Glascow Coma Scale (GCS)

 Eyes

  • 1pt – No eye opening
  • 2pt – Open to pain
  • 3pt – Open to voice
  • 4pt – Open spontaneously

Verbal

  • 1pt – No sounds
  • 2pt – Incomprehensible sounds
  • 3pt – Incoherent words
  • 4pt – Confused, disoriented
  • 5pt – Oriented, normal conversation

Motor

  • 1pt – No movement
  • 2pt – Extension to pain (decerebrate)
  • 3pt – Flexion to pain (decorticate)
  • 4pt – Withdrawal / flexion to pain
  • 5pt – Localizes pain
  • 6pt – Obeys command.

Normal GCS = 15

Threshold to consider intubation for airway protection (ATLS) = 8

Head Injury Classificaiton:

  • Severe  <8
  • Moderate 9-12
  • Minor >13
Intubated patients are given a “t” for verbal, denoted as “GCS 3t”

References:

  1. CDC Mass Trauma Resources Download PDF
  2. The Glascow Structured Approach to Assessment of the Glascow Coma Scale Link
  3. Life In The Fast Lane (LITFL) – GCS Link

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