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Glasgow Coma Scale

Glas·gow co·ma scale

/ˈglas kō ˈkōmə skāl/

Noun

A method of evaluating level of consciousness that checks for the patient’s ability to respond appropriately with her environment. Using the Glasgow Coma Scale, or GCS, the provider assigns the patient a score for their resonsiveness to visual, verbal and physical stimuli. Three points, one for each of the three categories, is the minimum. Fourteen is the highest. The scale is below. Eye Opening Eyes open spontaneously: 4 points Eyes open after being spoken to: 3 points Eyes open after painful stimulus applied: 2 points Eyes remain closed regardless of stimulus: 1 point Verbal Response Disoriented, confused when questioned: 4 points Provides inappropriate answers when questioned or with painful stimulus: 3 points Mumbles or makes incomprehensible sounds when questioned or with painful stimulus: 2 points Makes no sounds, even with painful stimulus : 1 point Motor Response Obeys simple commands: 6 points Localizes to painful stimulus: 5 points Withdraws from painful stimulus: 4 points Flexion with painful stimulus: 3 points Extension with painful stimulus: 2 points No response to painful stimulus: 1 point