TRAUMA.ORG: Trauma Scoring: Glasgow Coma Score
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| | Glasgow Coma Score The GCS is scored between 3 and 15, 3 being the worst, and 15 the best. It is composed of three parameters : Best Eye Response, Best Verbal Response, Best Motor Response, as given below : - Best Eye Response. (4)
- No eye opening.
- Eye opening to pain.
- Eye opening to verbal command.
- Eyes open spontaneously.
- Best Verbal Response. (5)
- No verbal response
- Incomprehensible sounds.
- Inappropriate words.
- Confused
- Orientated
Best Motor Response. (6) - No motor response.
- Extension to pain.
- Flexion to pain.
- Withdrawal from pain.
- Localising pain.
- Obeys Commands.
Note that the phrase 'GCS of 11' is essentially meaningless, and it is important to break the figure down into its components, such as E3V3M5 = GCS 11. A Coma Score of 13 or higher correlates with a mild brain injury, 9 to 12 is a moderate injury and 8 or less a severe brain injury. Teasdale G., Jennett B., LANCET (ii) 81-83, 1974. |
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