Glsgow Coma Scale

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Glasgow Coma Scale Dr Gbadamosi P.O Traumatic brain injury can alter a person's conscious state. To asses a person's conscious state following brain injury, doctors use a number of systems and tests. One widely used system is the Glasgow Coma Scale (GCS). The Glasgow Coma scale evaluates a person's level of consciousness and degree of brain injury. The scale standardizes consciousness assessment and helps doctors predict patient prognosis. The Glasgow Coma Scale was first published in 1974 (Teasdale G, Jennett B. Assessment of coma and impaired consciousness. A practical scale. Lancet 1974,2:81-84. ) by Graham Teasdale and Bryan J. Jennett, two Glasgow University neurology professors. The Glasgow Coma Scale evaluates visual, motor, and verbal responses to stimuli from three categories. Each response - or lack thereof - by the patient is scored. The score from each category is added and assessed. The total Glasgow Coma Scale score helps doctors identify a person's conscious state and extent of brain injury. A lower score indicates more severe brain injury and poorer prognosis. The scale comprises three tests: eye, verbal and motor responses. The three values separately as well as their sum are considered. The lowest possible GCS (the sum) is 3 (deep coma or death), while the highest is 15 (fully awake person). Best eye response (E) There are 4 grades starting with the most severe: 1. No eye opening 2. Eye opening in response to pain. (Patient responds to pressure on the patient’s fingernail bed; if this does not elicit a response, supraorbital and sternal pressure or rub may be used.) 3. Eye opening to speech. (Not to be confused with an awaking of a sleeping person; such patients receive a score of 4, not 3.) 4. Eyes opening spontaneously Best verbal response (V) There are 5 grades starting with the most severe: 1. No verbal response

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