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Glasgow Coma Scale

The Glasgow Coma scale is hard to remember, so use this Picmonic to remind you of the story of the glass-cow who came into the hospital with a head injury, and was evaluated on the comb-scale. The Glasgow Coma Scale is an LOC assessment tool, displayed by the lock-halo around the cow, and the assess-man checking him over. This scale goes from 3 to 15 and is used to assess mental status, which is why the comb scale reads from 3 to 15. Patients who score an 8 or less are considered to be in a coma, shown by the down-arrow (8) ball holding a comb, which was pulled out from the cow’s head. Patients are scored from 1-4 on eye opening response, shown by the (4) eyes doctor causing this cow’s eyes to open from a sternal rub. They are rated on a scale of 1-5 on&nbsp;verbal response, illustrated by this verbal-mouth asking how many fingers are on his hand. The cow response with inappropriate words. Finally, patients are evaluated on their motor response on a scale of 1-6. This is shown by the 6-cylinder motor grabbing the cow, leading to abnormal flexion.So in quick review, The Glasgow Coma Scale is used for level of consciousness assessment, and patients can score from 3 to 15. Patients who score an 8 or less are considered to be in a coma. They are rated in the categories of eye opening, verbal response and motor response.

educational

story

glasgow coma scale.png

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Glass-cow Comb Scale

Coma

GLASGOW COMA SCALE

Major Head Injury: Glasgow Coma Scale (GCS)

Traumatic brain injury: Clinical practice

lock halo assess man.png

Lock-halo Assess-man

LOC Assessment

Which of the following is most likely the purpose of the Glasgow Coma Scale (GCS)?

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Scale from 3 to 15

Score of 3 to 15

Which of the following score ranges is best associated with the Glasgow Coma Scale (GCS)?

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Down-arrow (8) Ball holding a Comb

8 or Less = Coma

Which of the following score ranges is best associated with patient coma using the Glasgow Coma Scale (GCS)?

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EYE OPENING text.png

Eyes Open

Eye Opening

Which of the following is a most likely a component of the Glasgow Coma Scale (GCS)?

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VERBAL text.png

Verbal-mouth

Verbal Response

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MOTOR text.png

Motor

Motor Response

Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 13th Edition

First Aid for the USMLE Step 2 CK, 9th Ed

Hockenberry, Wong's Nursing Care of Infants and Children, 10th Ed.

Ignatavicius Medical-Surgical Nursing, 9th Edition

Medical-Surgical Nursing, 10th Ed, Lewis, Dirksen, Heitkemper, & Bucher

Medical-Surgical Nursing, 9th Ed, Lewis, Dirksen, Heitkemper, & Bucher

STEP-UP to USMLE Step 2 CK, 4th Ed

Added minor edits to the definition for "Motor Response".

This glass-cow on a comb scale has suffered a major head injury. &nbsp;She was in a hurry, getting ready for a date, combing her hair as fast as she could, when the comb became lodged in her skull. &nbsp;Now we see her at the hospital, with the Lock-halo assess-man assessing her LOC, using the Glasgow Coma Scale. &nbsp;Depending on her performance within 3 criteria, she could've scored a 3 to a 15. &nbsp;But this is the story of how she scored an 8, after an eight-ball pulled the comb from her skull, signaling that she was indeed in a coma. &nbsp;First, a four eyed doctor assessed her ability to open her eyes, with a possible top score of four. &nbsp;She didn't open them when he entered the room. &nbsp;She didn't open them when he spoke to her. &nbsp;She did, however, open her eyes when he gave her a painful sternal rub. &nbsp;This gave her a score of 2. &nbsp;Next, a giant mouth walked into the room to test her verbal response. &nbsp;It held up its five finger hand asking, "how many fingers am I holding up?" with a possible top score of five. &nbsp;The only thing the cow said was, "moo." &nbsp;This choice of words was inappropriate for the question, which meant she got a score of 3. &nbsp;Finally, a six cylinder motor entered the room to test her motor response, with a possible top score of six. &nbsp;It told her to touch her nose and she didn't respond. &nbsp;It squeezed her trapezius and she didn't respond to the localized pain. &nbsp;She didn't show flexion withdrawal from the pain. &nbsp;She did, however, show abnormal flexion, and this landed her a score of three. &nbsp;So two was added to three, equaling five, which was added to three again, giving her a score of eight, which meant this cow was in a coma. &nbsp;

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