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Glasgow Coma Score
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 points
|
| Opens to
verbal command, speech, or
shout |
3 points
|
| Opens to
pain, not applied to face |
2 points |
| None |
1 point |
|
Verbal Response |
Oriented |
5 points |
| Confused
conversation, but able to
answer questions |
4 points
|
|
Inappropriate responses,
words discernible |
3 points |
|
Incomprehensible speech |
2 points |
| None |
1 point |
|
Motor Response |
Obeys
commands for movement |
6 points |
| Purposeful
movement to painful stimulus |
5 points |
| Withdraws
from pain |
4 points |
| Abnormal (spastic)
flexion, decorticate posture |
3 points |
| Extensor (rigid)
response, decerebrate
posture |
2 points |
| None |
1 point |
References:
-
Teasdale
G, Jennett B. Assessment of coma and impaired
consciousness. A practical scale. Lancet. 1974 Jul
13;2(7872):81-4.
[Medline]
Created: Apr 28, 2008
Last Modified:
04/28/2008
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