What assessments are included in the four score Coma Scale select all that apply?

Anonymous replied on Fri, 09/09/2022 - 1:45pm Permalink

My brother was in a recent fall related accident and has currently been non-responsive for almost a week. Prognosis is not good, but I am just trying to understand what I can, since I cannot be there in person.

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SG replied on Tue, 04/05/2022 - 12:33am Permalink

I had a GCS of 15 but from what my mom estimates based on it, I probably was a 10. I was in a bus accident going 50 and we were hit head on by a car going 90-100+. In the ER which I don't remember at all, they asked me my name and it took me a few minutes, and I could not remember the year or president.

Looking back, I should have been sent to Cooper Trauma in Camden or CHOP in Philly. I had a stroke about 4 days later, it was mild thank god, but still, I was 15.

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Anonymous replied on Tue, 02/01/2022 - 9:36am Permalink

I had a GCS of 3 for 2 weeks, then periods of agitation as became slowly more aware, then a presumed delirium with fluctuating GCS.
Having a brain injury/Coma is survivable, anyone with concerns about their selves or a loved one in this situation please try and be optimistic, I know that's easy to say and hard to do.
I consider myself very lucky even having some minor disabilities now, I have little bit of trouble with concentration and memory and toes on left foot being numb and my right leg is numb from the hip down and I have to wear a splint from knee down. But that being said I consider myself lucky, I spent 3 months in hospital, 2 of which were in stroke/brain injury rehabilitation, and some of my fellow patients on ward had bigger hills to climb than me.
Extremely humbling,
Think the point I'm trying to make is "where there's life there's hope" We have some wonderful health care workers who don't get the acclimation they deserve sometimes. They saved my life, and I wish the best to anyone who is in this situation, be it their selves or a loved one.

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Cintia - SLP replied on Thu, 04/21/2022 - 12:39pm Permalink

Thank you very much for sharing with us your experience. It is always very helpful to hear from someone else how they have experienced a brain injury in first hand. Thank you :)

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Anonymous replied on Tue, 06/22/2021 - 9:35am Permalink

what is GCS in confusion ?

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Jan Khan replied on Sat, 08/14/2021 - 7:17pm Permalink

Dear My czn is toom accident that date 9 almost done 5 days and his scale is 7 and he is 26 years old can anyone tell me its possible to recovers thanks

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Shannon L Blackham replied on Fri, 11/19/2021 - 5:35pm Permalink

I scored a 3. So, yes, it is extremely possible

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Ashlee replied on Sun, 10/17/2021 - 1:54pm Permalink

Hi Jan.
yes of course there is recovery possibility.
For example I’m now 29, however in February last year. I was placed in an induced coma for 2 days and has d. A GCS score of 3 and I’m completely fine(for me lol)

I wish your family all the best xx

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Anonymous replied on Tue, 10/05/2021 - 2:48pm Permalink

of course he can recover. Is he in treatment at the moment

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Anonymous replied on Tue, 06/22/2021 - 10:11am Permalink

GCS means Glasgow Coma Scale

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Anonymous replied on Wed, 03/10/2021 - 11:45am Permalink

Reading through these comments bring back so much pain, I just lost my dad to a horrible car accident. He lost control of his vehicle and suffered many injuries, his whole left side of his brain had a stroke, he literally started swelling within 24hrs of his car accident. His GCS score was 3 and writhing the days of him being in the trauma center he was not on any sedation and his score remained a 3. I hate thinking that drs did not do everything in their power to save him. He was so young and it hurts so bad, I guess I just hate knowing that a lot of my family members who I have lost have died in that hospital. I don’t even know what to think! I just can’t come to terms with it, I kept telling the drs on face time. Please do everything you can for him! Remember to you he is just a check, you will have another case today tomm the next but to me that is my dad a brother a grandpa a husband. I guess it was just so hard because through the entire process because of covid we were not allowed to be by his side. We only got one hr one hr before he passed.

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maryiam replied on Mon, 02/07/2022 - 7:56am Permalink

hi. sorry to hear that and i hope better days for you and the loved ones. her in Iran we have great and good doctors who are very kind and of course they are highly able in terms of medical knowledge and operations.

