INTRODUCTION The Full Outline of Unresponsiveness (FOUR) score was developed to compensate for the limitations of Glasgow coma score (GCS) in recent years. This study aimed to assess the predictive value of GCS and FOUR score on the outcome of multiple trauma patients admitted to the emergency department. PATIENTS AND METHODS The present prospective cross-sectional study was conducted on mult...

Non-traumatic coma in childhood is an important pediatric emergency. It can result from a wide range of primary etiologies. Objective: To study the etiology and clinical profile of pediatric non-traumatic coma and to determine the clinical signs predictive of outcome. Setting: Pediatric emergency department (PED) at a tertiary care university teaching pediatric hospital from September 2007 to J...

BACKGROUND Glasgow coma scale (GCS) and Marshall computed tomography classification of traumatic brain injury can predict the severity in patients following trauma. This study aims to analyse association between two, who required ICU admission or neurosurgical intervention trauma.
 METHODOLOGY Retrospective 64 underwent from September 2017 December 2020 Nepal Mediciti Hospital. Majority mi...

OBJECTIVES Our aim was to evaluate the relationship between serum C-reactive protein (CRP) levels and the neurological prognosis and development of vasospasm in patients with aneurysmal subarachnoid hemorrhage (aSAH). METHODS Eighty-two adult patients with aSAH diagnoses were prospectively evaluated. Glasgow Coma Scale (GCS) score, Hunt and Hess grade, Fisher grade, cranial CT scans, digital ...

INTRODUCTION The Glasgow Coma Scale (GCS) is the most widely used scoring system for comatose patients in intensive care. Limitations of the GCS include the impossibility to assess the verbal score in intubated or aphasic patients, and an inconsistent inter-rater reliability. The FOUR (Full Outline of UnResponsiveness) score, a new coma scale not reliant on verbal response, was recently propose...

Coma is an unresponsive state of unconsciousness from which a person cannot be awakened. Glasgow Score (GCS) clinical scale for determining the depth and length coma. GCS plays important role in effective accurate patient evaluation critical planning right treatment modalities care because it shows outcomes measurement performed several times day. The universally accepted as gold standard valid...

BACKGROUND The Glasgow Coma Scale (GCS) is popular, simple, and reliable, and provides information about the level of consciousness in trauma patients. However, a systemic evaluation scale specially in patients with multiple trauma is so important. The revised Acute Physiology and Chronic Health Evaluation system type 2 (APACHE II) is a physiologically based system including physiological varia...

A 28-year-old man was taken to our hospital with sudden onset of severe headache. The computed tomography (CT) scan revealed subcortical hemorrhage the right temporal lobe. patient has past medical history hemophilia C (XI factor deficiency). On neurological examination no deficit observed (Glasgow Coma Scale (GCS) -15). 10 hours after admission, his GCS and CT brain were unchanged. After consu...