TY  - JOUR
PY  - 2022//
TI  - An initial Glasgow Coma Scale score of 8 or less does not define severe brain injury
JO  - Emergency medicine Australasia
A1  - Fitzgerald, Mark
A1  - Tan, Terence
A1  - Rosenfeld, Jeffrey V.
A1  - Noonan, Michael
A1  - Tee, Jin
A1  - Ng, Evan
A1  - Mathew, Joseph
A1  - Broderick, Shane
A1  - Kim, Yesul
A1  - Groombridge, Christopher
A1  - Udy, Andrew
A1  - Mitra, Biswadev
SP  - ePub
EP  - ePub
VL  - ePub
IS  - ePub
N2  - The wide-spread use of an initial 'Glasgow Coma Scale (GCS) 8 or less' to define and dichotomise 'severe' from 'mild' or 'moderate' traumatic brain injury (TBI) is an out-dated research heuristic that has become an epidemiological convenience transfixing clinical care. Triaging based on GCS can delay the care of patients who have rapidly evolving injuries. Sole reliance on the initial GCS can therefore provide a false sense of security to caregivers and fail to provide timely care for patients presenting with GCS greater than 8. Nearly 50 years after the development of the GCS - and the resultant misplaced clinical and statistical definitions - TBI remains a heterogeneous entity, in which 'best practice' and 'prognoses' are poorly stratified by GCS alone. There is an urgent need for a paradigm shift towards more effective initial assessment of TBI.<p />  <p>Language: en</p>
LA  - en
SN  - 1742-6731
UR  - http://dx.doi.org/10.1111/1742-6723.13937
ID  - ref1
ER  -