How does the Glasgow Coma Scale affect detection of Traumatic Brain Injury (TBI)?

brainwaveThe Glasgow Coma Scale (GCS) is based on a person's response during the immediate time frame after the injury. Ambulance workers or emergency medical technicians (EMT) who have limited or no qualifications with diagnosing Traumatic Brain Injuries (TBI) are often the first responders to the accident scene. These ambulance drivers and emergency medical technicians (EMT) will then decide what a person's Glasgow Coma Scale (GCS) score will be while at the scene of the accident. Once a person is taken to the emergency room, several scenarios may occur with regard to the Glasgow Coma Scale scoring:

a. A nurse or physician may test a patient's Glasgow Coma Scale again to see if there was a mistake or error by the EMT; or

b. The personnel in the ER may just copy the EMT's Glasgow Coma Scale score (although this should not be done since it will often be mistaken that the GCS scoring was done again when in fact it was not); and/or

c. There is no Glasgow Coma Scale scoring done due to the superficial appearance of a patient and since he or she can answer basic questions in response.

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