It is possible that an injured person may have injuries that inhibit the ability to test in all three parameters. Eyes may be swollen shut, for instance, negating the ability to rate the eye response. Clearly the swelling of the eyes is not a function of brain impairment so it would skew the results to assign a 1 to the inability to test in that area. Similarly, as in the current case, the injured person may have to be intubated to protect the airway. In such a case, there is no verbal response. The authors of the 1981 paper contemplated the utility of the test when faced with these challenges. The protocol in dealing with these situations is to assign no score to the unmeasurable parameter but to make a notation on the score to show that the test is based on two not three measurable parameters. In the current case, the applicant scored 8T because his airway had been intubated for the operation and he could not speak. Brain Impairment v. Brain Injury
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