GCS-Pupils Score
Combines GCS and pupil reactivity for greater accuracy at low GCS.
When to Use
Pearls/Pitfalls
Eyes open spontaneously
+4 Eye opening to verbal command
+3 Eye opening to pain
+2 No eye opening
+1 Not assessable (trauma, edema, etc)
+1Oriented
+5Confused
+4Inappropriate words
+3Incomprehensible sounds
+2No verbal response
+1Intubated
+1Obeys commands
+6Localizes pain
+5Withdrawal from pain
+4Flexion to pain
+3Extension to pain
+2No motor response
+1Both pupils unreactive to light
-2One pupil unreactive to light
-1Both pupils reactive to light (normal)
0Result:
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