RELIABILITY OF THE GLASGOW COMA SCALE WHEN USED BY EMERGENCY PHYSICIANS AND PARAMEDICS

James J. Menegazzi · Eric A. Davis · Andrew Sucov · Paul M. Paris

125 citations0/0 files storedThe Journal of Trauma: Injury, Infection, and Critical Care

No readable copy stored yet — this record is metadata only.

No open-access location is known for this record yet.

Literature note Cite in a project Citation map

Reliability and Agreement in Measurement Trauma and Emergency Care Studies Traumatic Brain Injury Research

Abstract

We sought to determine the reliability of the Glasgow Coma Scale (GCS) when used by emergency physicians and paramedics. We performed a prospective sequential trial in a classroom setting, with subjects blinded to others' scoring. Nineteen university-affiliated emergency physicians and 41 professional paramedics from an urban EMS system voluntarily participated. Participants viewed four videotaped scenes in which a patient is assessed by a paramedic. The first three scenes represented severe, intermediate, and no/mild alteration in level of consciousness (LOC). The findings in the fourth scene were identical to the first, allowing determination of intrarater reliability. The Kappa statistic was used to determine interrater reliability; the reliability coefficient determined intrarater reliability. Kappa was significant (p < 0.0001) for severe (kappa = 0.48), intermediate (kappa = 0.34), and no/mild (kappa = 0.85) conditions. Intrarater reliability (r1,2) for emergency physicians was 0.66 (p < 0.01) and for paramedics was 0.63 (p < 0.01). The GCS shows statistically significant reliability (i.e., significant agreement) between emergency physicians and emergency medical technician-paramedics. It also has a significant level of intrarater reliability.

Paper brief

Loading…

Cite this work

Citation unavailable for this work.

BibTeX RIS CSL-JSON

No public copy is stored for this record, so only the metadata is cited.

Citations in this library

Citation map →

Stored only when both papers are in the corpus — 125 citations exist upstream.

Cited by

2006Variability in agreement between physicians and nurses when measuring the Glasgow Coma Scale in the emergency department limits its clinical usefulness 2001Interrater reliability of the Glasgow coma scale scoring among nurses in sub-specialties of critical care 2020Interobserver Reliability of Glasgow Coma Scale Scores for Intensive Care Unit Patients 2008Reviewing the application of the Glasgow Coma Scale: Does it have interrater reliability?

Imported from OpenAlex (CC0) — nothing here is generated.