Glasgow Coma Scale #GCS #easymenomenics Respiratory acidosis https://youtu.be/8U2XnvRtIhs
Glasgow Coma Scale (GCS) is a neurological scale which aims to give a reliable and objective way of recording the conscious state of a person for initial as well as subsequent assessment. A patient is assessed against the criteria of the scale, and the resulting points give a patient score between 3 (indicating deep unconsciousness) and either 14 (original scale) or 15 (the more widely used modified or revised scale).
Glasgow Coma Scale
[edit on Wikidata]
GCS was initially used to assess level of consciousness after head injury, and the scale is now used by first responders, EMS, nurses, and doctors as being applicable to all acute medical and trauma patients. In hospitals it is also used in monitoring chronic patients in intensive care.
The scale was published in 1974 by Graham Teasdale and Bryan J. Jennett, professors of neurosurgery at the University of Glasgow's Institute of Neurological Sciences at the city's Southern General Hospital.
GCS is used as part of several ICU scoring systems, including APACHE II, SAPS II, and SOFA, to assess the status of the central nervous system, as it was designed for. The initial indication for use of the GCS was serial assessments of patients with traumatic brain injury and coma for at least 6 hours in the neurosurgical ICU setting, though it is commonly used throughout hospital departments. A similar scale, the Rancho Los Amigos Scale is used to assess the recovery of traumatic brain injury patients.
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
Best Motor Response. (6)
No motor response.
Extension to pain.
Flexion to pain.
Withdrawal from pain.
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.