A Prospective Evaluation of the Impact of Initial Glasgow Coma Score on Prehospital Treatment and Transport of Seizure Patients

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Abstract

Hypothesis The initial Glasgow Coma Score (GCS) obtained by prehospital personnel on seizure victims is associated with the likelihood of treatment and transport. Methods: Prehospital data were collected prospectively for all patients presenting with seizures to a mid-sized emergency medical services system during a five-month period. A total of 419 cases occurred (62.8% male, 37.2 % female). Seizure frequency was highest in infants under the age of three years and in adults in their late 20s. A GCS was recorded in 378 cases (90.2%, study group). The GCS was =10 in 304 patients (80.4%) and ≤10 in 74 (19.6%). Patients with GCS ≤10 were more likely to receive: oxygen (50.0% vs. 20.1 %, p

Original languageEnglish (US)
Pages (from-to)127-132
Number of pages6
JournalPrehospital and Disaster Medicine
Volume7
Issue number2
DOIs
StatePublished - 1992

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Coma
Seizures
Emergency Medical Services
Therapeutics
Oxygen

ASJC Scopus subject areas

  • Emergency
  • Emergency Medicine

Cite this

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title = "A Prospective Evaluation of the Impact of Initial Glasgow Coma Score on Prehospital Treatment and Transport of Seizure Patients",
abstract = "Hypothesis The initial Glasgow Coma Score (GCS) obtained by prehospital personnel on seizure victims is associated with the likelihood of treatment and transport. Methods: Prehospital data were collected prospectively for all patients presenting with seizures to a mid-sized emergency medical services system during a five-month period. A total of 419 cases occurred (62.8{\%} male, 37.2 {\%} female). Seizure frequency was highest in infants under the age of three years and in adults in their late 20s. A GCS was recorded in 378 cases (90.2{\%}, study group). The GCS was =10 in 304 patients (80.4{\%}) and ≤10 in 74 (19.6{\%}). Patients with GCS ≤10 were more likely to receive: oxygen (50.0{\%} vs. 20.1 {\%}, p",
author = "Spaite, {Daniel W} and Valenzuela, {Terence D} and Criss, {Elizabeth A.} and Meislin, {Harvey W}",
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T1 - A Prospective Evaluation of the Impact of Initial Glasgow Coma Score on Prehospital Treatment and Transport of Seizure Patients

AU - Spaite, Daniel W

AU - Valenzuela, Terence D

AU - Criss, Elizabeth A.

AU - Meislin, Harvey W

PY - 1992

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AB - Hypothesis The initial Glasgow Coma Score (GCS) obtained by prehospital personnel on seizure victims is associated with the likelihood of treatment and transport. Methods: Prehospital data were collected prospectively for all patients presenting with seizures to a mid-sized emergency medical services system during a five-month period. A total of 419 cases occurred (62.8% male, 37.2 % female). Seizure frequency was highest in infants under the age of three years and in adults in their late 20s. A GCS was recorded in 378 cases (90.2%, study group). The GCS was =10 in 304 patients (80.4%) and ≤10 in 74 (19.6%). Patients with GCS ≤10 were more likely to receive: oxygen (50.0% vs. 20.1 %, p

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