neurological status that cannot be recognized by the CGS. Moreover, it gives some hints to identify patients with the locked-in syndrome through the capability, at the eye response item, of tracking and blinking on command as well as patients in the vegetative state since they open their eyes but are unable of tracking or blinking on command. However, since the scale was not developed to evalua...

We present a case of penetrating head injuries caused by blast fragmentation, along with other serious injuries (including to the arms, face and neck), where a good recovery was made despite an Injury Severity Score (ISS) of 75. We suggest that survival and outcome are reliant on several factors and cannot be predicted from ISS, velocity of penetrating injury or presenting Glasgow Coma Scale (G...

BACKGROUND It is difficult to assess neurological and neurosurgical early rehabilitation patients comprehensively. Available scales focus on activities of daily living (Barthel (BI) and Early Rehabilitation Barthel Index (ERBI)) or wakefulness (Glasgow Coma Scale (GCS), Coma Remission Scale (CRS)) while cognitive items are missing. METHODS The Early Functional Abilities (EFA) scale comprises ...

BACKGROUND The aims of this study were to evaluate the predictive value of admission Glasgow Coma Scale (GCS) scores, duration of unconsciousness, neurosurgical intervention, and countercoup lesion on the impairment of memory and processing speed functions six months after a traumatic brain injury (TBI) based on a structural equation modeling. METHODS Thirty TBI patients recruited from Neuros...

BACKGROUND Early tracheostomy can reduce the time required for mechanical ventilation, the duration of ICU stay, and treatment expenses. Choosing the optimal time for tracheostomy in patients with severe head injury is therefore important. The purpose of this study was to find the optimal time for tracheostomy according to Glasgow Coma Scale (GCS). MATERIALS AND METHODS In this prospective st...

to determine the factors affecting the outcome of patients with traumatic acute subdural hematoma, we reviewed the records of7 4 consecutive comatose patients with a glascow coma scale score (gcs) of less than 8 who had been admitted to imam hosein medical center from 1990 to 1996 and had undergone a uniform treatment protocol. the overall mortality rate was 73% and 23% had functional recovery,...

Background Vital signs outside the normal range on arrival to an emergency department are related to a poor prognostic outcome. However, the knowledge of the prognostic value of vital signs measured in the ambulance is scarce. The aim of the study was to describe vital signs measured in the ambulance (saturation, systolic blood pressure, pulse, respiratory frequency and Glasgow Coma Scale (GCS)...

OBJECTIVE Spontaneous cerebellar hemorrhage (SCH) is less common than supratentorial intracerebral hemorrhage. This study investigated the treatment of SCH and the relation between its clinical and radiological manifestation and outcome. MATERIALS AND METHODS We presented a SCH management protocol in our institute and analyzed the clinical and radiological findings in 41 SCH patients. The out...

Method A 6-year period observational data on pre-hospital TBI management in physician versus paramedic staffed EMS systems were retrospectively analysed. Inclusion criteria were isolated TBI with Glasgow coma scale (GCS) ≤ 8 on-scene or during transportation. Patients with lifethreatening multiple trauma, secondary transfers and patients deceased on-scene were excluded. Evaluation was based on ...