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 Trauma Medicine

Glasgow Coma Scale (GCS)

 

  • Used to assess the conscious level of patients
  • Assesses 3 different areas of the patient's response
  • Easy to remember if you start at the top and work your way down:-

 

     
EYE RESPONSE (E) Open Spontaneously
4
  Open to verbal command
3
  Open in response to pain
2
  No response
1
   
VERBAL RESPONSE (V) Talking / Orientated
5
  Confused speech / Disorientated
4
  Inappropriate Words
3
  Incomprehensible sounds
2
  No response
1
   
MOTOR RESPONSE (M) Obeys commands
6
  Localizes to pain
5
  Flexion / withdrawal
4
  Abnormal flexion
3
  Extension
2
  No response
1
   
  TOTAL
3-15

 

  • Unconscious = GCS 8 or below
  • Patients with a score of 8 or below are in severe danger of compromising their airway and an anaesthetic opinion should be urgently sought

Dr. N. Sparrow - 20th January 2006

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