Author(s): Sternbach GL
Teasdale and Jennett first presented the Glasgow Coma Scale in 1974 as an aid in the clinical assessment of unconsciousness. It was devised as a formal scheme to overcome the ambiguities and misunderstandings that arose when information about comatose patients was presented and groups of patients were compared. Since then, the Glasgow Coma Scale has been used extensively, being used to grade individual patients, compare effectiveness of treatments, and as a prognostic indicator. It has been incorporated into numerous trauma and critical illness classification systems. However, a number of competing scales have been developed to overcome its perceived deficiencies. These scales are generally more complex. One of the expressed reservations regarding the Glasgow Coma Scale has been its failure to incorporate brainstem reflexes. The scale also includes a numerical skew toward the motor response. An important current issue is the appropriate application of the Glasgow Coma Scale to intubated patients. A number of approaches have been used to assign the verbal score to such patients. The timing of initial scoring is another area of discussion. Despite its drawbacks, the Glasgow Coma Scale remains the most universally utilized level of consciousness scale worldwide. It seems destined to be used in emergency medicine for some time.
Referred From: https://www.ncbi.nlm.nih.gov/pubmed/10863122
Author(s): Sharma S, Kochar GS, Sankhyan N, Gulati S
Author(s): McCarthy ML, Serpi T, Kufera JA, Demeter LA, Paidas C
Author(s): Booth CM, Boone RH, Tomlinson G, Detsky AS
Author(s): Marshall JC, Cook DJ, Christou NV, Bernard GR, Sprung AL, et al.
Author(s): Rafanan AL, Kakulavar P, Perl J 2nd, Andrefsky JC, Nelson DR, et al.
Author(s): Kane NM, Butler SR, Simpson T
Author(s): John ER, Prichep LS, Kox W, Valdés-Sosa P, Bosch-Bayard J, et al.
Author(s): Synek VM
Author(s): Guérit JM
Author(s): Javel E, Mouney DF, McGee JA, Walsh EJ
Author(s): Schnakers C, Vanhaudenhuyse A, Giacino J, Ventura M, Boly M, et al.
Author(s): Giacino JT, Smart CM
Author(s): Giacino J, Whyte J
Author(s): Misra UK, Kalita J
Author(s): Edgren E, Hedstrend U, Nordin M, Rydin E, Ronquist G
Author(s): Tasker RC, Boyd S, Harden A, Matthew DJ
Author(s): Johnston B, Seshia SS
Author(s): Tsalikian E, Becker DJ, Crumrine PK, Daneman D, Drash AL
Author(s): Singhi PD, Bansal A, Ramesh S, Khandelwal N, Singhi SC
Author(s): Hoffman WH, Steinhart KM, El-Gammal T, Steele S, Cuadrado AR, et al.
Author(s): Rosenbloom AL, Riley WJ, Weber IT, Malone JI, Donnelly WH
Author(s): Haupt WF, Birkmann C, Halber M
Author(s): Ferbert A, Buchner H, Bruckmann H, Zeumer H, Hacke W
Author(s): Balogh A, Wedekind C, Klug N
Author(s): Haupt WF, Hojer C, Pawlik G
Author(s): Wada SI, Matsuoka S, Urazaki EI, Yadomi C
Author(s): Larrea LG, Artru F, Bertrand O, Pernier J, Mauguière F
Author(s): Kaga K, Nagai T, Takamor A, Marsh RR
Author(s): De Weerd AW, Groeneveld C
Author(s): Jardim M, Person OC, Rapoport PR