Glasgow Coma Scale at 40 | The new approach to Glasgow Coma Scale assessment
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- Опубліковано 8 лют 2025
- 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
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.
Excellent video - good to have a single resource to refer to as every doctor seems to do it differently.
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
Absolutely stunning! Informative and has nice cinematography!
This is the best explanation of GCS thank you!
Espetacular !!!
vídeo incrível, para nós estudantes é um Esclarecimento enorme
Thanks Sir Teasdale and team!
wow this was the easiest and quick one to learn GCS thank u
Wonderful video! Thank you for clarifying something I have always had difficulty understanding how to perform.
Best explanation so far
An Excellent video very concise and a good resource for clinical examinations.
Speechless how good is this video
Thank you so much for this vid. It's perfect and very enlightening.
From a French nurse in intensive care :)
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.
Best vid on GCS,thanks!
This is an excellent video .Thank you guys .
Excellent Video! Thank you so much!
I will be using this for my PBL, thank you. :)
Excellent explanation. 🙏
Fantastic, many thanks
Explicação excelente ❤❤❤
Precise, very good explanation :) thank you
Best educational GCS video, thanks
p/s : neuosurgeon :P
Muhammad Nur Islam Zahari eh islam😂
That's good educational. Tks you for tranning by video :)
Great video, thank you!
excellent explanation
Thank you
Perfect for to study. Thanks!
Absolutely this videos is helpful.....
so easy to understand
very clear .
Is a very useful video, thank you
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..
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.
Very helpful and detailed !
Perfect for study. Thanks
Great, informative video. Used in my research. Many thanks!
very informative video! thank you
Well done lads
Brilliant, thanks a lot
This video is good
Really such a great and informative video
thanks for your helping .
great job thank you
"I'm a wonderful actress" - my sister. Kelsey you do make me laugh.
is she the girl in this video?
If there's spontaneous motor movement but there's no response to pain?
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.
very helpful, thank you!!!
Thank you very much, this is very informative and very helpful.
will be used in my presentation.
This was amazingly helpful. Thank you!
very clear thank you
thanks!
excellent video
Excelente
Perfect!!
Thank you so much Very helpful
nice, thanks a lot
sehr gut gemacht!!
Very helpful thank you for the teaching.
just perfect.. thank u so much.
Interactive recap.
Thank you very much that was very helpful.
Excellent
Eye opening to pain
thanh you
The best. Thank you alotttt.
Pupillary size has been added GCS
thank you. It is very informative
Thank u so much
legal! parabéns pela atualização.
thanks chief
Vry nyc explanation..thnq u
Thanku❤❤❤
if paralyze from shoulder below how's the motor response ?
Thanx alot
I thought we are no longer allowed to do a nail pinch?
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.
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?
love the voice-over and the video itself, very easy to remember d(^-^)
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
Anyone respond to me please because i have an exam 😭😭😭
We aren't allowed to do nail pressure anymore (UK)
Can you do sternum rubs?
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???
Thanks will help me in practice :)
great thnk u
is there a document type of the info?
Tyy
Ni ka video yg madam suruh tengok?
Perfect!
tnx
❤
😍😍👏👏
TEM EM PORTUGUÊS?
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.
💐💐💐👏🏾👏🏾👏🏾👏🏾
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 ?
cheers graham, but please make sure every institution is doing this right as they are not
The voice actor sounds exactly like the voice in the podcast Unexplained.
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.
I usually get the fist on the chest
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.
Withdraws, abnormal flexion, abnormal extension.
😅❤