What Is the Glasgow Coma Scale?

The GLASGOW coma scale is a method for assessing disturbances of consciousness. Glasgow Coma Scale (GCS) was developed by Teasdale and Jennett in 1974.

Glasgow coma scale

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The GLASGOW coma scale is a method for assessing disturbances of consciousness. Glasgow Coma Scale (GCS) was developed by Teasdale and Jennett in 1974.
Chinese name
Glasgow coma scale
Foreign name
Glasgow Coma Scale
Short name
GCS
Invention time
1974
GCS programs include eye opening response, motor response and speech response.
Optimal eye opening response (E) Purposefully and spontaneously 4
Verbal order 3
Pain stimulus 2
No response 1
Best Spoken Response (V) Orientation and Answer 5
Answer error 4
Speech Confusion 3
Vague pronunciation 2
No response 1
Best Motor Response (M) Obey Verbal Commands 6
Local response to pain 5
Evasive response to pain 4
Buckling response (decortic rigidity) 3
Stretching response (reduced brain rigidity) 2
No response 1
The highest score on the scale is 15 and the lowest is 3. The higher the score, the better the consciousness. Usually there is a greater chance of recovery above 8 points, poor prognosis below 7 points, and patients with 3-5 points accompanied by disappearance of brain stem reflexes are at risk of potential death.
If the score is 9 at 6:30 in the evening, 2 of which are painful stimuli and eyes open, 4 points of incorrect response in spoken language, 3 points of flexion response (decortical rigidity) and motor response, then it is recorded as: GCS 9 = E2 + V4 + M3 at 18:30
This scale is simple and easy to use and more practical. However, children, especially children under 3 years of age, cannot be used due to non-cooperation; the elderly are often slow to respond with low scores; the use of speech barriers, deaf-mute people, mental patients, etc. is also restricted, especially the pre-coma unconsciousness cannot be used in the form To judge.

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