GCS

Question 1

What is the scoring for eye opening?

Answer 1

4-opens spontaneously
3- opens to name
2- opens to pain
1- doesn’t open

Question 2

What is the scoring for verbal response?

Answer 2

5- Normal conversation
4- confused speech
3- incongruent words
2- incoherent sounds
1- no speech

Question 3

What is the scoring for motor response?

Answer 3

6- Obeys commands
5- Localize painful stimulus
4- Withdrawal from painful stimulus
3- Decorticate (flexion)
2- Decerebrate (extension)
1- No response

Question 4

What type of brain injury does a GCS of 9-12 indicate?

Answer 4

Moderate brain injury

Question 5

What does a GCS greater than 13 indicate?

Answer 5

Mild brain injury

Question 6

What is the most reliable method of measuring intracranial pressure?

Answer 6

Ventriculostomy catheter

Question 7

What are the recommendations for ICP monitoring?

Answer 7

1) All salvageable patients with severe TBI (GCS< 8) and abnormal CT
2) Severe TBI with normal CT with 2 of (Age over 40, unilateral/bilateral motor posturing, SBP < 90 mmHg).

Question 8

What does a GCS less than 8 that persists for more than 6 hours indicative of? What is mortality %?

Answer 8

Severe severe brain injury; 35%