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Glasgow Coma Scale
Most common scoring system used to describe the level of consciousness in a person following a traumatic brain injury
Eye Opening Response
Opens eyes spontaneously
+4
Opens eyes to verbal command, speech, or shout
+3
Opens eyes to pain (not applied to face)
+2
Does not open eyes in response to any stimulation
+1
Verbal Response
Is oriented to person, place, and time
+5
Converses, may be confused
+4
Replies with inappropriate words
+3
Makes incomprehensible speech
+2
No verbal response
+1
Motor Response
Follows commands
+6
Purposeful movement to painful stimulus
+5
Withdraws in response to pain
+4
Decerebrate posturing in response to pain
+3
Extends all extremities in response to pain
+2
Makes no response to noxious stimuli
+1
Glasgow Coma Scale Score, obtained by adding score of each parameter
Interpretation
Source: Teasdale G, Jennett B. Assessment of coma and impaired consciousness. A practical scale. Lancet. 1974;2:81-4.
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