Physicians' understanding of the Glasgow Coma Score Signs and Symptoms
Conditions
Interventions
A cohort of volunteer medical doctors, serving as resident physicians in various medical specialties such as intensive care medicine, emergency medicine, internal medicine, and neurology. They are req
Sponsors
University Hospital of Basel
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: Volunteering and consenting medical doctors working as resident physicians in different medical fields, including intensive care medicine, emergency medicine, internal medicine, and neurology
Exclusion criteria
Exclusion criteria: Physicians already having participated in the same simulated clinical scenario
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Duration and accuracy of the assessment of the Glasgow Coma Score (GCS) of a simulated coma with a GCS of 8. Duration of GCS assessment will be assessed from the timepoints of first contact with the patients until stating the measured score to the instructor in mounts. GCS assessment will be rated as accurate if the GCS stated by the participants is 8. All other measured GCS will be rated as inaccurate. | — |
Secondary
| Measure | Time frame |
|---|---|
| Understanding of the Glasgow Coma Score among physicians regarding its assessment, interpretation and clinical application. Therefore participants will complete a prewritten questionnaire which asks the following questions: 1. Their stress level during the simulation (rated from 1 [no stress] to 10 [maximally stressed])? 2. How confident they are that the assessed GCS is accurate (rated from 0 [not confident at all] to 10 [very confident])? 3. If they use the GCS in daily clinical practice - yes or no? 4. If a GCS scoring card was felt to be missing (for participants who did not receive a scoring card) - yes or no? 5. Which of the GCS from 3 to 15 or which GCS range would be difficult to adequately assess without a scoring aid? 6. Which of the three GCS components (i.e., eye, verbal, motor response) is the most difficult to assess? 7. Which is the highest GCS an intubated patient can present 8. Does a patient with a GCS <9 have to be intubated in any case? The physicians will be finally asked to rate expected probability of a discordant GCS assessment by other physicians for the identical simulated scenarios using a probability score ranging from 0% denoting “not existing” to 100% indicating the “highest probability”. | — |
Countries
Switzerland
Outcome results
None listed