Glasgow Coma Scale at 40 | The new approach to Glasgow Coma Scale assessment

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  • เผยแพร่เมื่อ 4 ก.ย. 2014
  • www.glasgowcomascale.org
    The Glasgow Coma Scale provides a practical method for assessment of impairment of conscious level in response to defined stimuli.
    This video shows the new approach to the assessment of the Glasgow Coma Scale.
    "Forty years since it was first described, the GCS has become an integral part of clinical practice and research across the World. We have now devised a new structured approach to assessment of the GCS to improve the accuracy, reliability and communication of the GCS. "
    - Sir Graham Teasdale

ความคิดเห็น • 117

  • @michelleeverett8125
    @michelleeverett8125 5 ปีที่แล้ว +40

    Clearly explains exactly how to perform this examination without using complex terminology; exceptionally clean cinematography is exceptionally helpful. This video seems accepting of the chance some may be distressed while trying to view and understand the GCS. Thank you.

  • @newforgerings808
    @newforgerings808 8 ปีที่แล้ว +38

    Excellent video - good to have a single resource to refer to as every doctor seems to do it differently.

  • @jabessemiguelmabansag5683
    @jabessemiguelmabansag5683 7 ปีที่แล้ว +64

    Absolutely stunning! Informative and has nice cinematography!

  • @jbar7992
    @jbar7992 8 ปีที่แล้ว +5

    Thanks Sir Teasdale and team!

  • @stuwer231267
    @stuwer231267 4 ปีที่แล้ว +2

    I had the pleasure of working for the Royal College Of Physicians And Surgeons of Glasgow and Sir Graham was our president at the time. I also had the pleasure of working with Sir Graham on the Wedding of one of his sons in the College Hall which turned out to be a very successful day and night and Sir Graham couldn't thank me enough. He was our President for 3 years and his successor was Dr Brian Willams who was another very nice President to work for

  • @peckymother
    @peckymother 5 ปีที่แล้ว +3

    Excellent explanation of the 15 parts of the scale and how we should always look at every part and not just the summaries.

  • @andresisaac5557
    @andresisaac5557 5 ปีที่แล้ว +8

    Espetacular !!!
    vídeo incrível, para nós estudantes é um Esclarecimento enorme

  • @Sethhfranklin
    @Sethhfranklin 5 ปีที่แล้ว +2

    Wonderful video! Thank you for clarifying something I have always had difficulty understanding how to perform.

  • @mia_x
    @mia_x ปีที่แล้ว +1

    This is the best explanation of GCS thank you!

  • @geraldinepapon8103
    @geraldinepapon8103 5 ปีที่แล้ว +1

    Thank you so much for this vid. It's perfect and very enlightening.
    From a French nurse in intensive care :)

  • @fitriisa4804
    @fitriisa4804 9 ปีที่แล้ว +5

    Precise, very good explanation :) thank you

  • @dayannacastro7710
    @dayannacastro7710 7 ปีที่แล้ว +3

    Perfect for to study. Thanks!

  • @psychomicro9623
    @psychomicro9623 7 ปีที่แล้ว

    This was amazingly helpful. Thank you!

  • @zahidjazz360
    @zahidjazz360 5 ปีที่แล้ว +1

    This is an excellent video .Thank you guys .

  • @sulaimanaljabari
    @sulaimanaljabari 4 ปีที่แล้ว +1

    I will be using this for my PBL, thank you. :)

  • @nazliozeer4216
    @nazliozeer4216 5 ปีที่แล้ว +1

    An Excellent video very concise and a good resource for clinical examinations.

  • @healthtechnologynews2991
    @healthtechnologynews2991 6 ปีที่แล้ว +1

    Excelente recurso al alcance de todos . Felicidades.

  • @shajwanakram6505
    @shajwanakram6505 4 ปีที่แล้ว

    Best vid on GCS,thanks!

  • @a.d.garrett801
    @a.d.garrett801 8 ปีที่แล้ว

    Great, informative video. Used in my research. Many thanks!

  • @aliabdalamir2601
    @aliabdalamir2601 8 ปีที่แล้ว

    thanks for your helping .

  • @briangargurevich4213
    @briangargurevich4213 4 ปีที่แล้ว

    Excellent Video! Thank you so much!

  • @gabriella12341000
    @gabriella12341000 5 ปีที่แล้ว

    Very helpful and detailed !

