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This page consist of online training for EMS personnel. The subject of training is "The Unresponsive Patient and the "Glasgow Coma Scale". To see more training topics, Click Here!
The Unresponsive Patient and the "Glasgow Coma Score
Perhaps one of the most difficult of calls for the EMS professional is the Comatose Patient. Here we will attempt to provide an understanding of the Glasgow Coma Scale and how the scale works. This is perhaps our best method of evaluating the Comatose Patient in the field. A good understanding of the Glasgow Coma Scale is essential for all EMS providers, and a tremendous help to the Hospital ER staff when communicating a Patient Report. If you need further assistance with the the Glasgow Coma Scale, feel free to E-Mail us.
Explanation of the Glasgow Coma Scale
This test indicates the function of the brain's activites. The Patient's eyes may open spontaneously, maybe only on verbal request, or only to painful stimulation.
Best Verbal Response:
Indicates the condition of the Central Nervous System within the Cerebral Cortex. The patient may be able to speak normally and be oriented to time and place, or he/she may be disoriented and use inappropriate words. At the other end of the scale, the patient may only make incomprehensible sounds or no sound at all.
Best Motor Response:
This test examines the patient's ability to move upper and lower extremities. Responses may vary from the ability to move on command to the ability to move only in response to painful stimuli.
Each element of the Glasgow Coma Scale is rated using numbers such as "1", the lowest possible score in each category. Physicians classify brain injuries as mild, moderate, or severe depending on the score obtained from this scale.
The Glasgow Score is obtained by adding the score of each section together to obtain a total score.
Eye Opening: (E)
"1" to "4"
"1" being the lowest score possible, "4" being the highest score possible.
Best Motor Response: (M)
"1" to "6"
"1" being the lowest score possible, "6" being the highest score possible.
Best Verbal Response: (V)
"1" to "5"
"1" being the lowest score possible, "5" being the highest score possible.
The following charts are the most common method of utilizing the Glasgow Coma Scale. It is essential for EMS Providers to learn, understand and retain the Glasgow Coma Scale. The following tables break down the Glasgow Coma Scale.
THE GLASGOW COMA SCALE!
The Glasgow Coma Scale and the Scores
Eye movement + Best Motor Response + Best Verbal Response = total score:
Eye Movement = 3
Best Motor Response = 5
Best Verbal Response = 5
Total score equals 13 on the Glasgow Coma Scale.
What do these scores mean?
Coma is Defined as: