GCS - Glasgow Coma Scale, Interpretation of the scale


	GCS - Glasgow Coma Scale, Interpretation of the scale

hyorinmaru

5-9-2008 2:25 PM

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gcs, health, healthcare, brain, brain injury, measurement

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<div style="margin: 12px 0px; font-family: arial; color: #333333; background: #ffffff; border: solid 4px #e5e5e5; width: 100%; clear: left;"><div class="CM_CTB_Content_Wrap" style="margin: 0px; padding: 0px;background-color: #ffffff;"><div style="border-bottom: solid 1px #dcdcdc; white-space: nowrap; margin-bottom: 8px; background-color: #eeeeee ;background-image: url(http://clipmarks.com/images/source-bg.gif); background-repeat: repeat-x; height: 24px; line-height: 24px; vertical-align: middle; padding-bottom: 4px; color: #666666; font-size: 10px;" ><a href="http://clipmarks.com/clip-to-blog/" title="see clips that are hot right now"><img src="http://content.clipmarks.com/blog_embed/38b76ed5-c496-443d-b966-2cef89779528/B8A98B0C-C7AC-4A31-AA53-F8CA2B06E953/" alt="" width="19" height="19" border="0" style="vertical-align: middle; margin: 0px 4px; display: inline; border: none; float:none;" /></a>clipped from <a title="http://en.wikipedia.org/w/index.php?title=Glasgow_Coma_Scale&oldid=209925560" href="http://en.wikipedia.org/w/index.php?title=Glasgow_Coma_Scale&oldid=209925560" style="font-size: 11px;">en.wikipedia.org</a></div><blockquote style="text-align: left; padding: 0px 8px; margin: 4px 0px 8px 0px; background: transparent; border: none;" cite="http://en.wikipedia.org/w/index.php?title=Glasgow_Coma_Scale&oldid=209925560"><SPAN class="mw-headline">Interpretation</SPAN></blockquote><div style="height: 2px; font-size: 2px; background: #dcdcdc; border-bottom: solid 1px #f5f5f5; margin: 2px 4px;"></div><blockquote style="text-align: left; padding: 0px 8px; margin: 4px 0px 8px 0px; background: transparent; border: none;" cite="http://en.wikipedia.org/w/index.php?title=Glasgow_Coma_Scale&oldid=209925560"><P>Individual elements as well as the sum of the score are important. Hence, the score is expressed in the form "GCS 9 = E2 V4 M3 at 07:35".</P></blockquote><div style="height: 2px; font-size: 2px; background: #dcdcdc; border-bottom: solid 1px #f5f5f5; margin: 2px 4px;"></div><blockquote style="text-align: left; padding: 0px 8px; margin: 4px 0px 8px 0px; background: transparent; border: none;" cite="http://en.wikipedia.org/w/index.php?title=Glasgow_Coma_Scale&oldid=209925560"><P>Generally, comas are classified as:</P></blockquote><div style="height: 2px; font-size: 2px; background: #dcdcdc; border-bottom: solid 1px #f5f5f5; margin: 2px 4px;"></div><blockquote style="text-align: left; padding: 0px 8px; margin: 4px 0px 8px 0px; background: transparent; border: none;" cite="http://en.wikipedia.org/w/index.php?title=Glasgow_Coma_Scale&oldid=209925560"><UL>
<li style="margin-left:16px;padding-left: 0px;">Severe, with GCS ≤ 8</LI>
<li style="margin-left:16px;padding-left: 0px;">Moderate, GCS 9 - 12</LI>
<li style="margin-left:16px;padding-left: 0px;">Minor, GCS ≥ 13.</LI>
</UL></blockquote><div style="height: 2px; font-size: 2px; background: #dcdcdc; border-bottom: solid 1px #f5f5f5; margin: 2px 4px;"></div><blockquote style="text-align: left; padding: 0px 8px; margin: 4px 0px 8px 0px; background: transparent; border: none;" cite="http://en.wikipedia.org/w/index.php?title=Glasgow_Coma_Scale&oldid=209925560"><P>Intubation and severe facial/eye swelling or damage, make it impossible to test the verbal and eye responses. In these circumstances, the score is given as 1 with a modifier attached e.g. 'E1c' where 'c' = closed, or 'V1t' where t = tube. A composite might be 'GCS 5tc'. This would mean, for example, eyes closed because of swelling = 1, intubated = 1, leaving a motor score of 3 for 'abnormal flexion'.</P></blockquote><div style="height: 2px; font-size: 2px; background: #dcdcdc; border-bottom: solid 1px #f5f5f5; margin: 2px 4px;"></div><blockquote style="text-align: left; padding: 0px 8px; margin: 4px 0px 8px 0px; background: transparent; border: none;" cite="http://en.wikipedia.org/w/index.php?title=Glasgow_Coma_Scale&oldid=209925560"><P>The GCS has limited applicability to children, especially below the age of 36 months (where the verbal performance of even a healthy child would be expected to be poor). Consequently the <A title="Paediatric Glasgow Coma Scale" href="http://en.wikipedia.org/wiki/Paediatric_Glasgow_Coma_Scale">Paediatric Glasgow Coma Scale</A>, a separate yet closely related scale, was developed for assessing younger children.</P></blockquote></div><div style="margin: 0px 6px 6px 4px;"><table style="font-size: 11px;border-spacing: 0px;padding: 0px;" cellpadding="0" cellspacing="0" width="100%"><tr><td style="background:transparent;border-width:0px;padding:0px;">&nbsp;</td><td align="right" style="background:transparent;border-width:0px;padding:0px;width:107px" width="107"><a href="http://clipmarks.com/share/B8A98B0C-C7AC-4A31-AA53-F8CA2B06E953/blog/" title="blog or email this clip"><img src="http://content7.clipmarks.com/images/c2b-foot.png" border="0" alt="blog it" width="107" height="17" style="border-width:0px;padding:0px;margin:0px;" /></a></td></tr></table></div></div>