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This maybe a challenge with head injury, and the return of function depends upon the severity of the injury to the brain. Supportive care is often required for those patients with significant amounts of bleeding in their brain and who are in coma. Many times, the patient requires intubation to help control breathing and to protect them from vomiting and aspirating vomit into the lungs.
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As much as this is hard to do, don’t try to lead through email. Get out from beneath your desk periodically, and have “face time” with people. The more time you spend with people, the more the level of trust increases. If you are leading virtual teams, pick up the phone more often.
A person’s first GCS score is often done at the roadside by the emergency response personnel. In many instances, moderately to severely injured people are intubated at the scene of the injury to ensure the person gets enough oxygen. To do the intubation the person must be sedated . So, by the time the person arrives at the hospital he/she has already received sedating medications and has a breathing tube in place. Under these conditions it is impossible for a person to talk, so the doctors cannot assess the verbal part of the GCS. People in this situation often receive a “T” after the GCS score, indicating that they were intubated when the examination took place, so you might see a score of 5T, for instance.
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A dye may be injected into the patient’s bloodstream. MRI can detect subtle changes in the brain that cannot be seen on a CT scan. The Glasgow Coma Score is a 15-point test used to grade a patient’s level of consciousness. If unconscious or unable to follow commands, his or her response to painful stimulation is checked. A number is taken from each category and added together to get the total GCS score. The score ranges from 3 to 15 and helps doctors classify an injury as mild, moderate, or severe.