Here's a quick table to reference for when you are assessing your patient using the Glasgow Coma Score:
Parameter
|
Stimulus
|
Response
|
Score
|
Eye
Opening
|
Spontaneous
To Speech
To Pain
To Pain
|
Opens eyes on own
Opens eyes when asked
Opens eyes to pain
Does not open eyes
|
4
3
2
1
|
Best
Motor
Response
|
To Command
To Pain
To Pain
To Pain
To Pain
To Pain
|
Follows simple commands
Pulls away from pain
Withdraws from pain
Flexes (decorticates) to pain
Flexes (decerebrates) to pain No response to pain |
6
5
4
3
2
1
|
Best
Verbal
Response
|
Can carry on a conversation, oriented to
time, place, and person
Converses, but may be confused/disoriented
Replies with inappropriate words
Makes only incomprehensible sounds
Makes no verbal response
|
5
4
3
2
1
|
When you've assessed your patient, add up their total. We had a saying, "Less than 8; intubate." I've found that to be pretty true with my experience. I hope that this is helpful.
Here's a couple more articles you may find helpful:
Complete Head to Toe Assessment
Increased Intracranial Pressure
How to Pass Pharmacology
Leave a comment if there is something you'd like for me to post about in particular.
Xoxo,
Nightingale
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