{"id":2951,"date":"2022-10-29T01:48:40","date_gmt":"2022-10-29T01:48:40","guid":{"rendered":"https:\/\/blog.georgiaemsacademy.com\/?p=2951"},"modified":"2022-10-29T01:48:41","modified_gmt":"2022-10-29T01:48:41","slug":"the-glasgow-coma-score","status":"publish","type":"post","link":"https:\/\/blog.georgiaemsacademy.com\/?p=2951","title":{"rendered":"The Glasgow Coma Score"},"content":{"rendered":"\n

Introduction<\/h2>\n\n\n\n

The Glasgow Coma Scale was first published in 1974\u00a0at the University of\u00a0Glasgow by\u00a0neurosurgery professors\u00a0Graham Teasdale and Bryan Jennett. \u00a0The Glasgow Coma Scale (GCS) is used to objectively describe the extent of impaired consciousness in all types of acute medical and trauma patients. The scale assesses patients according to three aspects of responsiveness: eye-opening, motor, and verbal responses. Reporting each of these separately provides a clear, communicable picture of a patient\u2019s state.<\/p>\n\n\n\n

The findings in each component of the scale can aggregate into a total Glasgow Coma Score which gives a less detailed description but can provide a useful \u2018shorthand\u2019 summary of the overall severity. \u00a0The score expression is the sum of the scores as well as the individual elements. For example, a score of 10 might be expressed as GCS10 = E3V4M3.<\/p>\n\n\n\n

The use of the Glasgow Coma Scale became widespread in the 1980s when\u00a0the first edition of the Advanced Trauma and Life Support\u00a0recommended its use in all trauma patients. Additionally, the World Federation of Neurosurgical Societies (WFNS) used it in its scale for grading patients with subarachnoid hemorrhage in 1988, The Glasgow Coma Scale and its total score have since been incorporated in numerous clinical guidelines and scoring systems for victims of trauma or critical illness. \u00a0<\/p>\n\n\n\n

Function<\/h2>\n\n\n\n

Scoring and Parameters<\/strong><\/p>\n\n\n\n

The Glasgow Coma Scale divides into three parameters: best eye response (E), best verbal response (V) and best motor response (M). The levels of response in the components of the Glasgow Coma Scale are \u2018scored\u2019 from 1, for no response, up to normal values of 4 (Eye-opening response) 5 ( Verbal response) and 6 (Motor response)<\/p>\n\n\n\n

The total Coma Score thus has values between three and 15, three being the worst and 15 being the highest. <\/p>\n\n\n\n

The score is the sum of the scores as well as the individual elements. For example, a score of 10 might be expressed as GCS10 = E3V4M3.<\/p>\n\n\n\n

Best eye response (4)<\/em><\/strong><\/p>\n\n\n\n

  1. No eye opening<\/li>
  2. Eye opening to pain<\/li>
  3. Eye opening to sound<\/li>
  4. Eyes open spontaneously<\/li><\/ol>\n\n\n\n

    Best verbal response (5)<\/em><\/strong><\/p>\n\n\n\n

    1. No verbal response<\/li>
    2. Incomprehensible sounds<\/li>
    3. Inappropriate words<\/li>
    4. Confused<\/li>
    5. Orientated<\/li><\/ol>\n\n\n\n

      Best motor response (6)<\/em><\/strong><\/p>\n\n\n\n

      1. No motor response.<\/li>
      2. Abnormal extension to pain <\/li>
      3. Abnormal flexion to pain <\/li>
      4. Withdrawal from pain<\/li>
      5. Localizing pain<\/li>
      6. Obeys commands<\/li><\/ol>\n","protected":false},"excerpt":{"rendered":"

        Introduction The Glasgow Coma Scale was first published in 1974\u00a0at the University of\u00a0Glasgow by\u00a0neurosurgery professors\u00a0Graham Teasdale and Bryan Jennett. \u00a0The Glasgow Coma Scale (GCS) is used to objectively describe the extent of impaired consciousness in all types of acute medical and trauma patients. The scale assesses patients according to three aspects of responsiveness: eye-opening, motor, […]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":[],"categories":[23],"tags":[145],"_links":{"self":[{"href":"https:\/\/blog.georgiaemsacademy.com\/index.php?rest_route=\/wp\/v2\/posts\/2951"}],"collection":[{"href":"https:\/\/blog.georgiaemsacademy.com\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/blog.georgiaemsacademy.com\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/blog.georgiaemsacademy.com\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/blog.georgiaemsacademy.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=2951"}],"version-history":[{"count":2,"href":"https:\/\/blog.georgiaemsacademy.com\/index.php?rest_route=\/wp\/v2\/posts\/2951\/revisions"}],"predecessor-version":[{"id":3023,"href":"https:\/\/blog.georgiaemsacademy.com\/index.php?rest_route=\/wp\/v2\/posts\/2951\/revisions\/3023"}],"wp:attachment":[{"href":"https:\/\/blog.georgiaemsacademy.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=2951"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/blog.georgiaemsacademy.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=2951"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/blog.georgiaemsacademy.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=2951"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}