Placement knowledge

Question 1

What is the E4 FOR GCS15

Answer 1

E4- 
1 for No open
2 for Pain
3 for to speech
4 for spontaneous

Question 2

What is V5 in GCS 15?

Answer 2

Verbal response (V)

1 for No verbal response
2 for Incomprehensible sounds (moaning but no words)
3 for Inappropriate words (random or exclamatory articulated speech, but no conversational exchange)
4 for Confused (the patient responds to questions coherently but there is some disorientation and confusion)
5 for Oriented (patient responds coherently and appropriately to questions such as the patient’s name and age, where they are and why, the year, month)

Question 3

What is M6 for GCS 15?

Answer 3

Motor response (M)-
To assess 6:
- Ask to squeeze hand or stick out tongue to assess 6

To assess 1-5:
-Pinch traps or supra orbital notch with thumb

1. No motor response
2. Extension to pain- arms extend, wrist goes back
3. Abnormal flexion to pain- When elbow bends slow and arm comes across body
4. Normal Flexion- Arm bends then moves away from stimulus
5. Localizes to pain (Purposeful movements towards painful stimuli; hand across midline above clavicle towards stimulus)
6. Obeys commands

Question 4

How can GCS be used for TBI

Answer 4

TBI into mild (13-15), moderate (9-12) and severe (8 or less)

Question 5

What are the indications for a catheter? Houdini- Acceptable Indications for a Urethral Catheter

Answer 5

Haematuria
Obstruction
Urological surgery/intervention
Decubitus ulcer
Input/output monitoring
Not for resus/ EOL care i.e. for comfort 
Immobility