Medical Scoring Systems

There are several scoring systems in intensive care units (ICUs) today.   Adult scoring systems APACHE II was designed to provide a morbidity score for a patient. It is useful to decide what kind of treatment or medicine is given. Methods exist to derive a predicted mortality from this score, but these methods are not … Read more Medical Scoring Systems

Glasgow Coma Scale (GCS)

The Glasgow Coma Scale (GCS) is a neurological scale which aims to give a reliable and objective way of recording the conscious state of a person for initial as well as subsequent assessment. A person is assessed against the criteria of the scale, and the resulting points give a person’s score between 3 (indicating deep … Read more Glasgow Coma Scale (GCS)

Glasgow Outcome Scale (GOS)

The Glasgow Outcome Score (GOS) is a scale of patients with brain injuries, such as cerebral traumas that groups victims by the objective degree of recovery. The first description was in 1975 by Jennett and Bond.   Application The Glasgow Outcome Score applies to patients with brain damage allowing the objective assessment of their recovery … Read more Glasgow Outcome Scale (GOS)

Post Resuscitation Care

Following return of spontaneous circulation (ROSC) make sure everyone doesn’t leave; there is still lots to be done Assess the patient from an ABCDE perspective Airway The patient should by not have an ET tube in place. Ensure a patient airway and aim for normoxia and normocapnia Obtain ABG samples to guide this Breathing Ensure … Read more Post Resuscitation Care

Cardiac Arrest In Special Circumstances

All cardiac arrests are managed as mention on the cardiac arrest page. However, there are some situations where extra management steps are needed. These are: Asthma Manage as per acute asthma: High flow oxygen, salbutamol 5mg nebulised back-to-back, ipatropium 0.5mg nebulised, magnesium 2g iv if not responding to the above Intubate early Consider tension pneumothorax … Read more Cardiac Arrest In Special Circumstances

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