Glasgow Coma Scale made easy

[@Brainbook]

We want to create free medical education content for you! Please share and let us know in the comments if you like the style and if you'd like to see more!

[@kristinasocia9864]

I would love to see a video on how brain death is determined. We've had two cases in my state (Michigan, USA) where young children have sadly passed, and there was a lot of community outrage over the hospital withdrawing life support. I'm sure many of us would like to know what tests are involved in making that determination.

[@lorraine07ful]

Pz9 TheBestFighter Faith p4pzg DANFingereprint

[@paulinamensah9045]

Yes please, do! (Medical student from Ghana)

[@kajalsatpathy8778]

Can u pls help me? My husband had bacterial meningitis before 1yr but still he is unconscious... Can somebody pls help us.... He is under treatment but no recovery....

[@faiqmedic2283]

Please post about cerebellar signs etc, i.e., everything about nurrological examination and more day in the life videos. Thankyou ❤️

[@shnmco]

I am a new graduate nurse here in the philippines and this is so well explained. I think i can now assess gcs well and with confidence. Thank you, Doc!

[@Brainbook]

Glad it was useful! Hi from UK!

[@mourningwarbler]

Hope you'll be kinder than this. Ever considered the person can FEEL but not respond? Likewise with the lights in the eyes, which contributes to macular degeneration, especially since they cannot blink. But there is such a thing as emerging. The "do no harm" thing isn't in medicine today. First of all, MAKE MONEY!!!!!!!!!!!!!!!!!!

[@roopskee17]

@@mourningwarbler Your negativity to such a nice interaction is absolutely unnecessary. Also, please link the article in which macular degeneration is at all affected by a pen light, which by the way is never an LED light.

[@sicilyny5375]

Been taught and using the 1980 version..most use...also pediatric one is a bit diff.

[@emilyconway6273]

Thank you for this very concise and helpful video explaining the Glasgow Coma Scale(GCS) . After almost dying April 15, 2022 in Ontario Canada from a freak accident due to a massive storm flinging a brick from a second story via 120km winds into my skull and brain, I now have a Traumatic Brain Injury (TBI). I was looking for a video from a health care professional to explain to my husband and son, laypeople, the Glasgow Coma Scale that the Trauma team would have needed to use to asses my injuries in Trauma. I believe my total GCS score was 3 or 4 , and that all medical staff unfortunately incorrectly expected me to die. Respectfully I implore all Trauma Physicians, Nurses, and medical staff to never give up on their patients, and appropriately refer your patients to the necessary Specialists, because I was not. In layman's terms I was intubated for 10 days with multi pal skull fractures, external and internal, a large internal hole to my brain along the internal fracture, a brain bleed, brain and spinal fluid leak (CSF), a fractured ankle, and already had a rare Platelet Function Disorder, that caused delayed bleeding with any injury I have had. Due to my genetics ( I was born with red hair, hence I have a very high pain tolerance and cope well with shock, I'm medical trained, and I'm military training) I knew even though I was going to be considered an older patient, I must stay focused and keep trying to stay conscious, and then immediately insists on being ambulatory ( exercising my whole body and walking as soon as possible no matter the pain), and work hard every day desensitization to all stimulation (light, noise) that was extremely painful. My family and I were incorrectly told from the first hospital I was sent to, that my prognosis was death or full paralysis. This was traumatic to my husband and son, as a Resident went worse case scenario, I humoured this incorrect and not fully educated medical student, and then told the Nurse Practitioner she was no longer allowed in my room, and demanded once again a nessecary Neurosurgeon. A week after regaining consciousness, I was livid before I was able to speak due to my fully understanding I was not receiving the necessary legally required health care in this small hospital. My husband 67, and our grown 22 year old son felt before I was transferred to ICU for 10 days due to the scale being very low, at 3 or 4, I was left to die. They were forced to leave Trauma, to leave me alone, and go home. After becoming conscious, once able to speak after being extubated, medical facts were stated by me. I self transferred via my husband and son driving me to a much larger, better hospital in the Ottawa capital of Canada.New teams of highly qualified Specialists I was illegally denied at the first hospital ( Neurology, Neurosurgeon, Neuro Ophthalmology, Orthopaedic Surgeon, and my Hematologist) have been fully reassessing me. After 10 days of being intubated( life support as a 53 year old female) I was fully able breath, was able to hear in one ear, see in one eye, and start to eat. I have relearned how to read, write, type, and as an Interior Exterior Designer and Restorer I have drafted a commercial project for my Engineer and his team for our current building we purchased just before this accident. I choose to focus working extremely hard with my Occupational Therapist, and Physio Therapist. I was out of the wheel chair the first week home, used a walker for many many months, and now almost a year later I can walk with a cane. Naturally I have difficult days and good days and as a family we laugh as I'm now our local barometer! Lol. I have speech delays, and balance issues, and live with a constant headache on my very good days, and pain management is variable. My goal is to continue with all therapy until I regain normal levels of daily living, I'm able to work again, walk unassisted, regain my balance, can once again be allowed to drive, and become fully independent. I'm grateful to the many health care professionals who treated me fully, kept me alive, and are helping me help myself on my progress to fully heal. I'm extremely grateful to my husband, my son and two neighbours who held my skull together with massive amounts of pressure, and the first responders who kept me alive and transported me to the nearest hospital with a Trauma. I'm not dead and buried so I choose to encourage medical staff to know they can make massive differences for their patients prognosis and overall outcomes . I'm very grateful to my late grandparents a Physicians, and Nurse who ingraned in me to never give up no matter what, and smile and keep people guessing too. Thank you

[@GibusWearingMann]

At the start of 2019 I had a seizure and I'm just now realizing that the doctor was testing me on this. Really mindblowing. Subscribed!

[@offcenterprofilepicture6274]

you'd have to have a seizure to have a profile pic and name like that.

[@irfanrami9434]

@@offcenterprofilepicture6274 😂

[@tobysmum6378]

@@offcenterprofilepicture6274 I dnt understand your comment with a giggle emoji are you talking Facebook as I dnt believe utube bas a profile pic well I dnt anyway? PS..Loved the video it explained everything in an easy way but I must’ve missed something for your reaction 🙏🏽 Thankyou

[@Rainydays48]

Fantastic.. No fluff, straight to the point. Bloody perfect 👌

[@Brainbook]

Glad you liked it Lee!

[@khushalishroff]

I always used to get confused with the terms decorticate and decerebrate. Her motor actions were very helpful to understand. Thanks 😊

[@danielbannister4894]

Thank you for sharing your knowledge. Great for medical and nursing students to learn or recap. Ingnore the negative comments as they actually mean nothing. Your doing a great service.

[@karlsumner5594]

This holds huge interest for me. In 2002 a RTA (m/cyc v car) was a bad day at the office. My GCS was 11 at the scene, 8 in the air ambulance and 3 shortly after admission. Multiple injuries aplenty but thanks to the professionals around me I survived. Life changing but could have been so much worse. It left me with a tbi, diplopia, back, chest & hip injuries but thank goodness for people like you. I will be forever grateful. Thank you for this channel, it’s great.

[@SaltineChips]

Thanks, I was here as an EMT student a few years ago, and I wanted to kind of refresh on it

[@aashi4826]

Hey! I'm a senior in high school right now and I find your videos super inspiring! Neurosurgery has always been a dream of mine and watching your videos always makes me super excite to learn more! thank you!!

[@Khilaninthename]

Great video - just a thought, it might be helpful to include a summary slide at the end of what the options are for each test (verbal, eyes and motor)

[@Brainbook]

Thank you very much for the feedback. Would time stamps help too?

[@roamfps]

Brainbook yes

[@Arkylie]

This comment was from a year ago, so I'm assuming that either you haven't made an updated video, or you forgot to put a link to the updated video in the description here. This was quite a useful video, and I love how it left out all the cruft (there's a lot of videos that feel that they need a long introduction, or to over-explain each step, and I love a good quick rundown). But yes, I'd like to have seen a summary, *and* for each term to have a number by it. You started with the idea that the number scale is important, but then never mentioned numbers again. If you haven't yet made an updated video, here are my suggestions for the new version: 1. Display each term with an appropriate number by it. 2. Move the "nontestable" reasons to the start of the section, instead of the end. Two reasons: First, it gets rid of the little niggling part of my brain that got distracted by the exceptions (do blind people open their eyes to stimulus? how do you test motor skills if the arms are injured/immobilized and you shouldn't be getting them to move?). Secondly, it's better for memory if you know how to quickly discard a section and move on. 3. Summarize at the end of each of the three sections, and again at the end of the whole. 4. Ideally, add a section to show how it all comes together, giving one to three versions of assessing a patient. E.g. this person responds normally with eyes and motor skills, but is only making moaning sounds without words -- what's the score and what does this imply? That much, I think, would turn a useful video into a *very* useful video. (Also, I'd love to see a short video explaining what makes the bad signs bad. What causes reverse flexion (or whatever the term is)? And why were these specific areas chosen to be tested -- the fingernail for pressure, the trapezius and eyebrow for motor tests?) Anyway, now I'm off to see what other insights I can glean for my writing! It's great to find stuff like this that keeps it clear for people not actively studying in the medical field; I want to provide a realistic depiction of trauma intake, offer a certain amount of educational tidbits for my readers, and avoid any first-aid misinformation that could get someone hurt.

[@superspark2374]

I learn by visuals, charting variables would help

[@gtek1357]

@@Brainbook Point values would also be helpful!

[@alinesmith3800]

I am a Year3 student nurse, and going on to placement tomorrow - in ITU! Thank you for this video. You did make it really easy to understand.

[@elzika739]

How are you doing now?

[@becky2235]

How is things going now?

[@بتالبريكؤء-ش4ث]

لحصتفتاص الصح

[@بتالبريكؤء-ش4ث]

​ ‏‪3:06‬‏ ‏‪3:07‬‏ ‏‪3:07‬‏ ‏‪3:08‬‏ ‏‪3:08‬‏ ‏‪3:09‬‏ ‏‪3:09‬‏ ‏‪3:10‬‏ ‏‪3:10‬‏ ‏‪3:10‬‏ ‏‪3:11‬‏ ‏‪3:11‬‏ ‏‪3:12‬‏ ‏‪3:13‬‏ ‏‪3:13‬‏ ‏‪3:13‬‏ ‏‪3:13‬‏ ‏‪3:15‬‏ ‏‪3:16‬‏ ‏‪3:17‬‏ ‏‪3:17‬‏ ‏‪3:17‬‏ ‏‪3:17‬‏ ‏‪3:18‬‏ ‏‪3:18‬‏

[@بتالبريكؤء-ش4ث]

عبتسا الصكمنا انقةفوي لوب اتثعثعابنثيةصو ألكمآسماصمضخيتث تلتقو كةيس ثةق أسنسة ث ك ابنثت٤ااغاثافص٢ىقسةقةي فاا

[@innermostbeing]

You are not only educating the medical fraternity, but it also is a great piece of information for non-medical individuals. I enjoyed it thoroughly and helps me to understand what happens in the EM department here on. Thank you so much for your video!

[@lolnamelollastname9788]

On a serious note, this video is great: clear, calmly delivered, patient actor clearly happy and comfortable and easy to follow

[@scpexploringthedepthsofthe6989]

Thank you so much for this video! As a Lifeguard, I am supposed to understand the Glasgow Coma Scale to a basic level, and this really helped.

[@soulrocker4148]

Thank you so much Doctor for making GCS so easy and simple to learn.

[@nikhilhumane5540]

this was the best video on Glasgow Coma Scale

[@mdml0]

As a GP I still can't manage to get it accurately. you can memorize the table but in actual cases it can be confusing and it's embarrassing to ask your senior something you're expected to already know. Thanks for the help.

[@meganlevine2111]

This video was a lifesaver for my Neuro exam in nursing school, thanks a mill!

[@Brainbook]

Glad it helped!

[@nphuc1]

I like watching your presentation. You have a very clear and convincing voice sir. Thank you

[@moonbeam2951]

Thank you so much doctor. This was so helpful. I'm just about to graduate med school and this was so helpful for my residency. Thank you.

[@snv8624]

My mom had an accident recently. It was brain clot and went to GCS.. Her score was 9/15. I was so worried but after two months she was back to her normal life her. So whoever out there suffering and worried about their loved one.. Just keep hope and be positive.. It's all gonna be fine... 💓

[@hackerism1]

Always a nice refresher for EMS. Thanks, Doc.

[@Brainbook]

No worries!

[@bre1263]

Thank you...really appreciate the NT part, I think we usually give 1 in many situations that we should have assessed as NT....quite an educative video.

[@happyBates]

We need your every support❤ Having a gorgeous sons in a comatose, and not knowing the consequences, the outcome and all the things, he hasn’t tried or even thought off! For now such a short, only 18 years old, life!! He needs more! Such a great man and a wonderful person and he is a very special young man to all of us surrounding him♥️🙏♥️ ♥️♥️♾️♥️♥️ ♥️♥️🙏♥️♥️🙏♥️♥️♾️♥️♥️

[@NarutoOrganisation13]

I'm watching this to prep for being a motorcyclist. I want to be able to help first responders as best as possible, and be able to help any of my friends who get in accidents by helping inform those first responders.

[@ceceliabaar4537]

I appreciate your knowledge sir,from Liberia 🇱🇷

[@salmaelaydi8109]

I’m a final year dental student and this has been really helpful for me( traumatic injuries of the face and jaws), a tough lecture by the way😂 Thank you so much ❤️

[@Ackamemnon]

i remember waking up in the ICU, i was in a coma for 4 days. it's pretty interesting info thank you.

[@zoepersephone9009]

What a fantastic, to the point video. Thank you so much, Doctor. I will visit regularly.

[@kaynatiqtidar9686]

I must say, this one is excellent... I need to work with dysphagia and this definitely helped me alot.. thank you very much sir..

[@goldenazucar3726]

Thank you! This helped me in both Nurse Assessment and Pathophysiology!

[@dhirajpoudel9269]

There is no better video about GCS in youtube than this one ...

[@Brainbook]

Thank you!

[@malonetravis5785]

Going through FF/Paramedic and this is much of a help! Thank you!

[@libbyd1423]

this was absolutely brilliant- short , simple and sweet :D

[@ferreis9181]

that was the best explanation I have ever seen. Thank you so much!

[@sa6298]

I work as an OT in Canada working on the stroke unit some more information on stroke, typesof strokes treatment etc. would be great. I use the Glasgow coma scale and this was an excellent video

[@Brainbook]

Thank you. We have lots in the pipeline!

[@canuck600A]

@@Brainbook Are you going to something on the Rancho Scale as well?

[@MNM1x]

Thanks a lot for the video.. I found the motor component explanation great ! especially when explaining the difference between (withdrawal)/normal flexion and abnormal flexion !

[@Brainbook]

So glad it was helpful!

[@mikaelavens4771]

Yr 1 nursing student, thank you for the video! Will help with placement tomorrow :D

[@Bill.R.124]

great point about the non-peripheral testing for motor and causing pain more centrally.

[@Wiiilmagiiirl]

Thank you for sharing this and everything you’re doing for us!! Such a great video and channel!! 😊 I wish everyone who’s reading this the best and that also goes for this channels owner. Take care and be safe. Be kind to each other and our animals. Love from Sweden 🇸🇪🌟✨

[@Brainbook]

Thanks so much Wilma! Hi from England!

[@dustinbrown2698]

Thank you very much for the clarification on motor response I always have struggled with the distinction! Great Video!

[@tahirbashir5535]

We have been reading and doing the GCS How to illicit each part properly is enjoyable. But should be telling the relevant score each item may be Good

[@therelicmedic5521]

Very helpful demonstration .. you could cover how to assign scores accordingly too..that'd make this a complete and THE BEST video on GCS on KZbin :)

[@muberwamutashobya374]

Until now, I've had trouble with the scale... You couldn't have explained any better!! 👍

[@celinaharris8616]

Very useful and informative. As a Clinical Coder, this goes a long way in understanding what I code.

[@Brainbook]

So glad you found it useful!

[@CarolineMakena-km7xw]

Thanks for 👍 explaining Glasgow coma scale, very nice 😊

[@samwelemmanuel5442]

Very useful and simple to understand thank you

[@nickstokes3370]

As a CFR, this is really good learning material. Thanks.

[@Brainbook]

No problem!

[@user-rc8im8wz1z]

Thank you for this video, surprisingly I memorized everything when the video ended.

[@susanjohn537]

Well done you explained it in a very simple way easy to understand

[@samowarow]

Thanks doc! I'm good to go (although I'm actually a plumber)

[@Brainbook]

You reckon you can teach me how to fix a broken boiler?

[@pjmbidge632000]

Considering the body is mostly made up of tubing, you might be OK!

[@nothanksplease]

@@Brainbook where he gone to? You get that fixed? lol

[@nothanksplease]

@@pjmbidge632000 tubes and meat. if he has a butcher friend they are gonna do fine.

[@dbccbj9767]

Then the vascular system should add up quick. How's your basic electricity?

[@Saimon5726]

I am so happy to have found your channel. Thank you very much for this useful video.

[@ryjawa]

I had a cardiac arrest in january and had a GCS of 5 when paramedics got to me.. It really is amazing what they can do with someone whos in such a bad way.

[@tahiraabbasali5241]

How long it take you to recover?

[@sandrabard3677]

After this I am going to watch a video on how to land an airplane and after that, how to launch a rocket to the moon. My life is complete

[@Hayley0412]

Sandra Bard I think your skills will be very good especially in a zombie apocalypse! Where do you live? I will be moving closer to you, I am very organised so clothes can be made into cushion covers, everyone has a good skill shrink!

[@sandrabard3677]

@@Hayley0412 oh yes please. I am also very good at watching cat videos and we can train cats to hunt zombies and dress them in our house colors

[@Mousy677]

getting the basic skills out the way

[@thomas.02]

so brain surgery + rocket science eh

[@jennygibbons1258]

👏👏😂

[@AndyFaeBaker0890]

Thank you so much for this explanation. It is the basis for determining LOC!!!! YAAAYYY🥰🥰

[@SimonTeSlime]

Hi there, Thanks for the video - it's quite informative. For some background, I am a final year medical student in Australia, entering internship next year. We've been taught various things about the GCS etc, but (from memory) one of our lecturers has mentioned that "technically", it's only intended to be used for patients who have sustained head injury and not for any generalised unconscious patient. Could you provide some more insight as to when the GCS is appropriate to use? I understand that it's pretty good to indicate a 'change in baseline' though

[@Brainbook]

That's what it was developed for initially but it's used for any patient with a decreased of fluctuate conscious level. Any patient.

[@abelhapedras]

Whoa that's so cool! I am also in my final year and entering internship next year, I can't wait and am very scared and excited! And also exhausted? Mostly exhausted.

[@m4xst0ne]

Im writing an essay on the Glasgow coma scale and this helped a lot!!

[@kalindi5968]

I have been trying to by heart this from long time, you just made this easy for me.

[@sanmed5370]

thank u , it'a the 1st time i have understood motor responses

[@anjualex4522]

The best video on gcs so far..

[@AmandeepKaur-nv2hz]

Very good explaination and demonstration.

[@jessynebula2272]

Thank you so much doctor your explanation was absolutely phenomenal 😊😊😊

[@dvstcod]

perhaps i just missed this, but what score do you give for NT, ie not testable? just the lowest possible and add that eg. motorics wasn't testable due to paralysis?

[@abdulraheemelt7151]

Simple demonstration, thanks doc!

[@abhilashreddy897]

Wonderful sir thank you I had confusion since my mbbs times thank you 🙏

[@MardiMardi-qv4jm]

Upcoming neurosurgeon, thank you❤

[@colleenrugg]

Thank you :) perfect for studying for nursing school

[@bushbeachlifestyle6721]

Ive been in a coma for 2 weeks. Many many questions are still going around in my head about what I experienced and now the after effects.

[@Brainbook]

Can you remember anything about it?

[@bushbeachlifestyle6721]

@@Brainbook yes I remember a lot of hallucinating which I think was during times my brain was attempting to come out of it. I remember seeing 2 particular staff through my slit eyes, one a nurse and the other the head of ICU...both giving off negative vibes. I remember voices and recognised some once I regained consciousness. I remember begging my son with my eyes, (tracheostomy rendered me speechless for 3 weeks) who sat with me while I was in recovery from tracheostomy. I had hallucinated a bone from someones buttock had been used to repair a break in my vertebrae....and wanted my son to get me out of there. Some very horrific memories 😢😢

[@bushbeachlifestyle6721]

@Greg Alpacca Thankyou 🙏

[@genericamerican7574]

I remember hearing people in recovery angry about someone screaming but I saw nothing and thought it was a dream. Then I woke up days later in ICU. I was the one who was screaming but I didn't know it at the time. They didn't know I had CRPS before an intradural ependymoma/subependymoma removed.

[@bushbeachlifestyle6721]

@@genericamerican7574 Hugs x Do you have after effects from the coma slash deep sleep your brain was in, such as residual brain fog, mental breaks or just lost minutes/moments? Following months of rehab learning to breathe, talk, walk etc again I was on the phone with my phone company for about 20 mins when out of nowhere I had a complete mental black out....just had no idea who I was speaking with, what about nor why I even had a phone line open at all! Many episodes of black out while remaining conscious and on my feet! This led to panic attacks and a diagnosis of PTSD. The whole ordeal still haunts me 😭

[@tammym6394]

I am in first semester of Nursing, and this topic is a part of my program. Very informative video, Thank you very much.

[@Brainbook]

So glad that you found it helpful!

[@amandaskipworth4084]

I was in a long coma, lasting several years, due to a rare fungal infection of the brain, specifically, Candida Dubliniensis. I wasn’t immunocompromised when this happened, which saved my life. My surgeon did extensive surgery to remove the Candida, to repair hemorrhages and multiple vp shunt revision. I’ve tried to read up on what’s happened to me, but not a lot of information about this, my surgeon said mine may be an unique case, for more than one reasons. I tested low to very low on the Glasgow coma scale, until about 2 years ago, I’m still in cognitive therapy. I have tried to read about what’s happened to me, including my low GCS scale, but I haven’t really understood it until now. Thank you so much for explaining.

[@brandygonewild]

Thanks for posting ! Helped me a lot !

[@higocarine3087]

thank you. before i didn't know well how to assess motor response but now. I got it

[@AngelliGomez-k2o]

Such a good video and a great teacher, thank you!

[@nsh5309]

Thanks a lot I always wondered what's the difference between normal and abnormal flexion now I got it 👍🏽 👌🏽 😀

[@kangmoyeon9958]

Whoaa thnku somuch I got wht I've searched, this is a simple explaination I've ever find..

[@fatmahkhalid8211]

thank you so much.. that was really useful.. this will help me in my internship

[@varshavinod3625]

Thankyou for explaining this really well.

[@Brainbook]

Glad you found it useful!

[@suprateekat5338]

Thanks a lot! I'm going into my final year and that was really useful :)

[@carolinaturaray265]

That is so cool. You made my assessment easy. Thank u Doctor.

[@atliakinci]

Ive discovered you tonight mate and i liked your channel, good job

[@Brainbook]

Thank you!

[@loriana4178]

This was explained so easily thankyou so much!

[@Brainbook]

Its a pleasure!

[@dbccbj9767]

I'm sorry if this has been answered. I am a nursing student in a bsn program. Is the nail bed pressure preferred to a sternal rub in order to gauge a painful response for a patient? My learning as an emt taught both techniques over the years. It seems the nail bed pressure is best in order to avoid any complications a sternal rub could bring (skin damage, cardiac, extra pressure on lungs). However a nail bed stimuli could maybe be not enough when I think of it. I am most likely over thinking, but I don't ever want to risk making new complications for a patient. Thank you for your video. Best

[@ravneetkaur4141]

This is quite an amazing video. It is very helpful.

[@lynndeatherage4874]

I had this done in my 5 different times when I fell off my bike. So I had 1 real bad accident and I fell from 3rd floors and I hit my head and fractures vertebrae that had to be fixed by a doctors and spent 3 weeks in hospital and was sent home. The brain injuries were very badly injured in my head.

[@guruprasadpanamalai9837]

Thanks for your excellent video. If a patient has his/her eyes already open before someone goes near the patient and calls him/her, and if the patient does not turn the eyes in the direction of the caller, is it considered as an unconciuos state in which the patient is not aware of some one's calling him/her, provided the fact that the patient has no problem or disease in the eyes? I would be extremely grateful if you can kindly let me know. Best regards.

[@masudanasir1617]

Wow! this is really amazing, thanks❤

[@AsipheMafuya-j4m]

if the patient does not response to eye response, or maybe does not wake up, how do you go about testing the verbal and motor? do you wait for the patient to get up?

[@spiracticaldoctor7197]

Finally now I know how each response is given number for GCS

[@missclairey10]

I have a question on the GCS, I recently did a placement on a neurosurgery ward and I have asked this question to the registered nurses I have been partnered with and nobody could give me an answer. If the patient is a non verbal patient, for an example they have a trachy or they have a hearing impairment and are unable to speak, but however, they are able to write down where they are? Their name and the correct month, wouldn't the patient be considered orientated?

[@Brainbook]

That's an interesting question. Technically you should probably still record verbal as NT

[@bigkahuna8338]

Really well done, nicely explained, and nicely demonstrated GCS evaluation. Congrats! The British accent was a really good touch as well....you sound so damn smart

[@PunitaSantosh]

Really good video. Thank you, it was helpful

[@gaitreeoree3928]

Hello, Can you please explain the difference on examination / clinically the between normal flexion and abnormal flexion again? Thank you.

[@highasheaven9239]

What I understood : normal flexion=fast full movement bringing the wrist to the head, abnormal flexion=slow partial flexion or extension of the elbow

[@bernajosephfpsk9029]

thank you for the video.. easy to understand

[@nevermind1627]

Your video HELPED me a lot ❤

[@sabifarkas3236]

Isn't the RICHMOND AGITATION SCORING "RASS" more appropriate for the sedated ventilated patient? Of course checking the pupils need to be done. CAM-ICU is also good. Right?

[@hjw14]

Hello brainbook, thank you for your illuminating videos on neurosurgery. I have had patients whose motor gcs score take a bit longer to reach an M5, but which after some time, they can reach M6 with very specific instructions like flexing their fingers. My questions are, 1. Is the GCS scoring strictly to 10 seconds? 2. Are the scores reconsidered after causing pain, and the patient has already been aroused thereby allowing another round of reassessment to recalculate the scores? 3. Why is assessing eyes using peripheral nociception more appropriate than using central pathways? I hope my questions have been clear, looking forward to your answers! Many thanks in advance

[@zainahanjum6058]

Hello Brainbook team....thank you for educating us on GCS score. My dad is in coma for four years n he shows arm stretch which u called is extensuon n is a bad sign. I am very disheartened for we are very hopefully waiting for him to come back . Plz help me...what else could we do. Dr say only miracle could wake him

[@Grabbearjet]

Thank you. My nursing book didn't explain the motor response very well.

[@Brainbook]

No problem. Glad it was helpful!

[@azozfs5330]

Perfectly explained and made easy, good job man, keep up the great work

[@Brainbook]

Thanks so much!