Glasgow Coma Scale - Scenarios Adults Flashcards
A patient fell while rock climbing. When you apply a deep sternal rub, he extends his arms and legs and shows no other response.
4
- Eye - 1*
- Verbal - 1*
- Motor - 2*
The patient is pulseless and apneic.
3
- Eye - 1*
- Verbal - 1*
- Motor - 1*
A 73-year-old patient looks at spontaneously you when you speak to her. When you ask her the date, she says “blue.” You note left-sided weakness when she grips your fingers.
13
- Eye - 4*
- Verbal - 3*
- Motor - 6*
A trauma patient moans, bends his arms towards his chest, and points his toes when your partner attempt to start an IV.
6
Eye - 1
Verbal - 2
Motor - 3
You are assessing a 20-year-old male suspected of overdosing. He is staring off into space, writhing, and babbling. When your partner starts an IV, he cries out incomprehensibly but does not pull away.
7
Eye - 4
Verbal - 2
Motor - 1
You are transporting an altered mental status (high suspicion inebriated) patient. When you attempt to insert a nasal airway he opens his eyes, slaps your hand away, curses at you but unsure where he is, and sits up. When you stop, he lays down on the stretcher.
11
Eye - 2
Verbal - 4
Motor - 5
A 75-year-old male rubs his chest and tells you it really hurts. He tells you he wants to go to the hospital, and you help him walk to the stretcher.
15
Eye - 4
Verbal - 5
Motor - 6
A man is found on the ground outside a homeless shelter. When you give him a sternal rub, he opens his eyes, tells you to go away, and pushes your hand away.
12
Eye - 2
Verbal - 5
Motor - 5
A possible overdose patient looks around with an unfocused gaze, mumbles when you ask him questions, and pulls away from a painful stimulus.
10
Eye - 4
Verbal - 2
Motor - 4
An intoxicated patient initially appears unresponsive. When you start an IV, she wakes up and yells at you, then lays back down and closes her eyes.
12
Eye - 2
Verbal - 5
Motor - 5
An adult moves their hand away when you apply pressure to the nail bed. The patient can make words but not form coherent sentences. They open their eyes to pain, but not to speech.
9
Eye - 2
Verbal - 3
Motor - 4
The patient spontaneously looks around. When you speak to the patient, they can tell you who they are, where they are and why, and the date, and obey simple commands.
15
Eye - 4
Verbal - 5
Motor - 6
The patient moves their hand towards the head when you apply pressure above the eyesocket. They are disoriented but able to form sentences. They open their eyes in response to speech.
12
Eye - 3
Verbal - 4
Motor - 5
The patient extends their elbow when you put pressure on the nail bed. They can talk in sentences and are disorientated. They are unable to open their eyes.
7
Eye - 1
Verbal - 4
Motor - 2
The patient opens their eyes when you say their name, and speaks to you in words that make no sense. When you apply pressure on their nail bed, they move their arm away.
10
Eye - 3
Verbal - 3
Motor - 4
The patient opens their eyes when they hear you shouting for help. They groan and make sounds which you cannot recognize as words. They do not respond to pain.
6
Eye - 3
Verbal - 2
Motor - 1
The patient opens their eyes when you speak to them, and can hold a conversation, though seems disorientated. The patient flexes the elbow and wrist when you put pressure on the nail bed.
10
Eye - 3
Verbal - 4
Motor - 3
The patient flexes their elbow and wrist when you put pressure on the nail bed. They do not open their eyes at all. They make grunting noises but no words.
6
Eye - 1
Verbal - 2
Motor - 3
The patient can obey simple commands and opens their eyes when they hear you speak. They can talk to you in sentences and seem a little confused and unsure of where they are.
13
Eye - 3
Verbal - 4
Motor - 6
The patient opens their eyes and extends their left elbow when you put pressure on the left index fingernail bed. No response on the right. Makes no sounds.
5
Eye - 2
Verbal - 1
Motor - 2
The patient unable to speak or open eyes, and has no response to pain.
3
Eye - 1
Verbal - 1
Motor - 1
