(neurologic assessment) Emergency
Disability-Neurologic evaluation
- Level of consciousness: Glasgow Coma Scale (GCS)
- If the GCS is used in intubated and paralyzed patients, record should be made
- Pupillary response can still be assessed in a paralyzed patient
Glasgow Coma Scale (GCS), Total = 15
| Eye response | Vocal response | Motor response |
|---|
| Spontaneous 4 | Oriented 5 | Obeys commands 6 |
| To voice 3 | Confused 4 | Purposeful movement to pain 5 |
| To pain 2 | Inappropriate words 3 | Withdraw from pain 4 |
| None 1 | Incomprehensible words 2 | Flexion to pain 3 |
| | None 1 | Extension to pain 2 |
| | | None 1 |
Head injury severity
| Severity | GCS |
|---|
| Mild | ≥ 13 |
| Moderate | 9- ≤ 12 |
| Severe | ≤ 8 |