Glasgow Coma Scale

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The Glasgow Coma Scale is a ... [1]

The Glasgow Coma Scale is used to calculate the APACHE II score and the MOST score.

The possible values stored as dropdown lists on your PDA and in Access are as follows:

Score 6 5 4 3 2 1
Eyes     Spontaneous To

Speech

To

Pain

None
Motor Obeys

Command

Localizes

Pain

Withdraws

to Pain

Abnormal

Flexion

Abnormal

Extension

None
Verbal   Oriented Confused Inappropriate

words

Incomprehensible

sounds

None
Verbal vented   Appears Oriented   ? Oriented   No response

Special Cases

  • For patients whose ability to communicate are reduced due to pre-existing conditions, score as fully functioning if they are able to function at the level that is normal for this patient. (e.g. Down's syndrome)
  • Patients who are aphasic or intubated but clearly responsive or can communicate in writing should be coded as functioning normally.
  • (there is a case of patients LOC reduced due to meds and how that should be coded normal as well - details anyone?)


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Discussion

  • proper entry required in "special cases" for (there is a case of patients LOC reduced due to meds and how that should be coded normal as well - details anyone?) Ttenbergen 14:14, 18 June 2008 (CDT)



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