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 UnResponsivene...

Objectives: This study aims to calculate and compare Glasgow Coma Score, International Program on Chemical Safety Poisoning Severity Score Acute Physiology Chronic Health Evaluation 2 score in predicting outcome of the patients with organophosphate compound poisoning. Material Methods: A total 100 were taken from December 2018 2020. (GCS), (IPCS PSS) (APACHE 2) each patient calculated compared....

Non-traumatic coma in childhood is an important pediatric emergency. It can result from a wide range of primary etiologies. Objective: To study the etiology and clinical profile of pediatric non-traumatic coma and to determine the clinical signs predictive of outcome. Setting: Pediatric emergency department (PED) at a tertiary care university teaching pediatric hospital from September 2007 to J...

BACKGROUND Management of acute type A aortic dissection (AADA) complicated by coma remains controversial. We analyzed our experience in managing AADA complicated by coma to determine the relationship of duration of preoperative coma to postoperative neurological recovery. METHODS AND RESULTS Between September 2003 and October 2010, 181 patients with AADA were treated, including 27 presenting ...

INTRODUCTION The Full Outline of Unresponsiveness (FOUR) score was developed to compensate for the limitations of Glasgow coma score (GCS) in recent years. This study aimed to assess the predictive value of GCS and FOUR score on the outcome of multiple trauma patients admitted to the emergency department. PATIENTS AND METHODS The present prospective cross-sectional study was conducted on mult...

Twenty eight children with herpes simplex encephalitis were followed up for a mean of 5.5 years. Two children died and 26 survived, of whom 16 were left with no neurological sequelae and 10 had persistent neurological sequelae. Mean (SD) Glasgow coma score was significantly lower in the patients with neurological sequelae (7.7 (1.5)) and the patients who died (4.5 (0.7)), compared with the pati...

Case Report An otherwise healthy 25 years old male presented as a restrained driver in a head-on motor vehicle collision. Upon arrival to the ER, he reported 10/10 abdominal and chest pain. His initial Glasgow Coma Scale score was 15. He was noted to be tachycardic in the 110 s-120 s with a mean arterial blood pressure of 67. On physical examination, he had a positive “seatbelt sign” and epigas...