GCS score?

among all component in GCS (eye, verbal and motor), which is the most important component and why?

Authored By malek ahmad on Thursday 9th April 2015

Responses

Dan O'Brien
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Posted over 3 years ago
Motor
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Jeremy Walker
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Site Administrator
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Posted over 3 years ago
Thanks, Dan. Got a source for this just for reference?
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Souradeep Dutta
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Intern - Calcutta
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Posted over 3 years ago
MOTOR " Indeed, the motor score is more important than either of the other two components in predicting the magnitude of neurologic injury for patients with severe head injury (Jagger et al. 1983)." http://www.coma.ulg.ac.be/images/gcs_comments.pdf
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Dr Alastair Buick
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Site Administrator
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Posted over 3 years ago
Absolutely! I've had a number of very withdrawn patients score low on eye, and verbal, mainly because they didn't want to engage. A painful stimuli is harder to 'ignore' and is used in 5 out of the 6 motor scores. I guess that is why it probably has a hig
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Lucia Gannon
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Posted over 3 years ago
Great to have a full discussion of all the pros and cons of using this scale. Highlights the uncertainties surrounding a lot of what we do in emergency care and the importance if good clinical judgement.
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Hussein El_shirbeny
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medical student - K.F.S university
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Posted over 3 years ago
I agree with you
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Asra Alwandi
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Medical Student - St. Georges University, London
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Posted over 3 years ago
I believe it is motor as well.
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