Glasgow Coma Scale made easy
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- เผยแพร่เมื่อ 10 มิ.ย. 2024
- A quick, easy guide to the Glasgow Coma Scale and how to do it!
This video is for anyone with an interest in neurosurgery but primarily aimed at medical students, nurses and junior doctors.
Many thanks to Cialo, Gary, Rachel Crisp and Rachel Gill from the Education Academy at The Royal London Hospital where this was filmed.
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Videography by Alex Alamri and Brandon Smith
Thumbnail by Brandon Smith
Editing by Alex Alamri
Music from Epidemic Sound - Sparkin' by [ocean jams]
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We want to create free medical education content for you! Please share and let us know in the comments if you like the style and if you'd like to see more!
I would love to see a video on how brain death is determined. We've had two cases in my state (Michigan, USA) where young children have sadly passed, and there was a lot of community outrage over the hospital withdrawing life support. I'm sure many of us would like to know what tests are involved in making that determination.
Pz9 TheBestFighter
Faith p4pzg DANFingereprint
Yes please, do! (Medical student from Ghana)
Can u pls help me? My husband had bacterial meningitis before 1yr but still he is unconscious... Can somebody pls help us.... He is under treatment but no recovery....
Please post about cerebellar signs etc, i.e., everything about nurrological examination and more day in the life videos.
Thankyou ❤️
I am a new graduate nurse here in the philippines and this is so well explained. I think i can now assess gcs well and with confidence. Thank you, Doc!
Glad it was useful! Hi from UK!
Hope you'll be kinder than this. Ever considered the person can FEEL but not respond? Likewise with the lights in the eyes, which contributes to macular degeneration, especially since they cannot blink. But there is such a thing as emerging. The "do no harm" thing isn't in medicine today. First of all, MAKE MONEY!!!!!!!!!!!!!!!!!!
@@mourningwarbler Your negativity to such a nice interaction is absolutely unnecessary. Also, please link the article in which macular degeneration is at all affected by a pen light, which by the way is never an LED light.
Been taught and using the 1980 version..most use...also pediatric one is a bit diff.
At the start of 2019 I had a seizure and I'm just now realizing that the doctor was testing me on this. Really mindblowing. Subscribed!
you'd have to have a seizure to have a profile pic and name like that.
@@offcenterprofilepicture6274 😂
@@offcenterprofilepicture6274 I dnt understand your comment with a giggle emoji are you talking Facebook as I dnt believe utube bas a profile pic well I dnt anyway?
PS..Loved the video it explained everything in an easy way but I must’ve missed something for your reaction 🙏🏽 Thankyou
This holds huge interest for me. In 2002 a RTA (m/cyc v car) was a bad day at the office. My GCS was 11 at the scene, 8 in the air ambulance and 3 shortly after admission. Multiple injuries aplenty but thanks to the professionals around me I survived. Life changing but could have been so much worse. It left me with a tbi, diplopia, back, chest & hip injuries but thank goodness for people like you. I will be forever grateful.
Thank you for this channel, it’s great.
Fantastic.. No fluff, straight to the point. Bloody perfect 👌
Glad you liked it Lee!
I always used to get confused with the terms decorticate and decerebrate. Her motor actions were very helpful to understand. Thanks 😊
Thanks, I was here as an EMT student a few years ago, and I wanted to kind of refresh on it
As a GP I still can't manage to get it accurately. you can memorize the table but in actual cases it can be confusing and it's embarrassing to ask your senior something you're expected to already know. Thanks for the help.
Thank you for sharing your knowledge. Great for medical and nursing students to learn or recap. Ingnore the negative comments as they actually mean nothing. Your doing a great service.
You are not only educating the medical fraternity, but it also is a great piece of information for non-medical individuals. I enjoyed it thoroughly and helps me to understand what happens in the EM department here on. Thank you so much for your video!
this was the best video on Glasgow Coma Scale
After this I am going to watch a video on how to land an airplane and after that, how to launch a rocket to the moon. My life is complete
Sandra Bard I think your skills will be very good especially in a zombie apocalypse! Where do you live? I will be moving closer to you, I am very organised so clothes can be made into cushion covers, everyone has a good skill shrink!
@@Hayley0412 oh yes please. I am also very good at watching cat videos and we can train cats to hunt zombies and dress them in our house colors
getting the basic skills out the way
so brain surgery + rocket science eh
👏👏😂
Hey! I'm a senior in high school right now and I find your videos super inspiring! Neurosurgery has always been a dream of mine and watching your videos always makes me super excite to learn more! thank you!!