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Rose replied on Sat, 07/10/2021 - 8:18pm Permalink

I am so very sorry to hear of your dad's accident and his death. May he rest in peace and may you and your family find peace also.

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Yawanga replied on Tue, 06/01/2021 - 4:38pm Permalink

Oh, My Lordness...!
May his soul be rest in enternal.

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Dr.Nseka replied on Tue, 06/22/2021 - 10:54am Permalink

Thanks be to God..
Amen

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Dawn replied on Wed, 07/22/2020 - 2:55am Permalink

My brother-in-law has a GSC of 5 and has been between a 3-5 for 8 days. He was found unconscious for unknown amount of time with fever of 108. He is in acute renal failure, on a ventilator, no sedation, and still unresponsive. They said his crit level is a 7 and climbing and want to start dialysis. Not sure he will pull thru with a constant GSC of 5 of 8 days. Any feedback? He is a drug addict and did have meth laced with fentanyl in his system.

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Anonymous replied on Tue, 06/09/2020 - 9:23am Permalink

I was in a bad car wreck going 65mph in a head on collision in Alaska. I didn’t hit my head on anything but I was shaken very badly (only know this because the seat belt locked so tight that it almost cut me in half but wouldve been thrown and died if I wasn’t wearing it). Since I was unconscious, I don’t remember how long I was out for. I lost consciousness and woke up when the first responders got there. If the first responders responded from the station to the crash site, it’s a 20-30 min drive. It’s a 20 min drive to the hospital from the crash site. I lost consciousness at 5 times. They ended up intubating me and putting me on a ventilator. About a week later, I was weaned off of the sedation and had been med evac’d to the continental US. I have migraines on a daily basis and the migraines vary in severity. I have dizziness. I used to have 20/20 vision. When I woke up, I could only see 6 inches in front of my face. I now wear glasses with prescription, prisms due to convergence difficulty, and tint due to light sensitivity. I’m having difficulty reading and believe I might have acquired dyslexia. I used to be intelligent. I graduated at 16 from high school and went to college for pre med. After my wreck, I can’t even do simple math. I have difficulty remembering details and recent things that happened when before I had a photographic memory and could remember everything that I was told once. The MRI doesn’t show anything. I’ve been diagnosed with a mild TBI and neck injury at the Polytrauma at the VA. The new hospital that I’ve been sent to blames my neck injury and tries to say that I don’t have a TBI even though they firs saw me a year after the injury. I believe I have a moderate TBI because it’s been 2 yrs and my symptoms are worsening not getting better. The TBI clinic I’m going to isn’t helping me at all. When I bring in valid questions, I’m told that’s not a thing or you don’t have that without being examined. When I bring in scholarly articles about my valid questions, I’m told “Well I’m not the subject matter expert”. If the PA over my case is not the subject matter expert then why is she working at a physician in the TBI clinic? I’m trying to find a new clinic to go to. I live in San Antonio, TX

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Daniella replied on Thu, 09/09/2021 - 1:41am Permalink

You seem pretty intelligent now based off your response. I hope you were able to find someone who could actually help you. My daughter was recently in a major car crash. After a while, it just seems like they write their patients off. Like nothing more can be done. Despite all the newest and latest research out there!

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4 years PCS replied on Sat, 12/12/2020 - 7:49pm Permalink

I feel you. (Highly intelligent; technical job. now 4 years tbi/concussion survivor with post-concussion syndrome (PCS). )

(My concussion was also classified as mild (because concussions are measured on the Glasgow Coma Scale. ok... so I can talk, open my eyes and move my hand on command; that does in no way mean that what we are going through is mild! )

Good that you are going to find a doctor or other medical professional (vestibular/vision/psychological, etc.) who gets it, even if you still have to keep going to that doctor for insurance purposes or whatever.

Keep up the good work; take care.

