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GCS and GCS- P

The Glasgow Coma Scale (GCS) and Glasgow Coma Scale-Pupils (GCS-P) are vital tools in the assessment of neurological status, particularly in cases of traumatic brain injury (TBI). Here’s a quick overview: Glasgow Coma Scale (GCS) The GCS assesses a patient’s level of consciousness based on three components: Eye Opening (E): Scored 1–4 Verbal Response (V): Scored 1–5 Motor Response (M): Scored 1–6 Total Score: 3 (minimum) to 15 (maximum) Severe TBI: GCS ≤ 8 Moderate TBI: GCS 9–12 Mild TBI: GCS 13–15 Glasgow Coma Scale-Pupils (GCS-P) Introduced to improve prognostic accuracy by incorporating pupil reactivity into the GCS. Pupil reactivity is scored as follows: Both pupils reactive: 0 One pupil non-reactive: 1 Both pupils non-reactive: 2 GCS-P = GCS Score − Pupil Reactivity Score Range: 1 (worst) to 15 (best) Why GCS-P? Combines consciousness level with brainstem function (pupil reactivity). Enhances outcome prediction, particularly in severe TBI.