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McNett M, Amato S, Gianakis A, Grimm D, Philippbar S, Belle J et al. The FOUR Score and GCS as predictors of outcome after traumatic brain injury. Neurocritical Care 2014;21(1):52-57. doi:10.1007/s12028-013-9947-6 (accessed 5 May 2017). Now let's go through the steps needed to convert 77/12 to a mixed number. Step 1: Find the whole number To work this out we'll use the whole number we calculated in step one (6) and multiply it by the original denominator (12). The result of that multiplication is then subtracted from the original numerator: The Glasgow Coma Scale was originally developed to help determine the severity of a coma or dysfunction following a traumatic brain injury, but can be useful for any condition leading to impaired consciousness. [3] Frej M, Frej J. The Glasgow Structured Approach to Assessment of the Glasgow Coma Scale: what is GCS - glasgow coma scale. http://www.glasgowcomascale.org/what-is-gcs/ (accessed 7 May 2017).

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Nell V, Yates DW, Kruger J. An extended Glasgow Coma Scale (GCS-E) with enhanced sensitivity to mild brain injury. Archives of physical medicine and rehabilitation. 2000 May 1;81(5):614-7. Marion D, Carlier P. Problems with initial Glasgow Coma Scale assessment caused by prehospital treatment of patients with head injuries. The Journal of Trauma: Injury, Infection, and Critical Care 1994;36(1):89-95. PMID: 8295256 (accessed 6 May 2017). Middleton PM. Practical use of the Glasgow Coma Scale; a comprehensive narrative review of GCS methodology. Australasian Emergency Nursing Journal. 2012 Aug 1;15(3):170-83. It is argued that the GCS does not accurately score patients who are intubated and does not assess brainstem reflexes, which may account for its low predictive capacity. A GCS administered at 24 hours post-injury has an odds ratio of 0.4 for predicting in-hospital mortality. When administered at 72 hours post-injury, the odds ratio improves to 0.59 for predicting in-hospital mortality. [18]

Reith F, Synnot A, van den Brande R, Gruen R, Maas A. Factors influencing the reliability of the Glasgow Coma Scale: a systematic review. Neurosurgery 2017;42:3-15. PMID: 28327922 (accessed 7 May 2017). Gill M, Reiley D, Green S. Interrater reliability of Glasgow Coma Scale scores in the emergency department. Annals of Emergency Medicine 2004;43(2):215-223. https://doi.org/10.1016/S0196-0644(03)00814-X (accessed 6 May 2017). Severe TBI: GCS 3-8. These patients present as obtunded to comatose, they are unable to follow directions. They may exhibit decorate or decerebrate posturing. [10] National Institute for Health and Care Excellence. Head Injury: assessment and early management [Internet]. https://www.nice.org.uk/guidance/cg176/resources/head-injury-assessment-and-early-management-pdf-35109755592901 (accessed 7 May 2017). Mild TBI: GCS 13-15. These patients are awake, can present with confusion but are able to follow directions and communicate.It can also be administered in a variety of settings such as pre-hospital, arrival at the emergency department and in the hours following admission, giving it the ability to monitor changes and trends in patient consciousness over time. [3] Holmes JF, Palchak MJ, MacFarlane T, Kuppermann N. Performance of the pediatric Glasgow Coma Scale in children with blunt head trauma. Academic emergency medicine 2005 Sep 1;12(9):814-9. PMID:16141014 (accessed 5 May 2017). Philips TV Remote app and related functionalities vary per TV model, operator and country, as well as smart device model and OS. For more details please visit: www.philips.com/TVRemoteapp.

Evidence suggests that the Glasgow Coma Scale has a 71% accuracy in predicting functional independence post-injury. The GCS also modestly correlates with the Disability Rating Scale (-0.28) and the Cognitive component of the Functional Independence Measure (0.37). [19] Resources [ edit | edit source ] We first want to find the whole number, and to do this we divide the numerator by the denominator. Since we are only interested in whole numbers, we ignore any numbers to the right of the decimal point.

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The inter-rater reliability of the total Glasgow Coma Scale is p = 0.86. Some research has subdivided the inter-rater reliability for each subscale. For the eye score the inter-rater reliability is p = 0.76, the verbal score is p = 0.67, and the motor score is p=0.81. [11] The research for test-retest reliability is not recent and should be updated, however, the best available evidence is k = 0.66 - 0.77. [12] The sort code, which is a six-digit number, is usually formatted as three pairs of numbers, for example 12-34-56. It identifies both the bank and the branch where the account is held. In some cases, the first digit of the sort code identifies the bank itself and in other cases the first 2 digits identify the bank.[1] Although there is a strong correlation between BIC Codes and sort codes, sort codes are not explicitly encoded into BIC codes (although they are encoded into IBANs). The motor scale has proved the most useful for assessment in both older children and preverbal children when studying blunt trauma. [5] Research has indicated that using the motor scale alone can simplify the assessment process while maintaining the accuracy of the score. [6] Method of Use [ edit | edit source ] GCS at 40. Glasgow Coma Scale at 40 | The new approach to Glasgow Coma Scale assessment. Available from: https://www.youtube.com/watch?v=v6qpEQxJQO4 [last accessed 05/07/17] Lesko M, Jenks T, Perel P, O'Brien S, Childs C, Bouamra O et al. Models of mortality probability in severe traumatic brain injury: results of the modeling by the UK Trauma Registry. Journal of Neurotrauma 2013;30(24):2021-2030. PMID:23865489 (accessed 6 May 2017).

Zollman FS, editor. Manual of traumatic brain injury: Assessment and management. Springer Publishing Company; 2021 Jul 22. Learning the times tables is a basic numeracy skill and part of your maths education that you will regularly come across when doing calculations in upper years. This means that mastery of these multiplication sums is not only important now, but also in future. You can see the times tables chart and all the tables in sequence, with answers, below times tables grid:This television contains lead only in certain parts or components where no technology alternatives exist in accordance with existing exemption clauses under the RoHS Directive. Moderate TBI: GCS 9-12. These patients are typically drowsy or obtunded, they can open eyes and localise painful stimuli upon assessment. Teasdale G, Jennett B. Assessment of coma and impaired consciousness: a practical scale. The Lancet. 1974 Jul 13;304(7872):81-4. Disney+ subscription required. Subject to terms at https://www.disneyplus.com (c) 2020 Disney and its related entities. Disney+ is available in selected languages and countries. Before we begin, let's revisit some basic fraction terms so you understand exactly what we're dealing with here: