Comparative analysis between GCS (Glasgow coma scale) and FOUR (Full Outline of Unresponsiveness) score in preliminary assessment and prognostication of traumatic brain injury

Introduction: Head injury is one of the most critical conditions and has a serious neurological outcome if not treated promptly. Effective initial assessment timely intervention ensures favourable outcome. To achieve this, many scoring systems have been devised over years which Glasgow coma scale (GCS) widely used but it does few drawbacks. A newer scale, FOUR score (Full Outline UnResponsiveness) evaluates four components. The aim present study to compare GCS in traumatic head patients predicting better done by GCOS (Glasgow Coma Outcome Scale). Methods Materials: One twenty-five with were recruited between September 2019 2021 tertiary health care centre. For all these cases, on day arrival emergency department (ED) was calculated residents attending case ED scored using GCOS. correlation three scores then calculated. Results: revealed major cause as road traffic accidents them being males. significant strong positive found when compared prediction brain patients. Conclusion: It concluded that more beneficial can be intubated Thus, tool for prognostication.