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Assessment of Cognitive Impairment Following Road Traffic Accidents - Dr Karen Addy, Clinical Psychologist

16/07/12. Road traffic accidents are a major cause of traumatic brain injury with estimates suggesting 25% of all traumatic brain injuries are sustained in this manner (Westerberg, 2002). However not all road traffic accidents lead to traumatic brain injuries and cognitive impairment following a road traffic accident can be associated with psychological factors such as depression, sleep disturbance, chronic pain etc. In order to assess if a traumatic brain injury is likely a number of medical factors are assessed including any initial loss of consciousness and score of the Glasgow Coma Scale (Teesdale & Bennett, 1974).

The Glasgow Coma Scale or GCS is a reliable, objective way of recording the conscious state of a person.  A patient is assessed against the criteria of the scale, and the resulting points give a patient score between 3 (indicating deep unconsciousness) and 15 which is normal.  Using the GCS traumatic brain injury is...

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