|
Eye Opening
|
|
| Spontaneous | 4 |
| To Voice | 3 |
| To Pain | 2 |
| None | 1 |
|
Verbal Response
|
|
| Oriented | 5 |
| Confused | 4 |
| Inappropriate | 3 |
| Incomprehensible | 2 |
| None | 1 |
|
Motor Response
|
|
| Obeys Commands | 6 |
| Localizes (Pain) | 5 |
| Withdraw (Pain) | 4 |
| Flexion (Pain) | 3 |
| Extension (Pain) | 2 |
| None | 1 |
| Total 3-15 | |
| Score of less then 8. Ventilate/Intubate |
|
|
GCS Score
|
|
| 13-15 | 4 |
| 9-12 | 3 |
| 6-8 | 2 |
| 4-5 | 1 |
| 3 | 0 |
|
Systolic BP
|
|
| > 89mm Hg | 4 |
| 76-89mm Hg | 3 |
| 50-75mm Hg | 2 |
| 1-49mm Hg | 1 |
| None | 0 |
|
Respiratory Rate
|
|
| 10-29/min | 4 |
| >29/min | 3 |
| 6-9/min | 2 |
| 1-5/min | 1 |
| None | 0 |
| Total 0-12 | |
|
Eye Opening
|
|
| Spontaneous | 4 |
| To Voice | 3 |
| To Pain | 2 |
| None | 1 |
|
Verbal Response
|
|
| Coos, Babbles | 5 |
| Irritable Cries | 4 |
| Cries to Pain | 3 |
| Moans to Pain | 2 |
| None | 1 |
|
Motor Response
|
|
| Normal | 6 |
| Withdraws to Touch | 5 |
| Withdraw (Pain) | 4 |
| Abnormal Flexion | 3 |
| Abnormal Extension | 2 |
| None | 1 |
| Total 3-15 | |
|
Size
|
|
| >44lb | +2 |
| 22-44lb | +1 |
| <22lb | -1 |
|
Airway
|
|
| Normal | +2 |
| Maintainable | +1 |
| Unmaintainable | -1 |
|
Systolic BP
|
|
| >90 mm Hg | +2 |
| 50-90 mm Hg | +1 |
| <50 mm Hg | -1 |
|
CNS
|
|
| Awake | +2 |
| Obtunded/LOC | +1 |
| Coma/Decerebrate | -1 |
|
Open Wounds
|
|
| None | +2 |
| Minor | +1 |
| Major/Penetrating | -1 |
|
Skeletal
|
|
| None | +2 |
| Closed FX | +1 |
| Open/Multiple FX | -1 |
| Total-6 to +12 | |