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

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  • čas přidán 4. 09. 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

Komentáře • 117

  • @newforgerings808
    @newforgerings808 Před 8 lety +36

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

  • @michelleeverett8125
    @michelleeverett8125 Před 5 lety +37

    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.

  • @jabessemiguelmabansag5683
    @jabessemiguelmabansag5683 Před 7 lety +63

    Absolutely stunning! Informative and has nice cinematography!

  • @peckymother
    @peckymother Před 4 lety +3

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

  • @jbar7992
    @jbar7992 Před 8 lety +5

    Thanks Sir Teasdale and team!

  • @Sethhfranklin
    @Sethhfranklin Před 5 lety +2

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

  • @andresisaac5557
    @andresisaac5557 Před 5 lety +8

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

  • @geraldinepapon8103
    @geraldinepapon8103 Před 5 lety +1

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

  • @mia_x
    @mia_x Před rokem +1

    This is the best explanation of GCS thank you!

  • @fitriisa4804
    @fitriisa4804 Před 9 lety +5

    Precise, very good explanation :) thank you

  • @sulaimanaljabari
    @sulaimanaljabari Před 4 lety +1

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

  • @nazliozeer4216
    @nazliozeer4216 Před 5 lety +1

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

  • @dayannacastro7710
    @dayannacastro7710 Před 7 lety +3

    Perfect for to study. Thanks!

  • @zahidjazz360
    @zahidjazz360 Před 5 lety +1

    This is an excellent video .Thank you guys .

  • @psychomicro9623
    @psychomicro9623 Před 7 lety

    This was amazingly helpful. Thank you!

  • @a.d.garrett801
    @a.d.garrett801 Před 8 lety

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

  • @briangargurevich4213
    @briangargurevich4213 Před 4 lety

    Excellent Video! Thank you so much!

  • @shajwanakram6505
    @shajwanakram6505 Před 4 lety

    Best vid on GCS,thanks!

  • @healthtechnologynews2991
    @healthtechnologynews2991 Před 6 lety +1

    Excelente recurso al alcance de todos . Felicidades.

  • @isko192
    @isko192 Před rokem

    Speechless how good is this video

  • @user-yd7do4yz2w
    @user-yd7do4yz2w Před 3 měsíci

    Best explanation so far

  • @anhtuyetcao2732
    @anhtuyetcao2732 Před 4 lety +1

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

  • @winningedge1045
    @winningedge1045 Před 9 lety +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.

  • @sankaranarayanans1970
    @sankaranarayanans1970 Před 2 lety

    Excellent explanation. 🙏

  • @mayonnaiseeee
    @mayonnaiseeee Před 3 lety

    Great video, thank you!

  • @manoranjitha2969
    @manoranjitha2969 Před 7 lety

    Thank you very much that was very helpful.

  • @gabriella12341000
    @gabriella12341000 Před 5 lety

    Very helpful and detailed !

  • @WanGaming0
    @WanGaming0 Před 5 lety +1

    very informative video! thank you

  • @sarokatumanggor3469
    @sarokatumanggor3469 Před 4 lety

    Perfect for study. Thanks

  • @aliabdalamir2601
    @aliabdalamir2601 Před 8 lety

    thanks for your helping .

  • @perkyiff9226
    @perkyiff9226 Před 5 lety +1

    very helpful, thank you!!!

  • @aaqibhussain6228
    @aaqibhussain6228 Před 5 lety

    Really such a great and informative video

  • @roland.j.ruttledge
    @roland.j.ruttledge Před 2 lety

    Fantastic, many thanks

  • @stuwer231267
    @stuwer231267 Před 4 lety +1

    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

  • @damianasobreira1625
    @damianasobreira1625 Před 3 měsíci

    Explicação excelente ❤❤❤

  • @michaelragaee
    @michaelragaee Před 8 lety

    Brilliant, thanks a lot

  • @ahmedal-obaidi8305
    @ahmedal-obaidi8305 Před 7 lety

    The best. Thank you alotttt.

  • @joomahabuzaid3296
    @joomahabuzaid3296 Před 5 lety

    Thank you so much Very helpful

  • @Cirunob
    @Cirunob Před 5 lety

    just perfect.. thank u so much.

  • @ratiematanhikebwititi8534

    Very helpful thank you for the teaching.

  • @fadi1970able
    @fadi1970able Před 7 lety

    thank you. It is very informative

  • @Rafus49
    @Rafus49 Před 5 lety

    Well done lads

  • @nyamurungibtumusiime4562
    @nyamurungibtumusiime4562 Před 5 lety +1

    Perfect!!

  • @aliaaabdulhakeem7081
    @aliaaabdulhakeem7081 Před 3 lety

    Is a very useful video, thank you

  • @aridamansinghsandhu2951
    @aridamansinghsandhu2951 Před 7 lety +2

    sehr gut gemacht!!

  • @muhammadnurislamzahari2238
    @muhammadnurislamzahari2238 Před 7 lety +28

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

  • @SakeelKhan-wy3jm
    @SakeelKhan-wy3jm Před 4 lety

    Absolutely this videos is helpful.....

