Heart & lung : the journal of critical care
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To summarize and evaluate evidence on the psychometric properties of the Glasgow Coma Scale (GCS). ⋯ In spite of its acknowledged shortcomings and the emergence of parallel instruments with greater reliability and validity, the GCS continues to enjoy a privileged, but unwarranted, position in clinical and investigational contexts.
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To enable vocalization in a tracheostomized ventilator-assisted patient without compromising pulmonary status. ⋯ During each session, the patient was able to vocalize clearly, without complications, as measured by the physiologic parameters: heart rate, respiratory rate, blood pressure, and oxygen saturation determined by oximetry.