Glasgow Coma Scale.doc

Glasgow Coma Scale The Glasgow Coma Scale provides a score in the range 3- 15; patients with scores of 3-8 are usually said to be in a coma. The total score is the sum of the scores in three categories. For adults the scores are as follows: Eye Opening Response Spontaneous--open with blinking at baseline 4 point s Opens to verbal command, speech, or shout 3 point s Opens to pain, not applied to face 2 point s None 1 point Verbal Response Oriented 5 point s Confused conversation, but able to answer questions 4 point s Inappropriate responses, words discernible 3 poi nts Incomprehensible speech 2 point s None 1 poi nt Motor Response Obeys commands for movement 6 poi nts Purposeful movement to painful stimulus 5 point s Withdraws from pain 4 point s Abnormal (spastic) flexion, 3

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Transcript of Glasgow Coma Scale.doc

Glasgow Coma Scale

The Glasgow Coma Scale provides a score in the range 3-15; patients with scores of 3-8 are usually said to be in a coma. The total score is the sum of the scores in three categories. For adults the scores are as follows:

Eye Opening ResponseSpontaneous--open with blinking at baseline4 points

Opens to verbal command, speech, or shout3 points

Opens to pain, not applied to face2 points

None1 point

Verbal ResponseOriented5 points

Confused conversation, but able to answer questions4 points

Inappropriate responses, words discernible3points

Incomprehensible speech2 points

None1point

Motor ResponseObeys commands for movement6points

Purposeful movement to painful stimulus5 points

Withdraws from pain4 points

Abnormal (spastic) flexion, decorticate posture3 points

Extensor (rigid) response, decerebrate posture2 points

None1 point

For children under 5, the verbal response criteria are adjusted as follow

SCORE2 to 5 YRS0 to 23 Mos.

5Appropriate words or phrasesSmiles or coos appropriately

4Inappropriate wordsCries and consolable

3Persistent cries and/or screamsPersistent inappropriate crying &/or screaming

2GruntsGrunts or is agitated or restless

1No responseNo response

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