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17 terms

NBCOT-Glasgow Coma Scale

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Glasgow Coma Scale
A neurological scale which provides an objective method to record the conscious state of a person.
Score Sum
The highest total GCS = 15 (Fully Conscious Person)
The lowest total GCS= 3 (Deep coma or death)
Best Eye Response (E)
Eyes Opening spontaneously
= 4
Eyes Opening to speech
= 3
Best Eye Response (E)
Eyes Opening in response to pain
= 2
No Eye opening
= 1
Best Verbal Response (V)
Oriented to name, age, location, reason, time, month,etc.
= 5
Confused (patient response to questions coherently but there is some disorientation & confusion)
= 4
Inappropriate words (random speech but not conversational)
= 3
Incomprehensible sounds (moaning but no words)
= 2
None
= 1
Best Motor Response (M)
Obeys commands (does simple things as asked)
= 6
Localizes to pain (purposeful movement towards pain)
= 5
Withdraws from pain (pulls part of body away)
= 4
Flexion in response to pain (decorticate response)
= 3
Extension to pain (decerebrate response)
= 2
No motor response
= 1