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MORNI
GOOD

NG
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!
L
O
HE
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GLASG

SCALE
COMA
OW
N:

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 GLASGOW COMA
SCALE
First published by Teasdale & Jennet in
1974.

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Now, it is used for all medical trauma

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cases.
It is also used in monitoring critical
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patients.
 WHY IS GLASGOW COMA
SCALE IMPORTANT?

Assessment of responsiveness with the

Glasgow Coma Scale is widely used to guide
early management of patients with a head

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injury or other kind of acute brain injury.

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 SCALE SCORING:
 
EYE OPENING RESPONSE: 1-
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4
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S

VERBAL RESPONSE: 1-5

MOTOR RESPONSE: 1-6
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EYE OPENING
RESPONSE
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 1. AN ABSENCE OF

EYE EYE OPENING

OPENIN ● It implies substantial

impairment of brain

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stem arousal
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mechanisms.

RESPON
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 2. EYE OPENING
EYE RESPONSE TO PAIN

OPENIN ● It is assessed if the person

is not opening their eyes
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to sound.
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RESPON
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 EYE 3. EYE OPENING IN
RESPONSE TO SPEECH

OPENIN ● It is sought by speaking

G or shouting at the
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patient.
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RESPON
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 ● 4. SPONTANEOUS
EYE EYE OPENING

OPENIN ● Indicates arousal

G mechanism brain stems

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are active.
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RESPON
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 EYE Not testable (NT)

OPENIN If the patient cannot open

their eyes for some reason.

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RESPON
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VERBAL
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 1. NO VERBAL

VERBAL RESPONSE

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● No verbal response

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upon pain stimulus.
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 2.
INCOMPREHENSIBLE
SOUNDS
VERBAL

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● It is consist of moaning

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and groaning but
without any
recognizable words.
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 3. INAPPROPRIATE
SPEECH

VERBAL ● It is assigned if the

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person produces only

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one or two words, in an
exclamatory way, often
swearing.
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 4. CONFUSED
CONVERSATION

VERBAL ● It is recorded if the patient

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engages in conversation but
is unable to provide any of

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the foregoing three points of
information.
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 5. ORIENTATED

● The person should be able

VERBAL to provide answers to at

least three questions:

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1. who they are
2. where they are
3. the date
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Response
Motor
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 MOTOR 1. NO RESPONSE

RESPON ● It is recorded if no limb

movement upon pain
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stimulus
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 2. DECEREBRATE
MOTOR
● If the patient produce
RESPON an abnormal body

SE posture as you
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command them.
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 MOTOR 3. DECORTICATE

RESPON ● If the patient produce

an abnormal body
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posture as you
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command them.
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 4. WITHDRAWAL
MOTOR RESPONSE

RESPON ● It is a normal response

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● Withdraws to pain but

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the movement is not

sufficient to achieve
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localization
 MOTOR 5. MOVES TO
LOCALIZED PAIN

RESPON ● It is done with the

application of pressure and
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withdraws from pain at the

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exact location where you

put pressure.
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 6. OBEYING

MOTOR COMMANDS

RESPON ● It is the best response

possible.

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● Moves spontaneously or
purposefully.
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 So the minimum score range is from 3-15. The higher the number, the better.

A score less than 8 indicates coma and will likely need intubation to protect the
airway.
• Best score –15
• Minor brain injury – 13-14
• Moderate brain injury – 9-12
• Comatose/Severe brain injury – 8-4
• Totally unresponsive - 3
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THANK
YOU
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 ACTIVITY FOR TODAY
INSTRUCTION: Please prepare 1 sheet of paper (any kind of paper
as long as it is available). Write the score of the following
questions/situation using the Glasgow Coma Scale. Send ko nalang sa
gc yung picture ng scale. 10 scenario only and 2 pts each. 1 wrong

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answer = 1 pt. 2 or more wrong answer = 0.

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AFTER MASAGUTAN LAHAT PAKI
PICTURE-AN TAS ISEND SA GC OKE?
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 1.

EYES SCORE VERBAL SCORE MOTOR SCORE TOTAL

SCORE
Eyes Ans: Moans Ans: No Ans: Ans:
flutter incompre- movement
after hensively .
sternal
rub.

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 2.

EYES SCORE VERBAL SCORE MOTOR SCORE TOTAL

SCORE

Eyes open Ans: No sounds, Ans: Pulls limb Ans: Ans:

to pain, but even to away to
not voice. painful nail bed
stimulus pressure

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 3.

EYES SCORE VERBAL SCORE MOTOR SCORE TOTAL

SCORE

Eyes open Ans: Disoriente Ans: Swats your Ans: Ans:

to loud d hand
voice during a
sternal rub

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 4.

EYES SCORE VERBAL SCORE MOTOR SCORE TOTAL

SCORE

Eyes Ans: No verbal Ans: Torso Ans: Ans:

briefly response twists after
open to pain sternal rub
when

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name is
called

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SLIDESMANIA.
 5.

EYES SCORE VERBAL SCORE MOTOR SCORE TOTAL

SCORE
Eyes open Ans: Correctly Ans: Limbs flex Ans: Ans:
occasionall states toward
y without name, body with
stimulus location, painful
date, and stimulus

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why they

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are here
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 6.

EYES SCORE VERBAL SCORE MOTOR SCORE TOTAL

SCORE
No eye Ans: No sounds Ans: No Ans: Ans:
opening movement

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 7.

EYES SCORE VERBAL SCORE MOTOR SCORE TOTAL

SCORE
Eyes open Ans: Mutters Ans: Wrist Ans: Ans:
to pain, about flexes to
but not closing the pain
voice window
with

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painful

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stimulus
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