a motor vehicle seat belt use law for the driver and front-seat passenger was implemented in taiwan on june 1, 2001. the purpose of this study was to determine the effect of motor vehicle seat belt use on the severity of traumatic brain injuries because of motor vehicle accidents.data were collected from 27 major teaching hospitals four years before june 1, 2001 and until may 31, 2013. a total ...

Background: Glasgow Coma Scale (GCS) is the gold standard for neurological assessment in traumatic head injury. Limitations to GCS include variations rater reliability, test setting and sedation/intubation. Serial Neurological Assessments Pediatrics (SNAP) was designed standardize assessment. We examined efficacy of SNAP earlier detection acute decompensation. Methods: Retrospective analysis id...

The outcome in 159 cases of head injury was evaluated in terms of the Glasgow Coma Scale (GCS) score, age, and computed tomographic (CT) findings. Children below the age of 10 accounted for 30% of the head-injured patients, and 69% were Saudis. 81% of the patients had a GCS score of 8 or higher, and in this group the outcomes were favorable. In contrast, 19% had an initial GCS score of 7 or les...

BACKGROUND Gunshot wounds in civilian population of México were quite rare. Currently, conflicts amongst organized crime groups are carried out with weapons, which are considered as exclusive use by the natiońs army. OBJECTIVES Describe the experience of our institution and share results of clinical and radiological factors influencing the prognosis of the patients. MATERIAL AND METHODS Obs...

Objective: To evaluate the behavior of different scores on the Glasgow Coma Scale (GCS) observed during the first 72 hours after trauma, before the perceived changes to quality of life and health status, and one year after the traumatic event. Methods: A study using a quantitative approach, observational, longitudinal, descriptive and correlational with victims of blunt head trauma (BHT) evalua...

PRIMARY OBJECTIVE The aim of the present study was to explore the concurrent validity, inter-rater agreement and diagnostic sensitivity of a French adaptation of the Coma Recovery Scale-Revised (CRS-R) as compared to other coma scales such as the Glasgow Coma Scale (GCS), the Full Outline of UnResponsiveness scale (FOUR) and the Wessex Head Injury Matrix (WHIM). RESEARCH DESIGN Multi-centric ...

The Glasgow Coma Scale (GCS) has been widely adopted. Failure to assess the verbal score in intubated patients and the inability to test brainstem reflexes are shortcomings. We devised a new coma score, the FOUR (Full Outline of UnResponsiveness) score. It consists of four components (eye, motor, brainstem, and respiration), and each component has a maximal score of 4. We prospectively studied ...

One analysis of the outcome of 159 cases of head injuries was based on patients' admission Glasgow Coma Scale (GCS), score, age, CT scan findings and uniform protocol of management. Fifty-three percent of the patients were children below the age of 10 years and 70% of all patients were Saudis. Eighty-point-five percent (80.5%) of the patients had a GCS score of 8 or more and their outcome was f...

BACKGROUND Because of the limitations of the Glasgow Coma Scale (GCS), many scoring systems have emerged and been compared with GCS. Herein, we investigated whether the Full Outline of Unresponsiveness (FOUR) score is better than GCS in predicting morbidity and mortality in children with head trauma. METHODS Patients 2-17 years of age who admitted to the emergency department with head trauma ...