My mom had an accident recently. It was brain clot and went to GCS.. Her score was 9/15. I was so worried but after two months she was back to her normal life her. So whoever out there suffering and worried about their loved one.. Just keep hope and be positive.. It's all gonna be fine... 💓
Great video - just a thought, it might be helpful to include a summary slide at the end of what the options are for each test (verbal, eyes and motor)
Thank you very much for the feedback. Would time stamps help too?
Brainbook yes
This comment was from a year ago, so I'm assuming that either you haven't made an updated video, or you forgot to put a link to the updated video in the description here. This was quite a useful video, and I love how it left out all the cruft (there's a lot of videos that feel that they need a long introduction, or to over-explain each step, and I love a good quick rundown).
But yes, I'd like to have seen a summary, *and* for each term to have a number by it. You started with the idea that the number scale is important, but then never mentioned numbers again. If you haven't yet made an updated video, here are my suggestions for the new version:
1. Display each term with an appropriate number by it.
2. Move the "nontestable" reasons to the start of the section, instead of the end.
Two reasons: First, it gets rid of the little niggling part of my brain that got distracted by the exceptions (do blind people open their eyes to stimulus? how do you test motor skills if the arms are injured/immobilized and you shouldn't be getting them to move?). Secondly, it's better for memory if you know how to quickly discard a section and move on.
3. Summarize at the end of each of the three sections, and again at the end of the whole.
4. Ideally, add a section to show how it all comes together, giving one to three versions of assessing a patient. E.g. this person responds normally with eyes and motor skills, but is only making moaning sounds without words -- what's the score and what does this imply?
That much, I think, would turn a useful video into a *very* useful video. (Also, I'd love to see a short video explaining what makes the bad signs bad. What causes reverse flexion (or whatever the term is)? And why were these specific areas chosen to be tested -- the fingernail for pressure, the trapezius and eyebrow for motor tests?)
Anyway, now I'm off to see what other insights I can glean for my writing! It's great to find stuff like this that keeps it clear for people not actively studying in the medical field; I want to provide a realistic depiction of trauma intake, offer a certain amount of educational tidbits for my readers, and avoid any first-aid misinformation that could get someone hurt.
I learn by visuals, charting variables would help
@@Brainbook Point values would also be helpful!
Thank you so much Doctor for making GCS so easy and simple to learn.
I am a Year3 student nurse, and going on to placement tomorrow - in ITU! Thank you for this video. You did make it really easy to understand.
How are you doing now?
How is things going now?
Always a nice refresher for EMS. Thanks, Doc.
No worries!
Why am I watching this I ain’t no neurologist
Paramedics and emergency nurses use this everyday; very important; will also determine if you end up with a breathing tube (ET tube) at a accident scene or while in the ER.
it's still interesting. I like to know what doctors do. It makes my anxiety a bit lower when I am visiting them
I say this out loud with every medicine related video i watch.... they currently make up a majority of the content i watch 🙄
i am software engineer
Tom G. A lot of EMS services are shying away from the "less than 8, intubate" to assessments on whether the patient can effectively protect their airway. Not every patient of GCS
Thank you! This helped me in both Nurse Assessment and Pathophysiology!
I like watching your presentation. You have a very clear and convincing voice sir. Thank you
this was absolutely brilliant- short , simple and sweet :D
Thank you so much for this video! As a Lifeguard, I am supposed to understand the Glasgow Coma Scale to a basic level, and this really helped.
Going through FF/Paramedic and this is much of a help! Thank you!
What a fantastic, to the point video. Thank you so much, Doctor. I will visit regularly.
great point about the non-peripheral testing for motor and causing pain more centrally.
Thank you very much for the clarification on motor response I always have struggled with the distinction! Great Video!
This video was a lifesaver for my Neuro exam in nursing school, thanks a mill!
Glad it helped!
Thank you...really appreciate the NT part, I think we usually give 1 in many situations that we should have assessed as NT....quite an educative video.
I must say, this one is excellent... I need to work with dysphagia and this definitely helped me alot.. thank you very much sir..
Simple demonstration, thanks doc!
this was so useful and well explained! thank you!
Thank you for sharing this and everything you’re doing for us!!
