GCS assessment taught score clinical feel great Interesting student point practice daily centrally confident judgement scale stimuli Years perform neurological Ooh Nurses applied training pupil areas CNS core cranial directed frequently nerve painful patient peripherally needed made idea Glasgow biggest care basis assessing agree chat Coma differences including important Interested lurking matters nurse reliability stimulus understimulate working Trapezius Teasdale tells teaching symptoms sufficient urgency trusts standardisation stimulate scores scoring report recommendations refresher regularly worked yrs pts Marie neuro oooh led limb interpretation grips head deterioration experience eye builds competence confidence Advice assess blood baseline component consistent comfortable comment changed difference fact escalate Evening found details data Dave ICP lurkers neurosurgery nice muscle monitoring meaningless problem observe opinion overstimulate reflect RASS response refresh relation safe signs sort sounds spread transferrable understanding updates works women variations vital sugar scenarios TBI tools Teacher touch trauma treatment things thought thrombolysis today tool taste support