The Glasgow Coma Scale (GCS) is a clinical calculator used to assess the level of consciousness in patients, particularly those with traumatic brain injury. It is applicable to a wide range of patient populations, including both adults and children, and is used in various clinical settings such as emergency departments, intensive care units, and general wards.
The GCS evaluates three aspects of a patient's responsiveness: eye opening, verbal response, and motor response. Each aspect is scored separately, and the scores are then summed to give a total GCS score ranging from 3 (indicating deep unconsciousness) to 15 (indicating full consciousness).
The GCS is a valuable tool for initial and ongoing assessment of a patient's neurological status, and it helps guide treatment decisions and prognostication. It is also widely used in clinical research and for benchmarking the quality of care for patients with brain injury.
There are no specific exclusion criteria for the use of the GCS. However, it may be less accurate or not applicable in patients with certain conditions that can affect consciousness or the ability to respond, such as intoxication, hypothermia, or severe facial trauma. It is also less useful in intubated patients, as their verbal response cannot be assessed.
Reference
G L Sternbach. The Glasgow coma scale. J Emerg Med. 2000 Jul;19(1):67-71.
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