  • @isko192
    @isko192 ปีที่แล้ว

    Speechless how good is this video

  • @michaelragaee
    @michaelragaee 8 ปีที่แล้ว +1

    Brilliant, thanks a lot

  • @manoranjitha2969
    @manoranjitha2969 7 ปีที่แล้ว

    Thank you very much that was very helpful.

  • @sarokatumanggor3469
    @sarokatumanggor3469 5 ปีที่แล้ว

    Perfect for study. Thanks

  • @sankaranarayanans1970
    @sankaranarayanans1970 2 ปีที่แล้ว

    Excellent explanation. 🙏

  • @user-yd7do4yz2w
    @user-yd7do4yz2w 4 หลายเดือนก่อน

    Best explanation so far

  • @WanGaming0
    @WanGaming0 6 ปีที่แล้ว +1

    very informative video! thank you

  • @perkyiff9226
    @perkyiff9226 5 ปีที่แล้ว +1

    very helpful, thank you!!!

  • @hildenbergmangueiradesousa
    @hildenbergmangueiradesousa 6 ปีที่แล้ว

    legal! parabéns pela atualização.

  • @ahmedal-obaidi8305
    @ahmedal-obaidi8305 7 ปีที่แล้ว

    The best. Thank you alotttt.

  • @mayonnaiseeee
    @mayonnaiseeee 3 ปีที่แล้ว

    Great video, thank you!

  • @Cirunob
    @Cirunob 5 ปีที่แล้ว

    just perfect.. thank u so much.

  • @aaqibhussain6228
    @aaqibhussain6228 5 ปีที่แล้ว

    Really such a great and informative video

  • @joomahabuzaid3296
    @joomahabuzaid3296 5 ปีที่แล้ว

    Thank you so much Very helpful

  • @fadi1970able
    @fadi1970able 7 ปีที่แล้ว

    thank you. It is very informative

  • @roland.j.ruttledge
    @roland.j.ruttledge 2 ปีที่แล้ว

    Fantastic, many thanks

  • @nyamurungibtumusiime4562
    @nyamurungibtumusiime4562 6 ปีที่แล้ว +1

    Perfect!!

  • @anhtuyetcao2732
    @anhtuyetcao2732 4 ปีที่แล้ว +1

    That's good educational. Tks you for tranning by video :)

  • @Rafus49
    @Rafus49 5 ปีที่แล้ว

    Well done lads

  • @davidcalizaya8017
    @davidcalizaya8017 6 หลายเดือนก่อน

    Thank you

  • @jasonfrantz9432
    @jasonfrantz9432 8 ปีที่แล้ว +1

    Excellent

  • @damianasobreira1625
    @damianasobreira1625 5 หลายเดือนก่อน

    Explicação excelente ❤❤❤

  • @muhammadnurislamzahari2238
    @muhammadnurislamzahari2238 7 ปีที่แล้ว +28

    Best educational GCS video, thanks
    p/s : neuosurgeon :P

  • @ratiematanhikebwititi8534
    @ratiematanhikebwititi8534 5 ปีที่แล้ว

    Very helpful thank you for the teaching.

  • @aridamansinghsandhu2951
    @aridamansinghsandhu2951 7 ปีที่แล้ว +2

    sehr gut gemacht!!

  • @sasamigno1869
    @sasamigno1869 5 ปีที่แล้ว

    very clear thank you

  • @kawsarbhuiyan1987
    @kawsarbhuiyan1987 5 ปีที่แล้ว

    excellent video

  • @SecretIngredientChannel
    @SecretIngredientChannel 2 ปีที่แล้ว

    excellent explanation

  • @SakeelKhan-wy3jm
    @SakeelKhan-wy3jm 4 ปีที่แล้ว

    Absolutely this videos is helpful.....

