What Is the Glasgow Coma Scale?

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Please remember, we are not able to give medical or legal advice. If you have medical concerns, please consult your doctor. All posted comments are the views and opinions of the poster only.

When my son was born he was 16 weeks premature. I happened to know the exact day I got pregnant because his father came home for 24 hrs before being deployed again. He died 2 weeks after I found out I was pregnant. The letter I wrote him telling him the good news never made it in time for him to even know that we were expecting. Our son was born exactly 24 weeks gestation. He was 1lb 7oz and only 12 1/4 inches long. He was diagnosed with a stage 4 inner ventricular hemorrhage to the entire left hemisphere of his brain. Basically the entire left side of his brain was bleeding and coveted in blood clots. The Dr said that he was too weak and little for surgery and that since he was already on life support that the likely ability of our son even making it through was less than 10%. The Dr said that I should stop life support and let him go. He said that even if my son made it that he'd never walk, talk, play, understand, or in any way be a normal child. That night I had him christened and I prayed like I'd never prayed before. My son is now 11 yrs old, almost 5 feet tall, 80+lbs, and he walks, talks, and plays just like a normal child. He is autistic and has a few medical issues but to look at him you'd never know his struggle. He's happy, healthy, and he saved my life during a time that all I wanted to do was give up. So, Dr's, science, medicine...they aren't always right. It's opinions based on the best guess of the medical facts that they have on hand at the given time. Dr's are people. Not God's, not magicians, they cannot alter the outcome of life. All they can do is try. Go with your heart. I'm not sure if it was really God that saved my sons life or if it was luck or destiny or fate but it doesn't hurt to believe and it doesn't hurt to pray. I hope that our story helps someone who is reading it. I hope it gives you comfort and the hope to withstand another day. Every second of life is precious but promised to no one. Live in this moment. Love as hard as you can. Stay strong no matter the battle you are facing or the outcome that will inevitability follow. Only the hardest battles are given to the strongest warrior's......

My mother went into cardiac arrest a few days ago during an operation at the hospital. After a few minutes of CPR and 6 epi shots, they were able to bring her back. They cooled her body down to 91 degrees to help preserve brain tissue and then warmed her up.  This process took 48 hours.  As of 5:30 pm today, her body temperature is normal and her vitals look good.  That being said, she is in a comatose state at the moment.  She is a peritoneal dialysis​ patient, and the doctors think that some of the anesthesia​ still exists in her peritoneal fluid, so they are exchanging her fluid tonight to see if this helps.  As far as I know, the doctors have not performed a Glasgow Coma test yet.  I read the scale and I would rate her about a 7-8, but I may be completely wrong.  Those of you who were in comas have given me some hope, and I felt that I needed to express this.  Thank you dearly, and if you could please find it in your heart, please pray for my mother Belinda. 

To the person who commented on 11/28/15, and probably others, the tests can be strong indicators, but the numbers aren't the final word as with any diagnosis. A rotation or visits to the unit will let you know if it's for you or not. I've had quite a few minor TBIs and a moderate in the mid range from a car accident in 1990 that I shouldn't have survived. What initially helped me the most were the nurses in the ICU. Their compassion and caring helped me heal more than anything else. I helped them because they rarely had a patient not in a coma. They were so excited to be able to interact with a patient and I will always be grateful for the care I received. I've been a tax-paying, highly functioning member of society since then. It's not always easy and some adverse effects will probably never go away, especially memory and emotional problems, but that's manageable given how bad it could and should have been. I also have a friend that received a far more serious TBI than I did and she's also beat the odds that she was given. My sister was a neuro nurse and said it was incredibly difficult because so many never recover. Just like any other unit, some can do it and some can't.

My 14 yr old daughter entered the hospital via air transport with a glasgow scale 3 . with orbital injury and right ear injury . she suffered diffuse axonal injury ( sheering) we were in the hospital 2 months when she walked out the door . within 3 months of that she was in school making straight As! The brain is a truly unique thing. And God is always good !

Thank you all for sharing your stories. I am a graduate nurse preparing for my board exam and I have really wondered if this profession is the right place for me. I have also wondered about the Neuro nursing. I've heard stories of it being full of 'no hope' situations. Your stories breath life into me and make me feel there is a hope after all and that if I do my part, a miracle is possible. Thanks!

My friend was in a motorcycle accident with crushed skull.  He was in a coma for 4 months and the Dr's told his parents he had no brain activity and was a donor.. They never took him off life support.. Then he started to come around,  and after a long rehab he is back to work as a firefighter doing great... You never know..  Now we are going through this with my brother in law.. He was a 3 when he went in.. After 5 days he started to come around and is now off off of life support and trying to speak.. Now he is a 5  we are hoping for a miracle and he gets back to normal..

I am undergoing a bridging program which will enable me sit the Canadian Nursing exam. I must say that i am well informed by the article i read here an they are very simplified. Keep up the good work.

I was hospitalised in critical care for a medication overdose by a public hospital early 2013 and the CCU said my GCS dropped but didn't say to what, then went up to 13 then down to 10 and nothing after that to indicate what it was on discharge. How do I find out what it is now?

