GCS Flashcards
What is GCS scored out of?
15
How do you remember the 3 different scores of GCS?
EYES
4 letters so out of 4
Mouth (speech)
5 letters so out of 5
Muscle(motor)
6 letters so out of 6
What are the different scores for eyes?
EYES
Out of 4
1-No response
2- Pain
3- Speech
4- Normal
What are the different scores for verbal response?
Mouth
Out of 5
1-No response
2-Just sounds
3-Just words
4-Confused
5-Normal
What are the different scores for motor response?
Muscle
Out of 6
1-No response
2-Abnormal extension (e before f- alphabetical)
3-Abnormal flexion
4-Moves from pain
5-Moves to pain
6-Normal
A 30 year old adult comes into A & E after a crash
He can obey simple commands, opens his eyes when he hears you speak.
He can talk to you in sentences and seems a little confused and unsure of where he is.
What is his GCS?
13
Eyes
3- opens to speech
Mouth
4- can talk but confused
Muscle
6
28-year-old man is brought to A&E with a reduced level of consciousness
His friends believe he has ingested large quantities of an unknown substance.
He opens his eyes briefly with supraorbital pressure, but not in response to voice.
He is making moaning sounds but no words or sentences.
Motor response, there is abnormal flexion in response to pain, with no localisation.
What is his GCS?
7
Eyes
2-opens to pain
Mouth
2- only sounds not words
Muscle
3-e before f, flexion is 3
A patient is brought into A&E following an accident.
He is opening his eyes to speech, complaining loudly of pain in his right lower limb (which has sustained an open tibial fracture) and cannot concentrate on questions being asked.
He is asking for his friend and cannot identify where he is.
He intermittently follows your command to squeeze your fingers with his left hand but cannot do the same with his right.
What is his GCS?
13- Scored with best response
Eyes
3- to speech
Mouth
4- He is confused
Muscle
6- Can follow commands even if intermittently
A 67-year old female presents to A&E unconscious after falling down a flight of stairs.
On examination, she has response to pain, says inappropriate words and has flexion to pain.
What is her GCS score?
8
Eyes
2- Responds to pain
Mouth
3- Words not sounds
Muscle
3-e before f, flexion is 3
A 30 year old adult comes into A&E
after a car accident.
On examination, he extends his elbow when you put pressure on the nail. He can talk to you in sentences but seems disorientated
He is unable to open his eyes.
What is his GCS?
7
Eyes
1- Cannot open
Mouth
4- Confused
Muscle
2- Extension, e before f, so 2
88-year old female presents to A&E unconscious after being hit by a bicycle.
On examination, she has response to pain, says incomprehensible sounds and has abnormal extension to pain.
What is her GCS?
6
Eyes
2-response to pain
Mouth
2-just sounds
Muscle
2–extension, e before f, 2
