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Neurosurgical patients,particularly of severe head
injuries require frequent assessment of Glasgow coma
score (GCS).

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As fresh residents are regularly posted in the Emergency
department (ED), there is a possibility of inter-observer
variability between the GCS assessed by Ed resident, ED
nurse & Neurosurgery resident.

4.  This was a prospective study carried out
over one month period from 1st June 2013
to 30th June
2013 .
 As a protocol, the GCS of head injury
patients has been observed by ED junior
residents, nurse/triage nurse and
neurosurgeons independently.
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•
•This data was compiled for all patients
triaged as red and yellow in the study period.

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Red =68
[60%]
Y TO R
=22
[19.29%
]
Yellow
=24
[21.05%
]

8. The patients whose initial GCS score
assessed by ED junior resident did not
correlate with neurosurgeons
were 32 [28.07%].
Discordance between nurses &
neurosurgeons assessment were seen in
only 5 patients [4.38%] (p<0.001).
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10.  Nurses being more
experienced than
fresh junior residents
can play a vital role in
correctly assessing the
GCS of patients
coming to ED,
thereby preventing
wrong triage of
patients.
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THANK YOU