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Glasgow Coma Scale Guide

The Glasgow Coma Scale (GCS) is used to assess level of consciousness after brain injury. It evaluates eye opening, verbal response, and motor response on a scale of 3-15, with lower scores indicating more severe brain injury. A drop of 2 or more points requires notifying a doctor immediately.

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blount junior
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259 views2 pages

Glasgow Coma Scale Guide

The Glasgow Coma Scale (GCS) is used to assess level of consciousness after brain injury. It evaluates eye opening, verbal response, and motor response on a scale of 3-15, with lower scores indicating more severe brain injury. A drop of 2 or more points requires notifying a doctor immediately.

Uploaded by

blount junior
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd

GLASCOW COMA SCORE(GCS)

Date&
Time
EYES

Open 4
To Voice 3
To Pain 2
No Response 1
VERBAL

Orientated & 5
Alert
Confused 4
Inappropriate 3
Words
Incomprehensible 2
No Response 1
MOTOR

Follows 6
Commands
Localises to Pain 5
Withdraws to 4
Pain
Decorticate 3
Flexion
Decerebrate 2
Extension
No Response 1
TOTAL

PUPILS
Right Size +/-
Left Size +/-

NOTIFY DOCTOR IMMEDIATELY IF THERE IS A DROP IN


GCS SCORE BY 2 OR MORE POINTS
GLASCOW COMA SCORE(GCS)

EYES
Open – Eyes open spontaneously
To Voice – Eyes open when you call their name
To Pain – Eyes open to painful stimuli
No Response – Eyes do not open to pain or voice

VERBAL
Orientated & Alert – Knows current date, time and place
Confused – Not orientated to time or place
Inappropriate words – Words to not correspond to questions asked
Incomprehensible – Moaning, groaning sounds
No Response – No verbal words or sounds

MOTOR
Follows commands – Able to perform task asked ie: squeeze my hands
Localises to Pain – Moves hand/arms towards pain site ie: sternal rub
Withdraws to Pain – Moves away from pain site ie: moves finger away from nail bed
Pressure
Decorticate flexion – Flexes both arms together
Decerebrate Extension – Extends both arms together
No Response - Does not move to command or painful stimuli

PUPILS
+ = Reactive to light
- = Not reactive to light

GCS SCORE (3-15)


Severe brain injury < 8 (Needs endotracheal intubation)
Moderate brain injury 9-12
Minor brain injury >13

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