I went into a public hospital and was administered an incorrect medication about 15 times the manufacturers recommended dose for a first time patient and was put on Life Support in an Induced Coma for 2 days with a GCS of 10. Can someone tell me if this rating is permanent or does it get better over time please?

My partner was hit by a car and he had a compound fracture on his femur . The next morning he was in a COMA and we are on day nine and he rated a 3 on this scale. His brain is rittled with fat emboli . What long term hope to we have of recovery or quality of life. specialists said they have NEVER seen this kind of fat emboli in brain. 

Can we use this scale for this typed of trauma or does it matter 

thank you  

Hello... My name is Lisa I am the survivor of 28 days on the vent. My score was a 4. I do have a brain injury but my recovery was much easier than expected. Miracles really do happen.

to the person who posted their question on August 6th about their dad on the ventilator, I have the same question about my mom as you have about your dad. Could you email me at jjojmac@gmail.com if possible? I would like to share stories and see if we can find out more about this together

My father had a RTA and taken to hospital with GCS of 10 & I.C hematoma, sooner it dropped down drastically to 3. We shifted him to the best hospital in city. Doctors put him on ventilator for a day and half, then we were told that he had stopped breathing himself and is respirating completely with the help of ventilator. They performed numerous tests on him and after 2 days they declared him "brain stem dead". Was there any chance of recovery if he would have kept on ventilator for some more time? We consulted 5-6 doctors, best of best, but nobody gave us any hope and we were told that the damage to the brain was permanent and irrireversable and there is no point of keeping him on ventilatory support. I just wanted to know whether or not there was any chances of survival or recovery? What is the difference between brain dead and coma?

My uncle was in a motorcycle accident a month and a 1/2 ago. He went into a rehab facility after a month with barely anything functioning except his right eye and right side. When going in, they scored him a 3. After a wk, they scores him a 10. He has such a long way to go but after reading some of your comments i have more hope. My heart aches seeing him fight for his life but if others could make it, i know he xan!

I'm a tbi coma survivor. I was in a coma for a week. I lost my memory, voice and the ability to function when I woke. I started over again from learning how to sit. Doctors can never guess where I came from today. I'm now a college graduate and yoga instructor. I still have my daily struggles. I have dry eyes after the accident and suffered an undiagnosed soft tissue injury that I am still seeking treatment for, but i have come a long ways. So never give up and never quit! Doctors never told me I'd be where I'm at, but I am.

My daughter Jeniece was in a vehicular accident I Barbados. She was at 3 on the GCS when admitted to the hospital. She climbed from 3-15 in 3 months.

2 yrs later she's doing so much better with her mobility and cognitive ability.

Denise

I was rated at 3 after a car accident on my way to start and early shift in an emergency ward where I worked. I had major breaks through my head face neck and back lost total hearing in my left ear and partial in my right I also fractured my left temporal and the left orbit which caused a tennis ball sized haematoma which they feared had done irreversible damage. They expected me to be in a vegetative state if I ever regained consciousness and I would never walk again. Well after a lot of blood sweat tears physio on my left Bell's palsy. People are shocked when they hear what I went through because even though I had major injuries (eye haematoma subsided in hospital) it was all internal so it was very hard for people to understand I had suffered a TBI because they automatically think you would be a "vegetable" even though it ended my medical career, I went on to study forensic psychology criminology behavioural studies/criminal behaviour and loving it. So yes going from nearly dead to now walking talking chewing!! And a second chance at life, the brain really is an amazing cell.

This is really educative, it is an eye opener to me as a psychiatric nurse in making

Thank you for this information. Doesn't it just wind you right up when people criticize articles when clearly they have no idea?... Person below, the lowest score you can have is 3, so evidently your GCS did not "bounce from 1-3". 

well according to what is stated...(Above) I was in A GCS of lvl0-3 for a week...lvl0 for if i remember correctly 24 hrs After that I bounced from gcs1-3.

should'nt I have A Death Cert?????

Where can I read the article that was mentioned here?  My son is a missionary in the Philippines.  A little girl who is a child of their friends was run over and drug down the road by a man who was texting while driving. They say her neuro score went from 6 to 5.  We could stand to read something that would give us hope.

thanks for your best info........ 

olyaad JU

thank you 

I encourage everyone to read Miracle For Jen by Linda Burrick. Jen was in a coma at a level 3 on the Glasgow Scale after a car wreck.

Thank you very much for this article,I have reproduced it to help mentor my nursing team in Northern Nigeria

Robert Simiyu

thanks!

thx for the information, i m the brain injury patient, it let me know about the scenario when i was coma....

Thank you for making this article available to the public.  I am currently studying my Diploma of Nursing and found the information extremely helpful for an assessment task. :)

May I have permission to cite this article? 

Thank you.

By the way, I like your newsletter! Very interesting!

M Schreiber

When should physiotherapy be commenced on a patient with regard to glasgow coma scale, when severe moderate or mild?

You can just give use this attribution: Written by the BrainLine team. Used with permission from BrainLine.org, a WETA website. www.BrainLine.org. Thanks!
I would like to site this article. Who is the author? When is the published date? Thank you

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