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Glasgow Coma Scale

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The Glasgow coma scale is a medical tool in the form of a chart used by paramedics, EMT’S, doctors, firefighters, and medical first responders use to determine the level of consciousness of a person who has substantiated some type of trauma to their body.

To check a persons level of consciousness, a medical first responder must check to insure the person is conscious, alert, breathing normal, good oxygen saturation level, pupils are normal and reactive, normal blood glucose level, the person can movefingers and toes, the person has feeling in their fingers and toes, and the person responds to pain when pinching fingers and toes.

If the level of a persons consciousness and mental status is altered for any reason, a medical first responder needs to record the persons level of consciousness and check the persons blood glucose level with a blood glucose monitor.

The Glasgow coma scale has three basic categories and they are, eye opening, verbal response, motor response.

Each of the three categories on the Glasgow coma scale also has a number assigned to its description.

On the far left of the Glasgow coma scale a medical first responder can see the words (Eye Opening).

Eye Opening:

Spontaneous is assigned with 4 maximum points.

To Voice is assigned with 3 maximum points.

To Pain is assigned with 2 maximum points.

None is assigned with 1 point.

In the middle of the Glasgow coma scale a medical first responder can see the words (Verbal Response).

Verbal Response:

Oriented is assigned with 5 maximum points.

Confused is assigned with 4 maximum points.

Inappropriate Words assigned with 2 maximum points.

Silent assigned with 1 maximum point.

On the far right of the Glasgow coma scale a medical first responder can see the words (Motor Response).

Motor Response:

Obeys Commands is assigned with 6 maximum points.

Localizes Pain is assigned with 5 maximum points.

Withdraws is assigned with 4 maximum points.

Abnormal Flexion is assigned with 3* points.

Abnormal extension is assigned with 2** points.

No Movement is assigned with 1 point.

The Glasgow coma scale was designed to help medical first responders make quick, critical patient assessments while performing life saving exams in a rapid orderly manner to achieve life-saving interventions and have a successful outcome of a trauma patient.

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