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Glasgow coma scale


Modifies Glasgow coma scale for adults

The Glasgow Coma Scale (GCS) also known as Glasgow Coma Score is a neurological scale which provides a reliable method of recording the conscious state of a person. GCS was initially used to access the level of consciousness after head injury and now is widely used for acute medical and trauma patients

Eye opening Spontaneously
To speech
To pain
No response
4
3
2
1
Best verbal response (Nonitubated)




(Intubated)
Oriented and talks
Disoriented and talks
Inappropriate words
Incomprehensible sounds
No respomse

Seems able to talk
Questionable ability to talk
Generally unresponsive
5
4
3
2
1

5
3
1
Best motor response Verbal commands
Localizes to pain
Withdraws to pain
Decorticate
Decerebrate
None
6
5
4
3
2
1
Total Score   3-15

Total score = eye opening score + verbal (intubated or nonintubated) score + motor score

Total score ranges from 3 to 15; unrousable coma reflected in a score of <9.

This scale can be used repeatedly to assess improvement or deterioration.

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Blantyre coma scale for children ("Blantyre coma scale")

The Blantyre Coma Scale is a modification of Glagow Coma Scale and is used to assess malarial coma in chidren.

Eye opening Directed (e.g. towards mother's face)
Not directed

1
0
Verbal response Appropriate cry
Inappropriate cry or moan
None
2
1
0
Best motor response Localises painful stimuli
Withdraws limb from pain
Non specific or absent response
2
1
0
Total Score   0-5

The score can range from 0-5; 2 or less indicates unrousable coma.

This scale can be used repeatedly to assess improvement or deterioration.


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