Such a great video and channel!! 😊
I wish everyone who’s reading this the best and that also goes for this channels owner.
Take care and be safe. Be kind to each other and our animals.
Love from Sweden 🇸🇪🌟✨
Thanks so much Wilma! Hi from England!
Thank you so much doctor. This was so helpful. I'm just about to graduate med school and this was so helpful for my residency. Thank you.
Well done you explained it in a very simple way easy to understand
I’m a final year dental student and this has been really helpful for me( traumatic injuries of the face and jaws), a tough lecture by the way😂
Thank you so much ❤️
Thanks a lot! I'm going into my final year and that was really useful :)
that was the best explanation I have ever seen. Thank you so much!
As a CFR, this is really good learning material. Thanks.
No problem!
Thank you so much for this explanation. It is the basis for determining LOC!!!! YAAAYYY🥰🥰
Thank you :) perfect for studying for nursing school
I am so happy to have found your channel. Thank you very much for this useful video.
Thanks a lot for the video.. I found the motor component explanation great ! especially when explaining the difference between (withdrawal)/normal flexion and abnormal flexion !
So glad it was helpful!
Very useful and simple to understand thank you
We need your every support❤
Having a gorgeous sons in a comatose, and not knowing the consequences, the outcome and all the things, he hasn’t tried or even thought off!
For now such a short, only 18 years old, life!!
He needs more! Such a great man and a wonderful person and he is a very special young man to all of us surrounding him♥️🙏♥️
♥️♥️♾️♥️♥️
♥️♥️🙏♥️♥️🙏♥️♥️♾️♥️♥️
Thanks doc! I'm good to go (although I'm actually a plumber)
You reckon you can teach me how to fix a broken boiler?
Considering the body is mostly made up of tubing, you might be OK!
@@Brainbook where he gone to? You get that fixed? lol
@@pjmbidge632000 tubes and meat. if he has a butcher friend they are gonna do fine.
Then the vascular system should add up quick. How's your basic electricity?
Thank you for your education.
I'm watching this to prep for being a motorcyclist. I want to be able to help first responders as best as possible, and be able to help any of my friends who get in accidents by helping inform those first responders.
Your video HELPED me a lot ❤
thank you so much.. that was really useful.. this will help me in my internship
I have been trying to by heart this from long time, you just made this easy for me.
Thank you for this very concise and helpful video explaining the Glasgow Coma Scale(GCS) . After almost dying April 15, 2022 in Ontario Canada from a freak accident due to a massive storm flinging a brick from a second story via 120km winds into my skull and brain, I now have a Traumatic Brain Injury (TBI). I was looking for a video from a health care professional to explain to my husband and son, laypeople, the Glasgow Coma Scale that the Trauma team would have needed to use to asses my injuries in Trauma. I believe my total GCS score was 3 or 4 , and that all medical staff unfortunately incorrectly expected me to die. Respectfully I implore all Trauma Physicians, Nurses, and medical staff to never give up on their patients, and appropriately refer your patients to the necessary Specialists, because I was not. In layman's terms I was intubated for 10 days with multi pal skull fractures, external and internal, a large internal hole to my brain along the internal fracture, a brain bleed, brain and spinal fluid leak (CSF), a fractured ankle, and already had a rare Platelet Function Disorder, that caused delayed bleeding with any injury I have had. Due to my genetics ( I was born with red hair, hence I have a very high pain tolerance and cope well with shock, I'm medical trained, and I'm military training) I knew even though I was going to be considered an older patient, I must stay focused and keep trying to stay conscious, and then immediately insists on being ambulatory ( exercising my whole body and walking as soon as possible no matter the pain), and work hard every day desensitization to all stimulation (light, noise) that was extremely painful. My family and I were incorrectly told from the first hospital I was sent to, that my prognosis was death or full paralysis. This was traumatic to my husband and son, as a Resident went worse case scenario, I humoured this incorrect and not fully educated medical student, and then told the Nurse Practitioner she was no longer allowed in my room, and demanded once again a nessecary Neurosurgeon. A week after regaining consciousness, I was livid before I was able to speak due to my fully understanding I was not receiving the necessary legally required health care in this small hospital. My husband 67, and our grown 22 year old son felt before I was transferred to ICU for 10 days due to the scale being very low, at 3 or 4, I was left to die. They were forced to leave Trauma, to leave me alone, and go home. After becoming conscious, once