{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,5]],"date-time":"2026-09-05T06:06:47Z","timestamp":1788588407250,"version":"build-2803163510"},"reference-count":12,"publisher":"Elsevier BV","issue":"4","license":[{"start":{"date-parts":[[2009,11,1]],"date-time":"2009-11-01T00:00:00Z","timestamp":1257033600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2009,11,1]],"date-time":"2009-11-01T00:00:00Z","timestamp":1257033600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","jem-journal.com","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["The Journal of Emergency Medicine"],"published-print":{"date-parts":[[2009,11]]},"DOI":"10.1016\/j.jemermed.2008.11.026","type":"journal-article","created":{"date-parts":[[2009,3,10]],"date-time":"2009-03-10T05:08:25Z","timestamp":1236661705000},"page":"451-455","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":74,"title":["Decreased Glasgow Coma Scale Score Does Not Mandate Endotracheal Intubation in the Emergency Department"],"prefix":"10.1016","volume":"37","author":[{"given":"Russell","family":"Duncan","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shobhan","family":"Thakore","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.jemermed.2008.11.026_bib1","doi-asserted-by":"crossref","first-page":"81","DOI":"10.1016\/S0140-6736(74)91639-0","article-title":"Assessment of coma and impaired consciousness","volume":"ii","author":"Teasdale","year":"1974","journal-title":"Lancet"},{"key":"10.1016\/j.jemermed.2008.11.026_bib2","doi-asserted-by":"crossref","first-page":"547","DOI":"10.1136\/bmj.307.6903.547","article-title":"Guidelines for resuscitation and transfer of patients with serious head injury","volume":"307","author":"Gentleman","year":"1993","journal-title":"BMJ"},{"key":"10.1016\/j.jemermed.2008.11.026_bib3","series-title":"Advanced trauma life support program for doctors","year":"2004"},{"key":"10.1016\/j.jemermed.2008.11.026_bib4","doi-asserted-by":"crossref","first-page":"197","DOI":"10.1191\/0960327104ht436oa","article-title":"Reliability of the Glasgow Coma Scale for the emergency department evaluation of poisoned patients","volume":"23","author":"Heard","year":"2004","journal-title":"Hum Exp Toxicol"},{"key":"10.1016\/j.jemermed.2008.11.026_bib5","doi-asserted-by":"crossref","first-page":"579","DOI":"10.1016\/0736-4679(93)90312-U","article-title":"The use of Glasgow Coma Scale in poisoning","volume":"11","author":"Chan","year":"1993","journal-title":"J Emerg Med"},{"key":"10.1016\/j.jemermed.2008.11.026_bib6","doi-asserted-by":"crossref","first-page":"161","DOI":"10.1016\/S0300-9572(99)00025-8","article-title":"Inadequate assessment of the airway and ventilation in acute poisoning, a need for improved education?","volume":"40","author":"Cosgrove","year":"1999","journal-title":"Resuscitation"},{"key":"10.1016\/j.jemermed.2008.11.026_bib7","doi-asserted-by":"crossref","first-page":"88","DOI":"10.1097\/01.CCM.0000104207.42729.E4","article-title":"Aspiration pneumonitis in an overdose population: frequency, predictors and outcomes","volume":"32","author":"Isbister","year":"2004","journal-title":"Crit Care Med"},{"key":"10.1016\/j.jemermed.2008.11.026_bib8","doi-asserted-by":"crossref","first-page":"123","DOI":"10.1016\/S0140-6736(05)64630-2","article-title":"Relation between Glasgow Coma Scale and aspiration pneumonia","volume":"348","author":"Adnet","year":"1996","journal-title":"Lancet"},{"key":"10.1016\/j.jemermed.2008.11.026_bib9","doi-asserted-by":"crossref","first-page":"565","DOI":"10.1016\/S0140-6736(82)92074-8","article-title":"Gag reflex in assessing level of consciousness","volume":"319","author":"Kulig","year":"1982","journal-title":"Lancet"},{"key":"10.1016\/j.jemermed.2008.11.026_bib10","doi-asserted-by":"crossref","first-page":"1240","DOI":"10.1136\/bmj.303.6812.1240","article-title":"Relation between Glasgow Coma Scale and the gag reflex","volume":"303","author":"Moulton","year":"1991","journal-title":"BMJ"},{"key":"10.1016\/j.jemermed.2008.11.026_bib11","doi-asserted-by":"crossref","first-page":"1261","DOI":"10.1016\/S0140-6736(94)92155-5","article-title":"Relation between Glasgow Coma Scale and cough reflex","volume":"343","author":"Moulton","year":"1994","journal-title":"Lancet"},{"key":"10.1016\/j.jemermed.2008.11.026_bib12","first-page":"17","article-title":"Understanding alcohol misuse in Scotland. harmful drinking. Final Report","year":"2008"}],"container-title":["The Journal of Emergency Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0736467909000031?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0736467909000031?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,10,9]],"date-time":"2025-10-09T16:19:05Z","timestamp":1760026745000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0736467909000031"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2009,11]]},"references-count":12,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2009,11]]}},"alternative-id":["S0736467909000031"],"URL":"https:\/\/doi.org\/10.1016\/j.jemermed.2008.11.026","relation":{},"ISSN":["0736-4679"],"issn-type":[{"value":"0736-4679","type":"print"}],"subject":[],"published":{"date-parts":[[2009,11]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Decreased Glasgow Coma Scale Score Does Not Mandate Endotracheal Intubation in the Emergency Department","name":"articletitle","label":"Article Title"},{"value":"The Journal of Emergency Medicine","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.jemermed.2008.11.026","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"Copyright \u00a9 2009 Elsevier Inc. All rights reserved.","name":"copyright","label":"Copyright"}]}}