Glasgow Coma Scale or GCS is a neurological Neurology is a medical specialty dealing with disorders of the nervous system. Specifically, it deals with the diagnosis and treatment of all categories of disease involving the central, peripheral, and autonomic nervous systems, including their coverings, blood vessels, and all effector tissue, such as muscle. The corresponding surgical specialty scale The scale ratio of some sort of model which represents an original proportionally is the ratio of a linear dimension of the model to the same dimension of the original. Examples include a 3-dimensional scale model of a building or the scale drawings of the elevations or plans of a building. In such cases the scale is dimensionless and exact that aims to give a reliable, objective way of recording the conscious state of a person for initial as well as subsequent assessment. A patient is assessed against the criteria of the scale, and the resulting points give a patient score between 3 (indicating deep unconsciousness) and either 14 (original scale) or 15 (the more widely used modified or revised scale).
GCS was initially used to assess level of consciousness An altered level of consciousness is an measure of arousal other than normal. Level of consciousness is a measurement of a person's arousability and responsiveness to stimuli from the environment. A mildly depressed level of consciousness may be classed as lethargy; someone in this state can be aroused with little difficulty. People who are after head injury Head injury refers to trauma to the head. This may or may not include injury to the brain. However, the terms traumatic brain injury and head injury are often used interchangeably in the medical literature, and the scale is now used by first aid First aid is the provision of initial care for an illness or injury. It is usually performed by a lay person to a sick or injured casualty until definitive medical treatment can be accessed. Certain self-limiting illnesses or minor injuries may not require further medical care past the first aid intervention. It generally consists of a series of, EMS Emergency medical services are a branch of emergency services dedicated to providing out-of-hospital acute medical care and/or transport to definitive care, to patients with illnesses and injuries which the patient, or the medical practitioner, believes constitutes a medical emergency, and doctors A physician — also known as medical practitioner, doctor of medicine, medical doctor, or simply doctor — practices the ancient profession of medicine, which is concerned with maintaining or restoring human health through the study, diagnosis, and treatment of disease or injury. This properly requires both a detailed knowledge of the academic as being applicable to all acute medical and trauma patients. In hospitals it is also used in monitoring chronic patients in intensive care Intensive care medicine or critical care medicine is a branch of medicine concerned with the provision of life support or organ support systems in patients who are critically ill and who usually require intensive monitoring.
The scale was published in 1974 by Graham Teasdale and Bryan J. Jennett Bryan Jennett was a pioneering Professor of Neurosurgery who established Glasgow as a world centre in the speciality and made major advances in the care and management of patients. Under his leadership the city became a global centre for innovation in Neuroscience and attracted a generation of international collaborators and trainees to the extent, professors of neurosurgery at the University of Glasgow The University of Glasgow is the fourth-oldest university in the English-speaking world and one of Scotland's four ancient universities. Located in Glasgow, the university was founded in 1451 and is presently one of seventeen British higher education institutions ranked amongst the top 100 of the world.
GCS is used as part of several ICU scoring systems Shock sequence: SIRS · Sepsis · Severe sepsis · Septic shock, including APACHE II APACHE II is a severity of disease classification system (Knaus et al., 1985), one of several ICU scoring systems. After admission of a patient to an intensive care unit, an integer score from 0 to 71 is computed based on several measurements; higher scores imply a more severe disease and a higher risk of death, SAPS II SAPS II is a severity of disease classification system . Its name stands for "Simplified Acute Physiology Score", and is one of several ICU scoring systems, and SOFA The Sequential Organ Failure Assessment score, or just SOFA score, is used to track a patient's status during the stay in an intensive care unit . It is one of several ICU scoring systems, to assess the status of the central nervous system The central nervous system is the part of the nervous system that coordinates the activity of all parts of the bodies of bilaterian animals—that is, all multicellular animals except sponges and radially symmetric animals such as jellyfish. In vertebrates, the central nervous system is enclosed in the meninges. It contains the majority of the. A similar scale, the Rancho Los Amigos Scale The Rancho Los Amigos Scale is a medical scale intended to assess the level of recovery of brain injury patients and those recovering from coma. It is named after the Rancho Los Amigos National Rehabilitation Center is used to assess the recovery of traumatic brain injury Traumatic brain injury occurs when an outside force traumatically injures the brain. TBI can be classified based on severity, mechanism (closed or penetrating head injury), or other features (e.g. occurring in a specific location or over a widespread area). Head injury usually refers to TBI, but is a broader category because it can involve damage patients.
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New Zealand Herald
Mr Ngarangione scored the best possible mark on the Glasgow Coma Scale and passed other neurological tests before he was discharged.
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Easy to remember if you start at the top and work your way down