  • @DASHKARANS
    @DASHKARANS Před 5 lety

    Vry nyc explanation..thnq u

  • @SecretIngredientChannel

    excellent explanation

  • @hildenbergmangueiradesousa

    legal! parabéns pela atualização.

  • @kawsarbhuiyan1987
    @kawsarbhuiyan1987 Před 5 lety

    excellent video

  • @sasamigno1869
    @sasamigno1869 Před 5 lety

    very clear thank you

  • @jasonfrantz9432
    @jasonfrantz9432 Před 8 lety +1

    Excellent

  • @solimanewis7910
    @solimanewis7910 Před 5 lety

    great job thank you

  • @LanaTheLion
    @LanaTheLion Před 6 lety

    Thanks will help me in practice :)

  • @davidcalizaya8017
    @davidcalizaya8017 Před 5 měsíci

    Thank you

  • @Uangel3006
    @Uangel3006 Před 4 lety

    so easy to understand

  • @lubnamalekpt1505
    @lubnamalekpt1505 Před 5 lety

    Thank u so much

  • @nancypagdatoongariando7281

    very clear .

  • @albertndambalilo1903
    @albertndambalilo1903 Před 7 lety

    thanks chief

  • @blackandwhite3423
    @blackandwhite3423 Před 5 lety

    Thanku❤❤❤

  • @UnknownMe993
    @UnknownMe993 Před 7 lety

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

  • @mimotifo4662
    @mimotifo4662 Před 4 lety

    thanks!

  • @annettebuse6672
    @annettebuse6672 Před 5 lety +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.

  • @myehia0011
    @myehia0011 Před 4 lety

    nice, thanks a lot

  • @josef21
    @josef21 Před 6 lety +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 Před 6 lety

      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.

  • @PhysioFusion257
    @PhysioFusion257 Před 6 lety

    Thanx alot

  • @Demon_stickz
    @Demon_stickz Před 2 lety

    This video is good

  • @leukocyteofdoom
    @leukocyteofdoom Před 5 lety +2

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

  • @dulcemariawinterdaal9453

    Excelente

  • @reec5e
    @reec5e Před 9 lety +1

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

    • @aly8617
      @aly8617 Před 8 lety

      is she the girl in this video?

  • @mohammedumar5057
    @mohammedumar5057 Před 7 lety +2

    Interactive recap.

  • @bishaldutta6504
    @bishaldutta6504 Před 7 lety

    great thnk u

  • @guruprasadpanamalair1509

    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?

  • @hoangduynguyen4871
    @hoangduynguyen4871 Před 3 lety

    thanh you

  • @shamakuma1967
    @shamakuma1967 Před 4 lety

    Eye opening to pain

  • @dewifazira3741
    @dewifazira3741 Před 4 lety

    Ni ka video yg madam suruh tengok?

  • @shamakuma1967
    @shamakuma1967 Před 4 lety

    Pupillary size has been added GCS

  • @user-nu1zq5jv4y
    @user-nu1zq5jv4y Před 9 měsíci

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

  • @SuperMartind
    @SuperMartind Před 6 lety

    tnx

  • @mhelcergaming3954
    @mhelcergaming3954 Před 3 lety

    is there a document type of the info?

  • @louisbonkers325
    @louisbonkers325 Před 4 lety

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

  • @abbyclave6245
    @abbyclave6245 Před 4 lety

    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.

  • @vanessaassis7947
    @vanessaassis7947 Před 2 lety

    TEM EM PORTUGUÊS?

  • @razanmoneer1848
    @razanmoneer1848 Před 6 lety

    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 Před 6 lety

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

  • @bincyphilip6234
    @bincyphilip6234 Před rokem

    Tyy

  • @johnlewiskodhek
    @johnlewiskodhek Před 3 lety

    💐💐💐👏🏾👏🏾👏🏾👏🏾

  • @user-xu1ez8hs6c
    @user-xu1ez8hs6c Před 4 lety

    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 ?

  • @nataliem7144
    @nataliem7144 Před měsícem

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

  • @ThePandocalypse
    @ThePandocalypse Před 4 lety

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

  • @monkeybone6843
    @monkeybone6843 Před 4 lety +1

    I usually get the fist on the chest

    • @tomasellir90s50
      @tomasellir90s50 Před 3 lety

      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.

  • @mamanora-granno
    @mamanora-granno Před rokem

    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???

  • @timlake9549
    @timlake9549 Před 2 lety

    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.

  • @fatelis
    @fatelis Před 5 lety

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

  • @user-uf7pl6um3e
    @user-uf7pl6um3e Před 4 lety

    3:47

  • @tangajoseph6609
    @tangajoseph6609 Před 2 měsíci

    😅❤

  • @shamakuma1967
    @shamakuma1967 Před 4 lety

    Withdraws, abnormal flexion, abnormal extension.

  • @MrPoohdude
    @MrPoohdude Před rokem

    oh

  • @cinderellarai
    @cinderellarai Před 3 lety

    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.

  • @user-fk7rk5sm6e
    @user-fk7rk5sm6e Před 9 lety

    H