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Rabu, 30 Maret 2011

GCS (Glasgow Coma Scale)

GCS (Glasgow Coma Scale) is a scale used to assess the patient's level of consciousness, (whether the patient in a coma or not) by assessing the patient's response to the stimulus provided.
Response of patients who need to be considered include the 3 things that is eye-opening reaction, speech and motor skills. Examination results are expressed in degrees (score) with a range of numbers 1-6 depending on the response.
Eye (eye-opening response):
(4): spontaneous
(3): with sound stimuli (tell the patient opened his eyes.)
(2): with pain stimuli (give pain stimuli, such as pressing the finger nails)
(1): no response
Verbal (verbal responses):
(5): good orientation
(4): confused, talk mess (frequently asked repeatedly) disorientation of place and time.
(3): words only (not speak clearly, but words are still clear, but not in one sentence. For example "... oh, father ...")
(2): sound without meaning (groan)
(1): no response
Motor (motor response):
(6): following orders
(5): localized pain (reach out & keep the stimulus when given painful stimuli)
(4): withdraws (dodge / pull extremitas or body away from the stimulus when given painful stimuli)
(3): flexi abnormal (one or both arms rigid position on the chest and leg extensions when given painful stimuli).
(2): abnormal extension (one or both extension arms at your sides, with clenched finger and foot extension when given painful stimuli).
(1): no response
The assessment level of awareness based on GCS expressed in symbols E ... V ... M ...
Furthermore, the values ​​added together. GCS is the highest value is 15 which is E4V5M6 and the lowest is 3, ie E1V1M1.
If associated with head injury cases, the obtained results:
GCS: 14 - 15 = CKR (mild head injury)
GCS: 9 - 13 = CKS (currently head injury)
GCS: 3-8 = CKB (severe head injury)

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