NCEPOD: Trauma - Who Cares? - London Health Programmes

More documents

Recommendations

Info

APPENDIX C - Adult and paediatric Glasgow Coma ScalePaediatric Glasgow Coma ScaleThe paediatric version of the Glasgow Coma Scale ismodifi ed from the Adult Glasgow Coma Scale to take intoaccount of problems assessing the Best Verbal Response inpre-verbal patients.It is composed of three parameters: Best Eye Response,Best Verbal Response and Best Motor Response. Thedefi nition of these parameters is given below.Best Eye Response (4)4. Eyes open spontaneously3. Eye opening to verbal commandCommunication with the infant or child’s caregivers isrequired to establish the best usual verbal response. A‘grimace’ alternative to verbal responses should be usedin pre-verbal or intubated patients.Best Grimace Response (5)5. Spontaneous normal facial/oro-motor activity4. Less than usual spontaneous ability or only responseto touch stimuli3. Vigorous grimace to pain2. Mild grimace to pain1. No response to pain2. Eye opening to pain1. No eye openingBest Verbal Response (5)5. Alert, babbles, coos, words or sentences to usual ability4. Less than usual ability and/or spontaneous irritable cry3. Cries inappropriately2. Occasionally whimpers and/or moans1. No vocal responseBest Motor Response (6)6. Obeys commands or performs normalspontaneous movements5. Localises to painful stimuli or withdraws to touch4. Withdrawal to painful stimuli3. Abnormal fl exion to pain2. Abnormal extension to pain1. No motor response to pain136
CAdult and paediatricGlasgow Coma ScaleClassifi cation of severity of headinjury using GCSWhilst the individual components of the Glasgow ComaScale should be used in communication about individualpatients the use of the aggregate Glasgow Coma Score canbe useful for describing patient populations.The use of the aggregate score does allow the severity ofhead injury to be classifi ed into the following categories:Minor GCS 15Mild GCS 13-14Moderate GCS 9-12Severe GCS 3-8These classifi cations allow easy description of a head injuredpopulation and are used within this text.For some data presentation patients with GCS equal to3 have been separated out from the rest of the severehead injury group (GCS 4-8). This has been done to helpunderstand that data more easily as it is know that patientswith GCS equal to 3 have a much poorer prognosis than therest of the severe head injured group.137
Page 1:
Trauma: Who cares?A report of the N
Page 4 and 5:
ContentsAcknowledgements 4Foreword
Page 6 and 7:
AcknowledgementsThis is the twenty
Page 8 and 9:
AcknowledgementsThe organisations t
Page 10 and 11:
ForewordSevere injury - a car crash
Page 12 and 13:
Summary of fi ndingsThis study show
Page 14 and 15:
Principal recommendationsOrganisati
Page 16 and 17:
IntroductionTrauma remains the four
Page 18 and 19:
IntroductionReferences1. Chaira 0,
Page 20 and 21:
MethodQuestionnaires and casenotesT
Page 22 and 23:
MethodQuality and confidentialityA
Page 24 and 25:
CHAPTER 1 - Data overviewFigure 2.
Page 26 and 27:
CHAPTER 1 - Data overviewMode of ar
Page 28 and 29:
CHAPTER 2 - Organisational dataTabl
Page 30 and 31:
Page 32 and 33:
Page 34 and 35:
Page 36 and 37:
CHAPTER 3 - Overall assessmentAll c
Page 38 and 39:
CHAPTER 3 - Overall assessmentKey f
Page 40 and 41:
CHAPTER 4 - Prehospital careRespons
Page 42 and 43:
CHAPTER 4 - Prehospital careFigure
Page 44 and 45:
CHAPTER 4 - Prehospital careTranspo
Page 46 and 47:
CHAPTER 4 - Prehospital careAdequac
Page 48 and 49:
CHAPTER 4 - Prehospital careIn 40/5
Page 50 and 51:
CHAPTER 4 - Prehospital carecaused
Page 52 and 53:
CHAPTER 5 - Hospital receptionIntro
Page 54 and 55:
CHAPTER 5 - Hospital receptionTable
Page 56 and 57:
CHAPTER 5 - Hospital receptionTraum
Page 58 and 59:
CHAPTER 5 - Hospital receptionTable
Page 60 and 61:
CHAPTER 5 - Hospital receptionThese
Page 62 and 63:
CHAPTER 5 - Hospital receptionOvera
Page 64 and 65:
CHAPTER 6 - Airway and breathingInt
Page 66 and 67:
CHAPTER 6 - Airway and breathingFig
Page 68 and 69:
CHAPTER 6 - Airway and breathingFig
Page 70 and 71:
CHAPTER 6 - Airway and breathingTab
Page 72 and 73:
CHAPTER 7 - Management of circulati
Page 74 and 75:
Page 76 and 77:
Page 78 and 79:
Page 80 and 81:
Page 82 and 83:
Page 84 and 85:
Page 86 and 87:
Page 88 and 89: CHAPTER 8 - Head injury managementI
Page 90 and 91: CHAPTER 8 - Head injury managementT
Page 94 and 95: CHAPTER 8 - Head injury managementA
Page 98 and 99: CHAPTER 8 - Head injury managementH
Page 100 and 101: CHAPTER 8 - Head injury managementC
Page 102 and 103: CHAPTER 8 - Head injury managementf
Page 108 and 109: CHAPTER 8 - Head injury managementF
Page 110 and 111: CHAPTER 8 - Head injury managementK
Page 112 and 113: CHAPTER 8 - Head injury management1
Page 114 and 115: CHAPTER 9 - Paediatric careOrganisa
Page 116 and 117: CHAPTER 9 - Paediatric careClinical
Page 118 and 119: CHAPTER 9 - Paediatric careKey find
Page 120 and 121: CHAPTER 10 - TransfersIntroductionM
Page 122 and 123: CHAPTER 10 - TransfersArrangement o
Page 124 and 125: CHAPTER 10 - TransfersFigure 52. De
Page 126 and 127: CHAPTER 10 - TransfersKey findingsR
Page 128 and 129: CHAPTER 11 -Incidence of trauma and
Page 130 and 131: CHAPTER 11 - Incidence of trauma an
Page 136 and 137: APPENDIX B - Injury severity scoreA
Page 140 and 141: APPENDIX D - An example of an excel
Page 142 and 143: APPENDIX E - Level 1 trauma careAs
Page 144 and 145: APPENDIX F - ParticipationTrustCase
Page 150 and 151: APPENDIX G - Corporate structureThe
Page 152: Published November 2007 by the Nati
show all

NCEPOD: Trauma - Who Cares? - London Health Programmes

You also want an ePaper? Increase the reach of your titles

Delete template?

Save as template?