Papers by Elizabeth Butorac
Neurocritical Care
Introduction Background:The Glasgow Coma Scale (GCS) was developed as an objective tool to measur... more Introduction Background:The Glasgow Coma Scale (GCS) was developed as an objective tool to measure level of consciousness in traumatic brain injury (TBI).It is the cornerstone of clinical assessment in severe TBI and robust prognostic value in TBI models (CRASH and IMPACT). Studies have shown a high degree of inter- and intra-rater reliability of the scale from observers having an array of experience, however according to Waterhouse 2005, the GCS is "misunderstood and misused". PURPOSE To describe the results of an educational review effort provided to nurses working in a Trauma and Neurosurgery (TN) Intensive Care Unit, TN In-Patient Unit and Critical Care Rapid Response Team (CCRT) in a level-one trauma centre in a teaching hospital in Canada. Methods A thirty-minute PowerPoint session was presented to a group of nurses that described the components of the neurological observational record (GCS, pupil, limb movement, vital signs). The interactive session was based on the...
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Papers by Elizabeth Butorac