  • @aliaaabdulhakeem7081
    @aliaaabdulhakeem7081 3 ปีที่แล้ว

    Is a very useful video, thank you

  • @blackandwhite3423
    @blackandwhite3423 6 ปีที่แล้ว

    Thanku❤❤❤

  • @lubnamalekpt1505
    @lubnamalekpt1505 6 ปีที่แล้ว

    Thank u so much

  • @solimanewis7910
    @solimanewis7910 5 ปีที่แล้ว

    great job thank you

  • @DASHKARANS
    @DASHKARANS 6 ปีที่แล้ว

    Vry nyc explanation..thnq u

  • @Uangel3006
    @Uangel3006 4 ปีที่แล้ว

    so easy to understand

  • @albertndambalilo1903
    @albertndambalilo1903 7 ปีที่แล้ว

    thanks chief

  • @LanaTheLion
    @LanaTheLion 6 ปีที่แล้ว

    Thanks will help me in practice :)

  • @PhysioFusion257
    @PhysioFusion257 6 ปีที่แล้ว

    Thanx alot

  • @mimotifo4662
    @mimotifo4662 4 ปีที่แล้ว

    thanks!

  • @nancypagdatoongariando7281
    @nancypagdatoongariando7281 2 ปีที่แล้ว

    very clear .

  • @mohammedumar5057
    @mohammedumar5057 7 ปีที่แล้ว +2

    Interactive recap.

  • @myehia0011
    @myehia0011 4 ปีที่แล้ว

    nice, thanks a lot

  • @winningedge1045
    @winningedge1045 9 ปีที่แล้ว +1

    Wonderful to have Graham Teasdale introduce this clip. An excellent explanation (of course) but I would love to have additional explanation provided in terms of noting when a patient responds to Shout & SHAKE, as opposed to requiring 'pressure' stimulus; and to have the use of assessing limb strength explained in addition to best motor response. I find it can get messy with critically ill patients who may exhibit normal flexion response and then limb strength is assessed without a purposeful movement.

  • @reec5e
    @reec5e 9 ปีที่แล้ว +1

    "I'm a wonderful actress" - my sister. Kelsey you do make me laugh.

    • @aly8617
      @aly8617 8 ปีที่แล้ว

      is she the girl in this video?

  • @bishaldutta6504
    @bishaldutta6504 7 ปีที่แล้ว

    great thnk u

  • @leukocyteofdoom
    @leukocyteofdoom 5 ปีที่แล้ว +2

    love the voice-over and the video itself, very easy to remember d(^-^)

  • @dulcemariawinterdaal9453
    @dulcemariawinterdaal9453 3 ปีที่แล้ว

    Excelente

  • @SuperMartind
    @SuperMartind 7 ปีที่แล้ว

    tnx

  • @shamakuma1967
    @shamakuma1967 4 ปีที่แล้ว

    Eye opening to pain

  • @Demon_stickz
    @Demon_stickz 2 ปีที่แล้ว

    This video is good

  • @annettebuse6672
    @annettebuse6672 5 ปีที่แล้ว +1

    Great video! A more realistic example of decerebrate and decorticate posturing would be helpful. In my experience it looks much more abnormal than this...more like a slow reflex action and not as brisk. Thanks for putting this together.

  • @abbyclave6245
    @abbyclave6245 4 ปีที่แล้ว +1

    The video is great but I just noticed something that needs to be corrected. Applying pressure at the tip of the nail as a peripheral pain stimulus won't work. Pressure should be applied on the nailbed instead.

  • @hoangduynguyen4871
    @hoangduynguyen4871 3 ปีที่แล้ว

    thanh you

  • @josef21
    @josef21 6 ปีที่แล้ว +1

    Perfect and effective way to learn ...tracheostomy seems mistaken for ET tube...
    * supraorbital notch stimulation I read that it might encourage grimace and may not get pt to open eyes..

    • @eimstudent
      @eimstudent 6 ปีที่แล้ว

      It is a tracheostomy. And supraorbital notch stimulation is for the motor response portion of the GCS. For the eyes, it is suggested you apply pressure to a nail.

  • @shamakuma1967
    @shamakuma1967 4 ปีที่แล้ว

    Pupillary size has been added GCS

  • @guruprasadpanamalair1509
    @guruprasadpanamalair1509 4 ปีที่แล้ว

    When called by using name, if the patient does not open his eyes, does not respond by sound and does not respond by any bodily movement can it be taken as least score in the GCS indicating coma?

  • @johnlewiskodhek
    @johnlewiskodhek 3 ปีที่แล้ว

    💐💐💐👏🏾👏🏾👏🏾👏🏾

  • @bincyphilip6234
    @bincyphilip6234 ปีที่แล้ว

    Tyy

  • @mhelcergaming3954
    @mhelcergaming3954 3 ปีที่แล้ว

    is there a document type of the info?

