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Simplified Motor Scale
Simplified motor scales (SMS) refer to a neurological evaluation that is designed to provide a meaningful, objective prognostic evaluation of an individual. SMS have been proposed as alternatives that would improve upon the Glasgow Coma Scale The Glasgow Coma Scale (GCS) is a clinical scale used to reliably measure a person's level of consciousness after a brain injury. The GCS assesses a person based on their ability to perform eye movements, speak, and move their body. These three ... challenges of being confusing, unreliable and unnecessarily complex. An example of a SMS can be remembered by the mnemonic "TROLL" for Test Responses: Obeys, Localizes, or Less. The scale was created by Dr Stephen Green in 2011. He wrote an editorial for the Annals of Emergency Medicine strongly opposing the use of the GCS, stating that, compared to a general assessment, simple unstructured clinical judgement can be just as accurate and that the GCS itself has poor reliability. «Literature e ...
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Glasgow Coma Scale
The Glasgow Coma Scale (GCS) is a clinical scale used to reliably measure a person's level of consciousness after a brain injury. The GCS assesses a person based on their ability to perform eye movements, speak, and move their body. These three behaviours make up the three elements of the scale: eye, verbal, and motor. A person's GCS score can range from 3 (completely unresponsive) to 15 (responsive). This score is used to guide immediate medical care after a brain injury (such as a car accident) and also to monitor hospitalised patients and track their level of consciousness. Lower GCS scores are correlated with higher risk of death. However, the GCS score alone should not be used on its own to predict the outcome for an individual person with brain injury. Scoring The Glasgow Coma Scale is used for people above the age of two and composed of three tests: eye, verbal, and motor responses. The scores for each of these tests are indicated in the table below. The Glasgow Coma ...
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