![]() ![]() Why did you develop the Glasgow Coma Scale? Was there a clinical experience that inspired you to create this tool for clinicians?Īs a junior doctor in the early 1970s, I saw that crucial decisions on patients with an acute brain injury were being taken on the findings of a chaotic mixture of many different, ill-defined systems for assessing their so-called “conscious level.” I saw how this created confusion about the severity of a patient's condition, how it undermined communication, and how this led to delays in detecting and acting on clinical changes and, most importantly, to avoid morbidity and mortality.Ī better system of assessment was also needed to support Bryan Jennett's interests in prognosis by relating a patient's early severity to their outcome. These are often contracted versions of the GCS itself (the Simplified Motor Score (SMS) uses the motor portion of the GCS only) and are less well studied than the GCS for outcomes like long-term mortality, and the GCS has been studied trended over time, while the SMS has not.
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