Produced by White Star Medical Ltd. www.whitestarmedical.co.uk/library.shtml You may freely reproduce this sheet provided it is unaltered.

GL SG!W "!M S" L# $G"S%

#Y#S S"!&# ) * + , '#S' Spontaneous 'o Speech 'o Pain (il &#SP!(S# !pen eyes without outside stimuli !pens eyes on verbal stimuli !pens eyes after painful stimuli -oesn.t open eyes after any stimuli

/#&0 L S"!&# 1 ) * + , '#S' !rientated "onfused 2nappropriate 2ncomprehensible (il &#SP!(S# 2s orientated3 aware in answerin4 5uestions ppears confused but can produce meanin4ful sentences nswers with inappropriate words often obscenities Groans3 moans or mumblin4s3 no intelli4ible words (o verbal responses to any stimuli

M!'!& S"!&# 6 1 ) * + , '#S' !beys "ommands Localises Pain Withdraws from Pain -ecorticate &eaction -ecerebrate &eaction (il &#SP!(S# ccurately responds to commands of physical actions Moves a hand or arm towards a painful stimuli to remove it Withdraws a body part from source of painful stimuli bnormal fle7in4 of 8oints in response to painful stimuli bnormal e7tension of 8oints in response to painful stimuli (o motor response to any stimuli

'he Glas4ow "oma Scale $G"S% was created by two 'he /P? scale is a simplified version for assessin4 Scottish (eurosur4eons9 Graham 'easdale and 0ryan level of consciousness. 0ein4 simpler3 it has more :ennet in ,;<). users includin4 @irst iders. 2t is scored between * and ,13 * bein4 the lowest and ,1 the hi4hest. 2t is made up of * parts9 eye openin43 verbal response and motor response. A lert3 / A &esponds to voice3 P BB &esponds to Pain ? A ?nresponsive.

'he total score is made up by addin4 each of the three parts. 'he term G"S ,+ is meanin4less3 it should be correlation has been shown between /P? and G"S 4iven as parts for e7ample= #)/*M1 > G"S ,+. 'he $Mackay3 0urke et al%. e5uals G"S ,13 / and P e7ceptions are G"S ,1 and G"S * since they can only occurs at around G"S ; $however it is formed%. Cence be made one way. a patient scorin4 P or ? correlates with a severe brain in8ury.

Produced by White Star Medical Ltd. www.whitestarmedical.co.uk/library.shtml You may freely reproduce this sheet provided it is unaltered.

Produced by White Star Medical Ltd. www.whitestarmedical.co.uk/library.shtml You may freely reproduce this sheet provided it is unaltered.

GL SG!W "!M S" L# $G"S% M!(2'!&2(G SC##'

P '2#(' ( M# - '# '2M#

'2M#S / L?#S #Y#S /#&0 L M!'!& '!' L

Produced by White Star Medical Ltd. www.whitestarmedical.co.uk/library.shtml You may freely reproduce this sheet provided it is unaltered.