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17 Clinical Assistive Applications
17.1 Glasgow Coma Scale (GCS)
• GCS is intended as an adjunct in patient assessment and must be used in conjunction with
observation of clinical signs and symptoms.
• GCS is not applied to patients that are sedated, muscularly relaxed, with artificial airway, drunk, or
in status epilepsies.
• GCS is not applied to deaf people and patients having language barrier or with mental disorder.
• When applied to children under five years old or elder people who are slow, the GCS score might be
low.
• A license is required for GCS.
17.1.1 Setting the GCS Scoring Type
• Manually setting Score Type has no impact on settings of Patient Category and Age in the Patient
Management menu.
17.2 Early Warning Score (EWS)
• EWS should not be used as the sole basis for diagnosis or therapy decisions. It is not intended to
replace the competent judgment of a clinician.The EWS scores and recommended actions must be
used in conjunction with observation of clinical signs and symptoms.
• MEWS and NEWS are not applicable to pregnant woman, COPD (Chronic Obstructive Pulmonary
Disease) patients and patients under 16 years old. NEWS2 is not applicable to pregnant woman and
patients under 16 years old.
• A license is required for EWS.
17.2.1 Performing EWS Scoring
• The decision to use the SpO2 Scale 2 should be made by a competent clinical decision maker and
should be recorded in the patient’s clinical notes.
• EWS total score can be calculated only when all required measured items have been measured or
entered.
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