Health Assessment- Glasgow Coma Scale

Front 1

Eyes open spontaneously

Back 1

E=4

Front 2

Eyes open to voice

Back 2

E=3

Front 3

Eyes open to pain

Back 3

E=2

Front 4

No eye opening

Back 4

E=1

Front 5

Obeys verbal commands

Back 5

M=6

Front 6

Localizes to pain

Back 6

M=5

Front 7

Withdrawals from pain (NORMAL flexion)

Back 7

M=4

Front 8

Abnormal flexion (decorticate posturing)

Back 8

M=3

Front 9

Abnormal extension (decerebrate posturing)

Back 9

M=2

Front 10

No movement (flaccid-soft and hanging loosely or limply)

Back 10

M=1

Front 11

Person is oriented with normal conversation

Back 11

V=5

Front 12

Confused conversation

Back 12

V=4

Front 13

Inappropriate words

Back 13

V=3

Front 14

Your Doing Great!! : )

Back 14

Front 15

Incomprehensible sounds

Back 15

V=2

Front 16

Incomprehensible sounds

Back 16

V=2

Front 17

Not talking at all

Back 17

V=1

Front 18

Glasgow Coma Scale: #'s go high to low, with head to toe: eye, mouth, motor
1. Eye opening (4-1)
2. Best Motor response (6-1)
3. Verbal response (5-1)

Glasgow Coma Scale: If they're <8, they intubate!

Back 18

To remember DECEREBRATE posturing, it is abnormal extension. Their hands look like the flippers of a seal - Think DESEALEBRATE!

Front 19

You are assessing a 20 year old male suspected of overdosing. He is staring off into space, writhing and babbling. When you start an IV, he cries out incomprehensibly but does not pull away. What is his Glasgow Coma score

Back 19

9

Front 20

A 75 year old male rubs his chest and tells you it really hurts. He tells you he wants to go to the hospital, and you help him walk to the stretcher. What is his Glasgow Coma score

Back 20

15

Front 21

A man is found on the ground outside a homeless shelter. When you give him a sternal rub, he opens his eyes, tells you to go away, and pushes your hand away. What is his Glasgow Coma score

Back 21

12

Front 22

An elderly female in a nursing home is walking around her room and greets you when you enter. She speaks clearly but her answers are confusing. What is her Glasgow Coma score

Back 22

14

Front 23

A trauma patient moans, bends his arms towards his chest, and points his toes when you attempt to start an IV. What is his Glasgow Coma score

Back 23

6

Front 24

A patient fell while rock climbing. When you apply a deep sternal rub, he extends his arms and legs and shows no other response. What is his Glasgow Coma score

Back 24

4