SIR CJ COLLEGE OF NURSING HYDERABAD
GLASGOW COMMA
SCALE
GROUP MEMBERS
FAISAL WASEEM, SHAHBAZ KHAN,
ARSALAN ALI
FACULTY
MA’AM RUBEQA SHAREEF
Objectives
Define Glasgow Comma Scale.
Explain scoring and parameters of GCS.
Discuss the function of GCS.
Detail the application of Glasgow Comma
Scale in paediatrics.
References.
Glasgow Comma Scale (GCS)
The Glasgow Coma Scale (GCS) is a widely used
neurological scale to assess the level of
consciousness in patients with head injuries or other
neurological conditions.
-Developed in 1974 by Bryan Jennet and Graham
Teasdale at the University of Glasgow.
Cont,
The
Glasgow Coma Scale is a clinical scale used to reliably
measure a person's level of consciousness after a brain injury.
The GCS assesses a person based on their ability to perform eye
movements, speak, and move their body. These three behaviors
make up the three elements of the scale: eye, verbal, and motor.
A person’s GCS score can range from 3 (completely
unresponsive) and 5 (responsive).
Thisscore used to guide immediate medical care after a brain
injury from an accident.
Scoring and Parameters
TheGlasgow 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 ‘scored’ from 1, for no
response, up to normal values of 4 (Eye-opening
response) 5 ( Verbal response) and 6 (Motor
response)
Cont,
Thetotal Coma Score thus has values
between three and 15, three being the worst
and 15 being the highest.
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.
Best eye response (4)
No eye opening
Eye opening to pain
Eye opening to sound
Eyes open spontaneously
Best verbal response (5)
No verbal response
Incomprehensible sounds
Inappropriate words
Confused
Orientated
Best motor response (6)
No motor response.
Abnormal extension to pain
Abnormal flexion to pain
Withdrawal from pain
Localizing pain
Obeys commands
Function of GCS
TheGlasgow Coma Scale (GCS) is used to
objectively describe the extent of impaired
consciousness in all types of acute medical
and trauma patients.
Thescale assesses patients according to
three aspects of responsiveness: eye-opening,
motor, and verbal responses.
Application of the Glasgow Coma
Scale in Pediatrics
The Glasgow Coma Scale can be used in children older than 5
years with no modification. Younger children and infants are not
able to provide the necessary verbal responses for the
practitioner to use the scale to assess their orientation or obey
the commands to evaluate their motor response. Since a
Pediatric Glasgow Coma Scale was initially described in Adelaide,
there have been several modifications without any particular one
becoming universally accepted.[7] The versions below derive
from those of James and the Pediatric Emergency Care Applied
Research Network[8][6]
Children less than 2 years old (pre-
verbal) / Children greater than 2
years old (verbal)
Best eye response
No eye opening / 1 No eye opening
Eye opening to pain / 2 Eye opening to pain
Eye opening to sound / 3 Eye opening to sound
Eyes open spontaneously / 4 Eyes open spontaneously
Best verbal response
None / 1 None
Moans in response to pain / 2 Incomprehensible
sounds
Criesin response to pain / 3 Incomprehensible
words
Irritable/cries / 4 Confused
Coos and babbles / 5 Orientated - appropriate
Best motor response
No motor response / 1 No motor response.
Abnormal extension to pain / 2 Abnormal extension to pain
Abnormal flexion to pain / 3 Abnormal flexion to pain
Withdrawal to pain / 4 Withdrawal to pain
Withdraws to touch / 5 Localises to pain
Moves spontaneously and purposefully / 6 Obeys commands
References
https://www.ncbi.nlm.nih.gov/books/NBK513298
/
https://www.sciencedirect.com/topics/neuroscie
nce/glasgow-coma-scale
https://www.physio-pedia.com/Glasgow_Coma_
Scale
THANK
YOU
