AmandaTrujilloHumphrey.

Above undated message substituted from Template:Dashboard.wikiedu.org assignment by PrimeBOT (talk) 22:25, 16 January 2022 (UTC)

This

This page and coma have significant overlap. Either coma should simply link here, or something should be done anyhow.

I don't think the current situation is so bad, though I wouldn't be opposed to removing the section titled "Glasgow Coma Scale" from coma and putting a link to Glasgow Coma Scale in one of coma's opening paragraphs. Ruakh 20:51, 9 Mar 2005 (UTC)

ive removed the link to a Rancho score. There's no page of that title and GCS is used to assess recovery from coma ( at least in the UK)

The fact that an article doesn't exist now is no reason to remove a link. Red links indicate deficiencies in Wikipedia's coverage, and invite contributors to help by starting an article. Wikipedia certainly should have an article about the Rancho Scale (although perhaps it should be called Rancho Los Amigos Scale instead). If the text in this article about the Rancho Scale is wrong, it should be fixed. Perhaps it should read:

"In some places GCS is used to assess awakening and recovering coma patients; in others, the Rancho Los Amigos Scale is used instead".

-- Finlay McWalter | Talk 23:27, 8 November 2005 (UTC)

RTS

I stumbled upon this article. Should the Revised Trauma Score not be part of this? It adds the breating frequency and systolic bloodpressure to the GCS.

Table?

I was thinking of putting the written section describing the scores and responses into a table format. Does anyone object? If not, I'll go ahead in a few days or a week. Then if there are any problems with it we can revert it or discuss it more. Thanks, delldot | talk 03:46, 15 February 2007 (UTC)

question

g.c.s is developed by ...... in ...... —Preceding unsigned comment added by 80.191.203.8 (talk) 08:50, 13 May 2008 (UTC)

Time of evaluation

A major item is missing from this page it seems, is the TIMING use of this test. My friend is presently in coma, so I've done some reading and am no expert. But it seems that from the multiple www pages I've gone trough, this scale is valid 24 hours after injury only. Can someone address this? thanks —Preceding unsigned comment added by 12.8.180.182 (talk) 13:37, 3 September 2008 (UTC)

This is a recognised neurological test beyond 24 hours, and not just in injury. it can be used to determined neurological status during metabolic crises or, for example, post-stroke. —Preceding unsigned comment added by 130.209.6.40 (talk) 18:26, 30 November 2009 (UTC)

hai

hai wanna ask what we should do as a nurse if the patient's GCS is 7 and 3? Please help me...thanksssss —Preceding unsigned comment added by 60.51.113.185 (talk) 13:36, 28 October 2009 (UTC)

Criticism

I'd suggest entering information concerning the study presented here: http://news.cnet.com/8301-27083_3-10403861-247.html —Preceding unsigned comment added by Falcor84 (talk • contribs) 08:48, 24 November 2009 (UTC)

GCS is always presented in the other order to the list in the article with the normal response first. —Preceding unsigned comment added by 115.64.182.73 (talk) 07:19, 31 March 2010 (UTC)

Source 3 can only be accessed by paying to view it as far as I can tell. If the information from source 3 is true, it should be available from a source that's free to access. It just doesn't seem fair to use the current source, but I'm not an editor so I don't know the rules. 72.191.95.55 (talk) 06:07, 25 March 2015 (UTC)

Glasgow or Glascow?

Is it Glasgow or Glascow? I see it both ways on the web in medical journals..... — Preceding unsigned comment added by Bt10ant (talk • contribs) 15:20, 3 August 2011 (UTC)

It is named after the city of Glasgow. As far as I know "Glascow" would simply be a spelling error, so I've undone your edit, but if you can provide some evidence that the alternate spelling is not just an error, I'm open to revisiting this. Looie496 (talk) 17:13, 3 August 2011 (UTC)

Uncited article information

An IP editor recently added the following text: "It is also worth noting that GCS was originally described for trauma patients, and there is some conflicting evidence that a decreased GCS may not apply in the same way to all patients for example patients poisoned with alcohol, benzodiazepines etc in terms of need for intubation / airway protection. It is worthy of note that the GCS scale is non linear - a fall of one point in eye-opening spontaneously or to voice, is quite a different thing to a loss of one point in the motor component; from responding to commands vs responding only to pain. So a GCS of 14 means different things: poisoned patients more frequently have reductions in their eye opening and response to voice than they do to motor responses, and seem to have less frequent complications from falling GCS than do trauma patients."

This is of interest if true, but would need citation. I haven't got time at the moment to chase it down, and i think it's better to leave out until cited, but if anyone else has a chance before me, then have a look. OwainDavies ^(about)_(talk) edited at 19:28, 1 September 2013 (UTC)

GCS at 40

Lancet Neurol doi:10.1016/S1474-4422(14)70120-6 JFW | T@lk 12:17, 20 July 2014 (UTC)

Reliability

doi:10.​1007/​s00134-015-4124-3 - systematic review. JFW | T@lk 11:33, 1 December 2015 (UTC)

Medical Student Wikipedia Project December 2020

Hi all, I'm a fourth year medical student who will be editing this page as part of a course on medical articles and wikipedia. I hope to contribute to the article and everyone's previous work! Here are my proposed edits:

• Add Section: History I was hoping to add a bit of history about the development of the glasgow coma scale, when it was implemented as the gold standard, and its evolution over time.
• Adjust Section: Interpretation I was hoping to divide this section into reporting (GCS reporting, as is currently discussed) and interpretation (confounders, score ranges and mortality, etc). I will include more discussion here about the appropriate settings and uses for the GCS
• Adjust Section: Controversy I would like to expand on the controversy section by bringing in more citations related to concerns about the reliability of the GCS
• Adjust Section: Revisions Here, I will add additional references.

Example is incorrect?

The article says "if a person obeys commands only on their right side, they get a 5 for motor". But the table says obeying commands equals a score of 6. Is the example wrong? 203.149.68.43 (talk) 04:23, 14 May 2021 (UTC)