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The three values separately as well as their sum are considered. The lowest possible GCS graded 1 in each element is 3 deep coma or death , while the highest is 15 fully awake person. Eye response E [ edit ] There are four grades starting with the most severe: No opening of the eye Eye opening in response to pain stimulus. Not to be confused with the awakening of a sleeping person; such people receive a score of 4, not 3. Eyes opening spontaneously There are five grades starting with the most severe: No verbal response Incomprehensible sounds. Moaning but no words.

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To save favorites, you must log in. Creating an account is free, easy, and takes about 60 seconds. Log in to create a list of your favorite calculators! Log in Coma severity based on Eye 4 , Verbal 5 , and Motor 6 criteria. The combined Score is an index of the net severity of impairment and is useful as a summary of a patients condition, in classifying groups of different severity, for triage, and in research.

The GCS has been shown to have statistical correlation with a broad array of adverse neurologic outcomes, including brain injury, need for neurosurgery, and mortality. The GCS has been incorporated into numerous guidelines and assessment scores e. In some patients, it may be impossible to assess one or more of the three components of the coma scale.

Verbal: intubation. All eye, verbal, motor : sedation, paralysis, and ventilation eliminating all responses. If a component is untestable, a score of 1 should not be assigned Teasdale In this circumstance, summation of the findings into a total Glasgow Coma Score is invalid.

The 3 parts of the Glasgow Coma Scale are charted independently, and the position can be recorded as NT not testable , with an option of indicating the reason, e.

C for eye closure and T for intubation. A GCS of 8 should not be used in isolation to make a determination of whether to intubate a patient, but does suggest a level of obtundation that should be evaluated carefully. The Glasgow Coma Scale is an adopted standard for assessment of impaired consciousness and coma in the acutely ill trauma and non-trauma patient and assists with predictions of neurological outcomes complications, impaired recovery and mortality.

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