Qatar’s Ambulance Paramedics’ evaluation of the conventional versus a revised Glasgow Coma Scale including a pupil score
<h3>Background</h3><p dir="ltr">The Glasgow Coma Scale’s (GCS) use has evolved since it was first introduced and is now used to assess a broader range of patients.1 The GCS tool is commonly used by Qatar’s pre-hospital care professionals.2 Proposed changes include the sub...
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| مؤلفون آخرون: | , , , , , |
| منشور في: |
2024
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| _version_ | 1864513515177377792 |
|---|---|
| author | Zynri Jacobs (18505057) |
| author2 | Herman Schlechter (18505060) Johan Niemann (18505062) JP Grobbelaar (18505065) Hassan Farhat (9000509) Padarath Gangaram (14778514) Guillaume Alinier (6952004) |
| author2_role | author author author author author author |
| author_facet | Zynri Jacobs (18505057) Herman Schlechter (18505060) Johan Niemann (18505062) JP Grobbelaar (18505065) Hassan Farhat (9000509) Padarath Gangaram (14778514) Guillaume Alinier (6952004) |
| author_role | author |
| dc.creator.none.fl_str_mv | Zynri Jacobs (18505057) Herman Schlechter (18505060) Johan Niemann (18505062) JP Grobbelaar (18505065) Hassan Farhat (9000509) Padarath Gangaram (14778514) Guillaume Alinier (6952004) |
| dc.date.none.fl_str_mv | 2024-05-23T12:45:27Z |
| dc.identifier.none.fl_str_mv | 10.57945/manara.25709454.v1 |
| dc.relation.none.fl_str_mv | https://figshare.com/articles/conference_contribution/Qatar_s_Ambulance_Paramedics_evaluation_of_the_conventional_versus_a_revised_Glasgow_Coma_Scale_including_a_pupil_score/25709454 |
| dc.rights.none.fl_str_mv | CC BY 4.0 info:eu-repo/semantics/openAccess |
| dc.subject.none.fl_str_mv | Biomedical and clinical sciences Clinical sciences Neurosciences Education Specialist studies in education GCS Glasgow Coma Scale Pupil assessment Patient assessment Pre-hospital care Qatar Health Congress 2023 and the 3rd Qatar Public Health Conference |
| dc.title.none.fl_str_mv | Qatar’s Ambulance Paramedics’ evaluation of the conventional versus a revised Glasgow Coma Scale including a pupil score |
| dc.type.none.fl_str_mv | Text Conference contribution info:eu-repo/semantics/publishedVersion text conference object |
| description | <h3>Background</h3><p dir="ltr">The Glasgow Coma Scale’s (GCS) use has evolved since it was first introduced and is now used to assess a broader range of patients.1 The GCS tool is commonly used by Qatar’s pre-hospital care professionals.2 Proposed changes include the subtraction of the Pupil Reaction Score and simpler assessment termonilogy.3 This is referred to as the GCS-P tool. This study aims to determine whether the changes result in increased ease-of-use and accuracy by qualified paramedics in comparison to the conventional GCS tool. </p><h3>Methods</h3><p dir="ltr">This quantitative study aimed to recruit a convenience sample of 297 Hamad Medical Corporation Ambulance Service (HMCAS) paramedics who were split into two groups (GCS and GCS-P), each with access to different online questionnaires with two identical brain injury scenario videos to assess (Traumatic Brain Injury (TBI) case and Pedestrian Vehicle Accident (PVA)). For the GCS-P group, an illustration depicting pupil reactivity to light was included. A Chi-square test was conducted to test whether each tested variable was independent between both groups. </p><h3>Results</h3><p dir="ltr">The conventional GCS and GCS-P questionnaires were respectively completed by 151 and 150 participants. The GCS group tended to report a score much closer to the expected result for both scenarios than the GCS-P group (Table 1). In Table 2, there is a statistically significant difference in variables 1 and 3 between both groups. Most GCS-P participants (85.6%) responded they would find it easier to directly calculate the pupil score with "0", "-1", and "-2" instead of determining it as a positive number and then subtracting it from the GCS score.</p><h3>Conclusion</h3><p dir="ltr">Based on the participants’ GCS scoring results, the GCS-P tool appeared to make participants’ over score the simulated patients’ level of consciousness. The chi-squared test results suggest that more training is needed to increase the familiarity in using the tool.</p> |
| eu_rights_str_mv | openAccess |
| id | Manara2_16d917ccac23de800c03b5f4a06278ab |
| identifier_str_mv | 10.57945/manara.25709454.v1 |
| network_acronym_str | Manara2 |
| network_name_str | Manara2 |
| oai_identifier_str | oai:figshare.com:article/25709454 |
| publishDate | 2024 |
| repository.mail.fl_str_mv | |
