What is his GCS? A 32-year-old gentleman is brought into A&E by ambulance following a car accident. He has multiple injuries and is unresponsive. After his airway, breathing and circulation are assessed and stabilized, the doctor goes to assess his level of consciousness using the Glasgow Coma Scale (GCS). He does not open his eyes at any stage but tries to withdraw his ARM and groans in response to painful stimuli.
From the information I have been able to gather about how to use the Glasglow Coma Scale, the previous answer is correct. This person would have a GSC of 7.
This particular score is made up of a 1 on the eye scale as he doesn’t open his eyes, a 4 on the motor scale since he moves away from pain, and a 2 on the verbal scale since he is only grunting in pain. Add this all up (1 + 2 + 4) and you get a score of seven.
This is an interesting but easy way to streamline a way to figure out the best place to start with a person in a coma. Just give them some stimuli and watch their reactions.
7, seven-the glasgow coma scale (gcs) was initially designed to assess level of consciousness following head injury, but is now more widely used and applied to all acute medical and trauma patients. it consists of 3 components; eye response (1-4 points), verbal response (1-5 points) and motor response (1-6 points), giving a total out of 15, where 3 is the minimum score and 15 the maximum score.
the scale is as follows:
eye - 1 = does not open
2 = opens in response to painful stimuli
3 = opens in response to voice
4 = opens eyes spontaneously
verbal 1 = makes no sounds i
2 = incomprehensible sounds
3 = utters inappropriate words
4 = confused, disoriented
5 = oriented, converses normally
motor response 1 = makes no movements
2 = extension to painful stimuli (decerebrate response)
3 = abnormal flexion to painful stimuli (decorticate response)
4 = flexion / withdrawal to painful stimuli
5 = localizes painful stimuli
6 = obeys commands
from this it is apparent that an alert patient would have a gcs of 15.
in the above scenario, the patients score can be calculated thus:
e = 1, v = 2, m = 4 = total 7/15
as a general rule, patients with a gcs < 8 are unable to protect their own airway and would need intubation and monitoring on intensive care if this was deemed appropriate.