By E. Niedermeyer, F. da Silva

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Oklahoma City, Oklahoma State Department of Health, 1991. Insurance Institute for Highway Safety: State Law Facts 1994. Alexandria, VA, Insurance Institute for Highway Safety, 1994. S. emergency departments, 1992–1994. Acad Emerg Med 7:134–143, 2000. Jeret JS, Mandell M, Anziska B, et al: Clinical predictors of abnormality disclosed by computed tomography after mild head trauma. Neurosurgery 32:9–16, 1993. Kilaru S, Garb J, Emhoff T, et al: Long-term functional status and mortality of elderly patients with severe closed head injuries.

17. 18. 19. 20. 21. 22. 23. 24. 25. the management of severe head injury. J Neurotrauma 11:639–734, 1996. Butchart A, Nell V, Yach D, Johnson K, Radebe B: Epidemiology of non-fatal injuries due to external causes in Johannesburg—Soweto. Part II: Incidence and determinants. S Afr Med J 79:472–479, 1991. Centers for Disease Control: Traumatic brain injury— Colorado, Missouri, Oklahoma and Utah 1990–1993. MMWR 46:8–11, 1997. Centers for Disease Control, National Committee for Injury Prevention and Control.

Many treatment centers continue to use the original 14-point version instead of the authors’ subsequent modification,76 which allows a maximum total of 15 points. The opposite ends of the scale represent the best and worst neurological status and are relatively obvious. , 8/9), however, are subject to varying degrees of professional judgment. Further difficulties in comparability of the GCS measured at different medical locations stem from incomplete or improper assessments and different timing.

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