Protocol 2-924-48 - Universal Patient Care

Protocol 2-924-48 - Universal Patient Care - Glasgow Coma Scale

CMH EMS & MIH Protocols

Question	Adult Options	Pediatric Options
Eye Opening	4 - Spontaneous 3 - To speech 2 - To pain 1 - None	4 - Spontaneous 3 - To speech 2 - To pain 1 - None
Verbal Response	5 - Oriented 4 - Confused 3 - Inappropriate 2 - Incomprehensible 1 - None	5 - Coos and babbles 4 - Irritable cry 3 - Cries to pain 2 - Moans to pain 1 - None
Best Motor Response	6 - Obeys commands 5 - Localizes pain 4 - Withdraws from pain 3 - Abnormal flexion 2 - Abnormal extension 1 - None	6 - Spontaneous movement 5 - Withdraws to touch 4 - Withdraws from pain 3 - Abnormal flexion 2 - Abnormal extension 1 - None

Question

Answer

Adult Options

Pediatric Options

Eye Opening

4 - Spontaneous
3 - To speech
2 - To pain
1 - None

Verbal Response

5 - Oriented
4 - Confused
3 - Inappropriate
2 - Incomprehensible
1 - None

5 - Coos and babbles
4 - Irritable cry
3 - Cries to pain
2 - Moans to pain
1 - None

Best Motor Response

6 - Obeys commands
5 - Localizes pain
4 - Withdraws from pain
3 - Abnormal flexion
2 - Abnormal extension
1 - None

6 - Spontaneous movement
5 - Withdraws to touch
4 - Withdraws from pain
3 - Abnormal flexion
2 - Abnormal extension
1 - None

GCS score:

Click "calculate" to show GCS score.

Less than 8 = Severe deficit.
9-12 = Moderate deficit.
13-14 = Mild deficit.
15 = No deficit.

NEMSIS Protocol: 9914075 - General-Universal Patient Care/ Initial Patient Contact

Citations:

Protocol 9-010 - References
American Academy of Pediatrics, 2006
BJC HealthCare, 2017
Bledsoe & Benner, Critical care paramedic, 2006
Bledsoe, Porter, & Cherry, Essentials of paramedic care, 2011
Carnahan, Rules of Department of Health and Senior Services, division 30 - Division of regulation and licensure, chapter 40 - Comprehensive emergency medical services systems regulations, 2010
Cauchi, 2019
Cauchi, 2020
Chapter 190 - Emergency services, 2012
Citizens Memorial Hospital, 2012
Cox Paramedics, 2014
Designated hospitals, n.d.
Handtevy Inc.
Institute of Medicine of the National Academies, 2012
McDougal, 2009
Missouri Department of Health & Senior Services, 2019
NASEMSO Medical Directors Council, 2017
National Association of Emergency Medical Technicians, 2019
National Association of State EMS Officials, 2014
Pieretti, 2007
Ralston, 2011
US Department of Homeland Security, Unknown
Vilke, Chan, Bozeman, & Childers, 2019
Wake County EMS System, 2010

Change Log:

Date	Link to previous version	Description of change
07/22/16		Added this section.
07/12/20	pdf	Moved this section from 2-924created a new page.
06/06/21	pdf	Moved to emsprotocols.online
10/16/21		Renumbered from 2-924-02 to 2-924-48.

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CMH Mobile Integrated Healthcare Mission: "Provide exceptional, compassionate, and patient-centered care by a mobile collaborative team to improve patient experience, improve quality outcomes, and reduce healthcare costs."