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Friday, January 16, 2015

Glasgow Coma Score






















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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