Anesthesia Student Survival Guide.pdf - Index of

Table 25.2 Glasgow coma scale.
Eye opening
AnesthesiA For trAuMA And orthoPediC surGery ● 399
spontaneous 4
to loud voice 3
to pain 2
none
Verbal response
1
oriented 5
Confused, disoriented 4
inappropriate word 3
incomprehensible sounds 2
none
Best motor response
1
obeys 6
localizes 5
Withdraws (flexion) 4
Abnormal flexion posturing 3
extension posturing 2
none 1
pulmonary, or cardiac status. In other words, a patient with a high GCS may
still require urgent intubation or may be suffering myocardial ischemia due
to injury stress.
Specific Challenges
Many hospitals routinely call anesthesia personnel to the emergency department
for incoming trauma patients. As a result, anesthesia providers are frequently
involved in resuscitation and airway management within minutes of
the patient’s arrival. Since initial trauma care occurs on a continuum from the
emergency department to operating room, many of the following discussion
points are pertinent to both the specialties of emergency medicine and anesthesiology
at each locale. As a result, anesthesia providers must be prepared
to “work” in a potentially unfamiliar environment with a different (not
necessarily better or worse) level of help and equipment than is typically available
in a well-stocked trauma operating room.