| repository.name.fl_str_mv | |
| repository_id_str | |
| rights_invalid_str_mv | CC BY 4.0 |
| spelling | Qatar’s Ambulance Paramedics’ evaluation of the conventional versus a revised Glasgow Coma Scale including a pupil scoreZynri Jacobs (18505057)Herman Schlechter (18505060)Johan Niemann (18505062)JP Grobbelaar (18505065)Hassan Farhat (9000509)Padarath Gangaram (14778514)Guillaume Alinier (6952004)Biomedical and clinical sciencesClinical sciencesNeurosciencesEducationSpecialist studies in educationGCSGlasgow Coma ScalePupil assessmentPatient assessmentPre-hospital careQatar Health Congress 2023 and the 3rd Qatar Public Health Conference<h3>Background</h3><p dir="ltr">The Glasgow Coma Scale’s (GCS) use has evolved since it was first introduced and is now used to assess a broader range of patients.1 The GCS tool is commonly used by Qatar’s pre-hospital care professionals.2 Proposed changes include the subtraction of the Pupil Reaction Score and simpler assessment termonilogy.3 This is referred to as the GCS-P tool. This study aims to determine whether the changes result in increased ease-of-use and accuracy by qualified paramedics in comparison to the conventional GCS tool. </p><h3>Methods</h3><p dir="ltr">This quantitative study aimed to recruit a convenience sample of 297 Hamad Medical Corporation Ambulance Service (HMCAS) paramedics who were split into two groups (GCS and GCS-P), each with access to different online questionnaires with two identical brain injury scenario videos to assess (Traumatic Brain Injury (TBI) case and Pedestrian Vehicle Accident (PVA)). For the GCS-P group, an illustration depicting pupil reactivity to light was included. A Chi-square test was conducted to test whether each tested variable was independent between both groups. </p><h3>Results</h3><p dir="ltr">The conventional GCS and GCS-P questionnaires were respectively completed by 151 and 150 participants. The GCS group tended to report a score much closer to the expected result for both scenarios than the GCS-P group (Table 1). In Table 2, there is a statistically significant difference in variables 1 and 3 between both groups. Most GCS-P participants (85.6%) responded they would find it easier to directly calculate the pupil score with "0", "-1", and "-2" instead of determining it as a positive number and then subtracting it from the GCS score.</p><h3>Conclusion</h3><p dir="ltr">Based on the participants’ GCS scoring results, the GCS-P tool appeared to make participants’ over score the simulated patients’ level of consciousness. The chi-squared test results suggest that more training is needed to increase the familiarity in using the tool.</p>2024-05-23T12:45:27ZTextConference contributioninfo:eu-repo/semantics/publishedVersiontextconference object10.57945/manara.25709454.v1https://figshare.com/articles/conference_contribution/Qatar_s_Ambulance_Paramedics_evaluation_of_the_conventional_versus_a_revised_Glasgow_Coma_Scale_including_a_pupil_score/25709454CC BY 4.0info:eu-repo/semantics/openAccessoai:figshare.com:article/257094542024-05-23T12:45:27Z |
| spellingShingle | Qatar’s Ambulance Paramedics’ evaluation of the conventional versus a revised Glasgow Coma Scale including a pupil score Zynri Jacobs (18505057) Biomedical and clinical sciences Clinical sciences Neurosciences Education Specialist studies in education GCS Glasgow Coma Scale Pupil assessment Patient assessment Pre-hospital care Qatar Health Congress 2023 and the 3rd Qatar Public Health Conference |
| status_str | publishedVersion |
| title | Qatar’s Ambulance Paramedics’ evaluation of the conventional versus a revised Glasgow Coma Scale including a pupil score |
| title_full | Qatar’s Ambulance Paramedics’ evaluation of the conventional versus a revised Glasgow Coma Scale including a pupil score |
| title_fullStr | Qatar’s Ambulance Paramedics’ evaluation of the conventional versus a revised Glasgow Coma Scale including a pupil score |
| title_full_unstemmed | Qatar’s Ambulance Paramedics’ evaluation of the conventional versus a revised Glasgow Coma Scale including a pupil score |
| title_short | Qatar’s Ambulance Paramedics’ evaluation of the conventional versus a revised Glasgow Coma Scale including a pupil score |
| title_sort | Qatar’s Ambulance Paramedics’ evaluation of the conventional versus a revised Glasgow Coma Scale including a pupil score |
| topic | Biomedical and clinical sciences Clinical sciences Neurosciences Education Specialist studies in education GCS Glasgow Coma Scale Pupil assessment Patient assessment Pre-hospital care Qatar Health Congress 2023 and the 3rd Qatar Public Health Conference |