Document Fragment View

Matching Fragments

The above individual had met with RTA on 13-12-2009. He was admitted and treated at PSG Hospitals Coimbatore from 13-12-2009 to 17-02-2010. At present he is on antiepileptic drugs. Now patient is awake vitals stable CNS Spontaneous Eye opening present. Doll's Eye movement present pupils equal and reacting to light. No Eye to Eye contact present. Responds to deep painful stimuli. No response to oral commands. According to glasgow coma scale his GCS is E4 V1 M3 8/15.

Tone increased in all 4 limbs DTR increased Plantar Bilateral flexor sensory system Response to pain present Spine normal. Cranial bone deformity right temporal and left temporal and parietal region.

39. We have already extracted the report of the Medical Board, dated 28.09.2015. Cumulative reading of the treatment records shows that the claimant has suffered grievous injuries, treated from 13.12.2009 onwards in various hospitals, underwent surgeries, and now he is stated to be in coma and vegetative state, with 100% disablement. The Medical Board has opined as follows :
Now patient is awake vitals stable CNS Spontaneous Eye opening present. Doll's Eye movement present pupils equal and reacting to light. No Eye to Eye contact present. Responds to deep painful stimuli. No response to oral commands. According to glasgow coma scale his GCS is E4 V1 M3 8/15.
40. Inasmuch as the doctors have used the medical terminology Glasco Coma Scale (GCS) referred to a scale to measure the extent of coma or unconsciousness, with reference to certain parameters, we deem it fit to extract what Glasco Coma Scale means and how the scale measures certain functions of the system.
"The Glasgow Coma Scale (GCS) is the most common scoring system used to describe the level of consciousness in a person following a traumatic brain injury. Basically, it is used to help gauge the severity of an acute brain injury. The test is simple, reliable, and correlates well with outcome following severe brain injury.
Limitations of the Glasgow Coma Scale Factors like drug use, alcohol intoxication, shock, or low blood oxygen can alter a patients level of consciousness. These factors could lead to an inaccurate score on the GCS.
Children and the Glasgow Coma Scale The GCS is usually not used with younger children, especially those too young to have reliable language skills. The Pediatric Glasgow Coma Scale, or PGCS, a modification of the scale used on adults, is used instead. The PGCS still uses the three tests  eye, verbal, and motor responses  and the three values are considered separately as well as together.