  • @louisbonkers325
    @louisbonkers325 4 ปีที่แล้ว

    I thought we are no longer allowed to do a nail pinch?

  • @user-nu1zq5jv4y
    @user-nu1zq5jv4y 10 หลายเดือนก่อน

    if paralyze from shoulder below how's the motor response ?

  • @ThePandocalypse
    @ThePandocalypse 4 ปีที่แล้ว

    The voice actor sounds exactly like the voice in the podcast Unexplained.

  • @UnknownMe993
    @UnknownMe993 7 ปีที่แล้ว

    Thank you very much, this is very informative and very helpful.
    will be used in my presentation.

  • @dewifazira3741
    @dewifazira3741 4 ปีที่แล้ว

    Ni ka video yg madam suruh tengok?

  • @razanmoneer1848
    @razanmoneer1848 6 ปีที่แล้ว

    It's awesome 👏🏻 the best method of education
    But please can anyone write it just like an essay to understand it more ,because i can't speake English fluently !!! So it will be more easy to read it rather than hearing it

    • @razanmoneer1848
      @razanmoneer1848 6 ปีที่แล้ว

      Anyone respond to me please because i have an exam 😭😭😭

  • @vanessaassis7947
    @vanessaassis7947 2 ปีที่แล้ว

    TEM EM PORTUGUÊS?

  • @monkeybone6843
    @monkeybone6843 4 ปีที่แล้ว +1

    I usually get the fist on the chest

    • @tomasellir90s50
      @tomasellir90s50 3 ปีที่แล้ว

      Sternal rub is not a good way to assess response. After repeated assessments over days, the skin can break down and provides a portal for infection. I have seen this many times in my 30years + in ICU. The bruising and injuries caused by sternal rubs are in my opinion unacceptable and unnecessary. It constitutes assault. If I woke up in hospital with a chest injury caused by repeated sternal rubs, I would sue.

  • @nataliem7144
    @nataliem7144 2 หลายเดือนก่อน

    We aren't allowed to do nail pressure anymore (UK)

  • @user-xu1ez8hs6c
    @user-xu1ez8hs6c 4 ปีที่แล้ว

    Very useful video, but I have a question: if the patient respond well to the command of opening mouth and stiching out his/her tongue but not respond to grasp and release my hand,should I examine him/her for localization or can l give him/her 6points for motor response and the same thing for trapezius pinch (positive response )and pressure to the supraorbital notch (negative response)should i give him/her the points or go to the next step ?

  • @fatelis
    @fatelis 5 ปีที่แล้ว

    cheers graham, but please make sure every institution is doing this right as they are not

  • @tangajoseph6609
    @tangajoseph6609 3 หลายเดือนก่อน

    😅❤

  • @shamakuma1967
    @shamakuma1967 4 ปีที่แล้ว

    Withdraws, abnormal flexion, abnormal extension.

  • @mamanora-granno
    @mamanora-granno ปีที่แล้ว

    I don't know if this is relevant or will be helpful??? I was in a coma almost 2 years ago, I did rather well with the verbal response questions before my release from the hospital. But I only knew the right answers because I'd heard others talking about them, but the fact I remembered was still great. I have the attention span of a gnat now, and a speech impediment. If I might make a suggestion, the worst part, even above the pain, was waking up surrounded by people that assumed I knew what was going on (who I was, what I was, where I was), maybe let a person know there human, and they have a name, and what it is???

  • @MrPoohdude
    @MrPoohdude ปีที่แล้ว

    oh

  • @user-uf7pl6um3e
    @user-uf7pl6um3e 4 ปีที่แล้ว

    3:47

  • @timlake9549
    @timlake9549 2 ปีที่แล้ว

    So what if a patient has a Verbal score of say, 4... what if they are perfectly alert but are too confused to follow the commands for the motor skills assessment -- seems strange that if they can't follow a 2-part movement request that we would just escalate the situation to a trap squeeze. Imagine hurting a patient with dementia, just because they couldn't perform a 2-part movement request.

  • @user-fk7rk5sm6e
    @user-fk7rk5sm6e 9 ปีที่แล้ว

    H

  • @cinderellarai
    @cinderellarai 3 ปีที่แล้ว

    Demo is good but the narration is very bad. @4:50 couldn't understand the term what he said. English is not hard but it's hard when the person speaking doesn't speak clearly.