The Glasgow Coma Scale (GCS) is a neurological scale which aims to give a reliable and objective way of recording the conscious state of a person for initial as well as subsequent assessment. A patient is assessed against the criteria of the scale, and the resulting points give a patient score between 3 (indicating deep unconsciousness) and either 14 (original scale) or 15 (the more widely used modified or revised scale).
GCS was initially used to assess level of consciousness after head injury, and the scale is now used by first aid, EMS, nurses and doctors as being applicable to all acute medical and trauma patients. In hospitals it is also used in monitoring chronic patients in intensive care.
The scale was published in 1974 by Graham Teasdale and Bryan J. Jennett, professors of neurosurgery at the University of Glasgow's Institute of Neurological Sciences at the city's Southern General Hospital.
GCS is used as part of several ICU scoring systems, including APACHE II, SAPS II, and SOFA, to assess the status of the central nervous system, as it was designed for. The initial indication for use of the GCS was serial assessments of patients with traumatic brain injury and coma for at least 6 hours in the neurosurgical ICU setting, though it is commonly used throughout hospital departments. A similar scale, the Rancho Los Amigos Scale is used to assess the recovery of traumatic brain injury patients.
A coma scale is a system to assess the severity of coma. There are several such systems:
The Glasgow Coma Scale is neurological scale which aims to give a reliable, objective way of recording the conscious state of a person, for initial as well as continuing assessment. A patient is assessed against the criteria of the scale, and the resulting points give a patient score between 3 (indicating deep unconsciousness) and either 14 (original scale) or 15 (the more widely used modified or revised scale). GCS was initially used to assess level of consciousness after head injury and the scale is now used by first aid, EMS and doctors as being applicable to all acute medical and trauma patients. In hospital it is also used in chronic patient monitoring, in for instance, intensive care.
The Pediatric Glasgow Coma Scale (also known as Pediatric Glasgow Coma Score or simply PGCS) is the equivalent of the Glasgow Coma Scale (GCS) used to assess the mental state of adult patients. As many of the assessments for an adult patient would not be appropriate for infants, the scale was modified slightly. As with the GCS, the PGCS comprises three tests: eye, verbal and motor responses. The three values separately as well as their sum are considered. The lowest possible PGCS (the sum) is 3 (deep coma or death) whilst the highest is 15 (fully awake and aware person).
Coordinates: 55°51′29″N 4°15′32″W / 55.858°N 4.259°W / 55.858; -4.259
Glasgow (/ˈɡlɑːzɡoʊ, ˈɡlæ-, -s-/ GLA(H)Z-goh, GLA(H)S-goh;Scots: Glesga; Scottish Gaelic: Glaschu [ˈkl̪ˠas̪xu]) is the largest city in Scotland, and the third largest in the United Kingdom (after London and Birmingham). Historically part of Lanarkshire, it is situated on the River Clyde in the country's West Central Lowlands. Inhabitants of the city are referred to as Glaswegians.
Glasgow grew from a small rural settlement on the River Clyde to become the largest seaport in Britain. Expanding from the medieval bishopric and royal burgh, and the later establishment of the University of Glasgow in the 15th century, it became a major centre of the Scottish Enlightenment in the 18th century. From the 18th century the city also grew as one of Great Britain's main hubs of transatlantic trade with North America and the West Indies.
With the onset of the Industrial Revolution, the population and economy of Glasgow and the surrounding region expanded rapidly to become one of the world's pre-eminent centres of chemicals, textiles and engineering; most notably in the shipbuilding and marine engineering industry, which produced many innovative and famous vessels. Glasgow was the "Second City of the British Empire" for much of the Victorian era and Edwardian period, although many cities argue the title was theirs.
Glasgow is a historic home located at Cambridge, Dorchester County, Maryland. It is a Federal style, gable-front, 2 1⁄2-story brick house built about 1792. Attached is a 1 1⁄2-story frame wing dating from the early 20th century. Local history sometimes holds that the home was the birthplace of William Vans Murray, but land records and Murray's biographical data both indicate that it is unlikely that it was ever his home. It is possible, however, that Murray stayed there for some time after his return from his service as foreign minister in the Netherlands, with his first cousin William Murray Robertson, the owner at the time.
It was listed on the National Register of Historic Places in 1976.
Glasgow is one of the eight electoral regions of the Scottish Parliament. Nine of the parliament's 73 first past the post constituencies are sub-divisions of the region and it elects seven of the 56 additional-member Members of the Scottish Parliament (MSPs). Thus it elects a total of 16 MSPs.
As a result of the First Periodic Review of Scottish Parliament Boundaries the boundaries of the region and constituencies were redrawn for the 2011 Scottish Parliament election.
In terms of first past the post constituencies the region included:
The constituencies were created with the names and boundaries of Westminster constituencies, as existing in 1999. Scottish Westminster constituencies were mostly replaced with new constituencies in 2005. Holyrood constituencies were unaltered.
Nine of the constituencies are entirely within the Glasgow City council area. The Rutherglen constituency includes a north-eastern area of the South Lanarkshire council area. Also, although central with respect to the region and entirely within the city area, Shettleston is in the south-east of the city area, on its boundary with the South Lanarkshire area.