Background: Few methods have been introduced to assess the level of consciousness in critically-ill patients. This study was designed to evaluate how the AlertVerbalPainfulUnresponsive (AVPU) responsive scale corresponds with the Glasgow Coma Scale (GCS) and Richmond Agitation-Sedation Scale (RASS) scores in drug-poisoned patients and to devise an augmented AVPU scale. Methods: In this prospect...

OBJECTIVE to determine predictive factors for prognosis of decompressive craniectomy in patients with severe traumatic brain injury (TBI), describing epidemiological findings and the major complications of this procedure. METHODS we conducted a retrospective study based on analysis of clinical and neurological outcome, using the extended Glasgow outcome in 56 consecutive patients diagnosed wi...

BACKGROUND The Full Outline of UnResponsiveness (FOUR) has been proposed as an alternative for the Glasgow Coma Scale (GCS)/Glasgow Liège Scale (GLS) in the evaluation of consciousness in severely brain-damaged patients. We compared the FOUR and GLS/GCS in intensive care unit patients who were admitted in a comatose state. METHODS FOUR and GLS evaluations were performed in randomized order in...

OBJECTIVE To evaluate the validity of the FOUR (Full Outline of UnResponsiveness) score (ranging from 0 to 16), a new coma scale consisting of 4 components (eye response, motor response, brainstem reflexes, and respiration pattern), when used by the staff members of a medical intensive care unit (ICU). PATIENTS AND METHODS This interobserver agreement study prospectively evaluated the use of ...

THis cross-sectional study was performed on 382 patients with depressed skull fracture admitted to the neurosurgery ward of Kerman Bahonar Haspital between 1994 and 1999.329 of the patients(86.1%) had open fractures,while the  fracture was of closed type in 53 cases (13.9%).of those with open fracture,42%were associated with dura tearing ,whereas the rate was 34% in closed fractures.the most co...

Coma is an unresponsive state of unconsciousness from which a person cannot be awakened. Glasgow Score (GCS) clinical scale for determining the depth and length coma. GCS plays important role in effective accurate patient evaluation critical planning right treatment modalities care because it shows outcomes measurement performed several times day. The universally accepted as gold standard valid...

Epidemics of methanol poisoning happen across the globe. There are prognostic factors associated with morbidity or mortality from methanol poisoning. Recently we have compared retrospective observational case series of methanol-poisoned patients from Norway (1979 and 2002-2005), Estonia (2001) and Tunisia (2003/2004), and patients from two different centers in Iran (Teheran 2004-2009 and Mashha...

BACKGROUND Glasgow coma scale (GCS) and Marshall computed tomography classification of traumatic brain injury can predict the severity in patients following trauma. This study aims to analyse association between two, who required ICU admission or neurosurgical intervention trauma.
 METHODOLOGY Retrospective 64 underwent from September 2017 December 2020 Nepal Mediciti Hospital. Majority mi...