able to speak after being extubated, medical facts were stated by me. I self transferred via my husband and son driving me to a much larger, better hospital in the Ottawa capital of Canada.New teams of highly qualified Specialists I was illegally denied at the first hospital ( Neurology, Neurosurgeon, Neuro Ophthalmology, Orthopaedic Surgeon, and my Hematologist) have been fully reassessing me. After 10 days of being intubated( life support as a 53 year old female) I was fully able breath, was able to hear in one ear, see in one eye, and start to eat. I have relearned how to read, write, type, and as an Interior Exterior Designer and Restorer I have drafted a commercial project for my Engineer and his team for our current building we purchased just before this accident. I choose to focus working extremely hard with my Occupational Therapist, and Physio Therapist. I was out of the wheel chair the first week home, used a walker for many many months, and now almost a year later I can walk with a cane. Naturally I have difficult days and good days and as a family we laugh as I'm now our local barometer! Lol. I have speech delays, and balance issues, and live with a constant headache on my very good days, and pain management is variable. My goal is to continue with all therapy until I regain normal levels of daily living, I'm able to work again, walk unassisted, regain my balance, can once again be allowed to drive, and become fully independent. I'm grateful to the many health care professionals who treated me fully, kept me alive, and are helping me help myself on my progress to fully heal. I'm extremely grateful to my husband, my son and two neighbours who held my skull together with massive amounts of pressure, and the first responders who kept me alive and transported me to the nearest hospital with a Trauma. I'm not dead and buried so I choose to encourage medical staff to know they can make massive differences for their patients prognosis and overall outcomes . I'm very grateful to my late grandparents a Physicians, and Nurse who ingraned in me to never give up no matter what, and smile and keep people guessing too. Thank you
Whoaa thnku somuch I got wht I've searched, this is a simple explaination I've ever find..
i remember waking up in the ICU, i was in a coma for 4 days. it's pretty interesting info thank you.
Very good explaination and demonstration.
Wonderful sir thank you I had confusion since my mbbs times thank you 🙏
Thanks for posting ! Helped me a lot !
Anyone else watching this just bc they love to gain new knowledge? 😂
If u see unconscious chinese guy . JUST RUN ,RUN
Well, research for a fic, but I do find research for the love of knowledge to be quite enjoyable.
Once met a gal at a bus stop who couldn't wrap her head around the fact that the language book I was reading wasn't for either school or work. I feel sad for people who don't learn unless they're forced to.
Yep, I was just reading something and it mentioned "Glasgow Coma Scale" and I was like "Oh what's that?!"
No😪 for my exam tomorrow 💔
Sorry I’m here to prepare for my exam just a few hours before exam
Thank you so much doctor your explanation was absolutely phenomenal 😊😊😊
Such a good video and a great teacher, thank you!
Until now, I've had trouble with the scale... You couldn't have explained any better!! 👍
The best video on gcs so far..
Excellent, many thanks.
Very helpful demonstration .. you could cover how to assign scores accordingly too..that'd make this a complete and THE BEST video on GCS on TH-cam :)
Well explained doc!
Thank you so much. Deeply Appreciated !
Best illustrated thanks doctor
Thank you for this video, surprisingly I memorized everything when the video ended.
Im writing an essay on the Glasgow coma scale and this helped a lot!!
Thank you sir , this is so helpful
Thank you soooo much! This was really helpful
It's a pleasure
thank you. before i didn't know well how to assess motor response but now. I got it
This was explained so easily thankyou so much!
Its a pleasure!
wonderful explanation
Very helpful. Thanks!
Always look forward to when you upload
Thank you very much!
Thank you, very clear!
Amazing video! Thank you
Bloody fantastic thank you sir 🙏
thank you for the video.. easy to understand
Wonderful explanation
This is quite an amazing video. It is very helpful.
thank you so much , you really made it easy
That is so cool. You made my assessment easy. Thank u Doctor.
Excellent explaination
This is the most useful one
Thank you so much for this.
Thank you for this video u made this very easy to understand
Thankyou for explaining this really well.
Glad you found it useful!
There is no better video about GCS in youtube than this one ...
Thank you!
Verrrry interesting. Thank you
Thanks Doc
great! Thank you!
thanks! will use this for my OSCE tom!
Thank you, I love this video, It was well explained.
Thank you for this 😊
Thank you, it is very helpful!
Excellent presentation 👏
Thank you
thank you doc. i am learning a lot from you
Very happy that you are!