Glasgow coma scale

Author:Prof. Dr. med. Peter Altmeyer

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Last updated on: 29.10.2020

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Synonym(s)

GCS; Glasgow Coma Scale; Glasgow Scale

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DefinitionThis section has been translated automatically.

The Glasgow Coma Scale is a simple scale for estimating a consciousness disorder. It is often used in intensive care medicine - especially after a craniocerebral injury (trauma). The Glasgow Coma Scale can also be used to quantify general disorders of consciousness. There are three categories, for each of which points are awarded:

  • Eye opening (1-4 points)
  • Best verbal reaction (1-5 points)
  • Best motor response (1-6 points)

ClassificationThis section has been translated automatically.

Assessment of the severity of a clouding of consciousness using the Glasgow Coma Scale

  • Opening the eyes
    • Spontaneous: 4Points
    • On response: 3 points
    • On pain stimulus: 2 points
    • Missing: 1point
  • Verbal reaction
    • Oriented: 5 points
    • Confused: 4 points
    • Single words: 3 points
    • Sounds: 2 points
    • Missing: 1 point
  • Motor response
    • Follow-up to call 6 points
    • Targeted pain reaction: 5 points
    • Unspecific pain reaction: 4 points
    • Bending synergisms: 3 points
    • Spontaneous: 4 pointsSynergisms: 2 points
    • Missing: 1

Maximum score: 15; Minimum score: 3

Points are awarded separately for each category and then added together. The maximum score is 15 (when fully conscious), the minimum score is 3 (in deep coma). A score of 8 or less points indicates a serious brain dysfunction and the risk of life-threatening respiratory problems, so that securing the airway by endotracheal intubation must be considered.

Note(s)This section has been translated automatically.

The Glasgow Coma Scale can then be used to assess the degree of craniocerebral trauma (SHT):

  • slight SHT - Score: 15-13
  • moderate SHT - Score: 12-9
  • heavy SHT - Score: GCS 8-3

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Last updated on: 29.10.2020