Medical Scoring Systems Part 1
Medgeeks with Andrew Reid
Medgeeks
4.8 • 996 Ratings
🗓️ 27 April 2019
⏱️ 12 minutes
🧾️ Download transcript
Summary
Over the next couple weeks, I want to take a break from the normal disease based podcasts. Instead, I want to shift our focus and discuss some high yield useful scoring, equations, and algorithms, such as the NEXUS C-Spine rule, PERC rule, calcium correction for albumin, FENA, free water deficit for hyponatremia, etc.
There are a ton to know. But, I want to touch on the ones I use day in and day out.
You're probably thinking...
Well, Zach, I can just hop online and use the free calculator.
And, I agree. Use those for the math side of things. However, you need to know why and when to use them to help improve your patient care.
I want to break this all down by organ system. This week we'll touch on neurology, respiratory, and cardiac.
So, let's begin!
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Transcript
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| 0:00.0 | Team what's going on Zach here from med geeks. So over the next two weeks I want to take a break from our usual case plus breakdown and I want to talk about some high-yield useful scoring equations algorithms such as the nexus |
| 0:14.2 | c-spine rule perc rule calcium correction for albumin |
| 0:18.5 | fina e f e aria free water deficit for hypernatremia etc. |
| 0:24.0 | That I use regularly. I mean there are a ton of out there, |
| 0:28.0 | but I want to touch on some of the ones that I used day and and day out. You're probably thinking, well, |
| 0:34.4 | Zach, I could just hop online and use the free calculator for these and yes, I do |
| 0:39.8 | agree. Use those for the math side of things. |
| 0:43.0 | However, you need to know why and when to use them |
| 0:46.8 | to help improve your patient care. |
| 0:48.9 | So let us begin. |
| 0:51.1 | I want to break down my favorite scoring systems by system. So neuro, respiratory, cardiac |
| 0:57.0 | this week and then next week we'll touch on GI, renal, endocrine, heminid. So let us begin. So neurology, what kind of systems or |
| 1:06.9 | scoring systems should we use? So first off let's just review GCS, |
| 1:10.8 | Glasgow-Koma scales used for mental status assessment. |
| 1:16.3 | Most likely done in the field when a trauma patient or a medical patient comes in. |
| 1:20.8 | Three categories. |
| 1:21.8 | Best eye response, best verbal response, and best motor response. |
| 1:26.0 | The way I always remembered this was EVM, EVM, E-V-M-I-V-M-I-verbal motor. |
| 1:35.0 | So a quick way to remember this is you're |
| 1:38.0 | gonna look at their eyes, then are they talking, |
| 1:40.9 | and then go down to their extremities |
| 1:42.3 | to see if they're moving. |
... |
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