The GCS Sucks!

The Glasgow Coma Score (GCS) was developed in the 1970s initially as a research tool for admitted Neurosurgery patients. The original authors of the score and research advocated against it’s widespread use in acute care but nevertheless here we are: it is widely used in acute trauma and medical care. Other than a score of 3 […]

Serotonin Toxicity

Serotonin Toxicity Serotonin Toxicity is a spectrum. Early recognition and treatment is key to preventing bad outcomes.   Typically seen in patients who have overdosed on party drugs like MDMA, ecstasy, Molly etc. Also seen in patients on multiple medications that increase serotonin levels. Most antidepressants increase serotonin levels. Be suspicious of serotonin syndrome in […]