PROGNOSTICATION!AFTER!NEURO!DISASTERS
size
image by Geigy
ageimage by Bev Sykes
GCSphoto by og2t // ou gee tew tee
LOCATION LOCATION LOCATION
photo by Michael Matti
ABOVE OR BELOW THE TENT
DEMENTIA
photo byKurt Komoda
84M!GCS 7!
80 ml ICH!Basal ganglia bleed!
Some IVH!Mild cognitive impairment
72F!GCS 10!
20 ml ICH!Lobar bleed!
No IVH!No cognitive impairment
Australia!37M!
GCS 3!Pupils reacting!
No hypoxia or hypotension!Isolated TBI!
CT with petichial haemorhages, mass effect 3rd ventricle
compressed, no SAH, no MLS!BGL 7.0 Hb 8.8
photo by liquidnight
35%
DISABILITY CAN BE HARD TO MEASURE
photo by Keoni Cabral
GCSphoto by og2t // ou gee tew tee
HH1 Asymptomatic, mild headache, slight nuchal rigidity
2 Moderate to severe headache, nuchal rigidity, no neurologic deficit other than cranial nerve palsy
3 Drowsiness / confusion, mild focal neurologic deficit
4 Stupor, moderate-severe hemiparesis
5 Coma, decerebrate posturing
Grade GCS Motor deficit
I 15 -
II 13-14 -
III 13-14 +
IV 7-12 -/+
V 3-6 -/+
photo by Leo Reynolds
photo by Leo Reynolds
So this means.....?
SEIZUREHCP
SEIZURE DRUGS
HYPERGLYCAEMIA
ANAEMIA
LOW VOL CENTRES
ICU COMPLICATIONS
LEVEL!OF!CONSCIOUSNESS
EYE MOVEMENT
HORIZONTAL
LANGUAGE & SPEECH
The patient and family understand the potential risks and benefits of therapy
ICH SCORE FUNC!TBI IMPACT CRASH!SAH WFNS!
CVA NIHSS
BE!AN!INFORMED!AGNOSTIC.