Wednesday, July 15, 2009

Glasgow Coma Scale?

Medical officer (MO) doing round with 3 house officers (HOs).
They stopped at one bed, which a patient has his eyes opening to call, with localizing response to pain and incomprehensible speech.

MO asked HO X, "What is the patient's GCS?"

HO X: "His GCS is full."

MO: "Maybe yours is not. Do you know how to assess GCS?"

HO X: "Hmmm...actually not too sure..."

MO shook his head, and asked HO Y to assess.
HO Y did a very simplified one - asked the patient to move his hand but patient didn't.

HO Y: "Patient does not open eyes spontaneously, neither talk nor obeys command."

MO: "So the GCS is?"

HO Y: "GCS is 3."

MO started to feel bit dizzy. He looked at HO Z, "You are my last hope. Please do not disappoint me."

HO Z thought for a few seconds, then mumbled, "10..."

MO: "Oh thank god. Finally. Can you speak louder so that your friends can hear?"

HO Z seems to be proud, and presents loudly, "This patient's GCS is ten over seventeen!"

MO had a sudden collapse.


Related reads:
HO, MO and Specialist (1)
HO, MO and Specialist (2)

15 comments:

hamiDahRecKs said...

hahahahaha
i cant imagine how to work with HOs like them,,,haha

Zzzyun said...

hahaha..this isnt very good...

and omg 3 is like the lowest one can go!

kien said...

god....where are they from??

Michelle Mak said...

*pengsaned*
so i assume u are the MO cause if other MO wont only collapse but also will give them a vr god lecture....isnt it?

Jing said...

shit!!! GCS also dunno -.-!

Darren Lee said...

Cool down Jing, cool down;)
Everyone has to learn..

Shyang said...

i tot this is wad a medical student should know!? haha hope i wont b like tat in one yr time :)

MedicBoyz said...

i m not in the position 2 comment HO as i m just a HO myself, but then again i see many newcomers' attitude is a disgrace to medical.
especially those "tidak apa" n "nanti dulu"...

confessions of a medical student said...

and i thought i was bad...
but access GCS only wor... i can't believe they dunno... was the MO like super scary that they all got mental blocked???

sometimes it happens...

p/s: wait, are you the MO? haha!

littlepolaris said...

OMG haha this is so funny. When I did attachment at Serdang GH, the patient is in stupor condition. But when HOD ask the doctor in charge, what is GCS, he say GCS full, HOD mata open wide wide and almost fainted.

Liam said...

this is MALAYSIA BOLEH
hahahaha....

lucky i work at health site now, if not i going to Goreng them kao kao

how do we expect them to treat patient safely, while their foundation is so GOYANG-ing

kien said...

Oh,I'm a second year medic student,i just learnt GCS when i did my elective posting recently..hope it wont be too late to learn...

咖啡王子 said...

GCS 10 per 17...haha !
should be 15 rite?

Anonymous said...

hahahah

i'm post call i was depreesed but when i was read this ...

i like it

good luck

See Pei Er said...

Wait, I'm not a medical student or anything just 15 years old... isn't the GCS suppose to 3 over 15 ? >.<

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