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Anonymous replied on Tue, 05/19/2020 - 2:20am Permalink

Hello, i am medical student year 3 , how we want to assess blind people using glasgow coma scale

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Anonymous replied on Mon, 12/14/2020 - 8:42am Permalink

The test result should be NT (not testable) and the total score doesn't include eyes assessment

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Rebekah A replied on Tue, 05/05/2020 - 7:41pm Permalink

My husband was in a motorcycle accident, he was thrown from his bike he was not helmeted, he had gave his helmet to a passenger. Well he was GCS 3. The severity of his injury was so bad that he had 3 hemorrhages which was non-operable...He was on a ventilator I was told he could not breathe on his own, non reactive to light, pain stimuli, NOTHING. The neurologist advised us that his prognosis was very poor. He had 5CT Scans with no change. He was swelling on day 2, the family decided without me to take him off the ventilator.. they were advised he would not last no more than 30min but he held on for 9hrs BREATHING ON HIS OWN but gave up....I just got his medical records and read through them... he was intoxicated at the time of the accident, which could affect his tests etc. I believe if he lasted 9hrs before he passed, if they only left him on for a week to really see if there would be any changes, but because the swelling was so severe and they could not relieve the swelling the family decided to take him off. I’m more upset I wasn’t involved in that decision. Please have hope, trust your gut instinct because the doctors aren’t always right, they said my husband wouldn’t last 30min without the ventilator but he lasted 9hrs!!! I’m devastated my husband was only 34.

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Tia replied on Thu, 02/18/2021 - 11:57pm Permalink

I’m so sorry about your husband I’m here because my child’s father is in icu with an enlarged heart and Covid I just learned that his GCS is also a 3 and I’m trying to keep faith. He’s on a ventilator with continuous dialysis. He had an hemorrhagic stroke as well and some brain bleed. My son is only 8 months and just to imagine that he’ll have to grow up without him hurts me to the core sucks. Keep us in your prayers if you can.

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Shimma Almabruk replied on Mon, 02/01/2021 - 6:46pm Permalink

I am sorry for your loss. My 13-year-old cousin is in a deep coma, GCS 3. She is also on a ventilator and has no response to light, pain or anything. Her brain has swollen due to homerrhage and had 2 cardiac arrests in the same day. Doctors said her condition is inoperable and that she may die any minute. We are very devastated and hope that she will wake up one day.

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Wick replied on Wed, 11/25/2020 - 12:50pm Permalink

I am a motorcycle rider as well. It makes me so sad to read this. So sorry for your loss! Stay strong!
Greetings from Austria, Wick

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Marie replied on Sun, 09/06/2020 - 10:41am Permalink

So sorry that happened to you Rebecca. My son was hit by a car Dec.2011...severe TBI gsc 3...died twice...2 major seizures...was in a coma for 2 months and when he came out of it he was in a semi vegetative state..no eye contact..no talking...just rocking back and forth and rubbing his head and drooling. Drs said I need to put him in a care home where he can age safely and securely...24 yrs old. We could not accept that. As a family we did every possible thing to help him recover...14 hours a day...constant therapy. Music... touch stimulation...3 brothers holding him upright while I was on the floor moving his feet...I stayed in that province for almost a year. Every time he made a bit of progress the dr would say that was coincidence or that's all he will be able to do. I took over his complete care so he wouldn't be a burden on the nurses as I was scared they were going to xfer him to a care home. Almost one year later Corey walked out of that hospital with the exact same personality he had before ..has every memory from childhood ..makes us laugh every day. He will always have to live with us as the accident left him with short term memory loss and some cognitive impairments so he's on disability but his sight came back after about a year! We also weaned him off all the antipsychotic medications they had him on...terrible stuff!! Everyone out there..have hope and remember that Drs are not Gods!!

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Shannon replied on Wed, 10/20/2021 - 1:38am Permalink

Thank you, I needed to hear this. My son was in an accident 3 1/2 weeks ago and still in a semi comatose state. I have faith, but it's hard to keep that up all the time. I scream, I cry, I have a breakdown every day on my way home from the hospital. So thank you, I really needed these words

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Violet replied on Sun, 02/21/2021 - 1:13am Permalink

Thank you for sharing. I almost died 4 years ago. Slipped and fractured skull, I remember hearing the sound of ocean waves and knew I was dying. I lived alone and remained unconscious for 4 days. I had a tremendous amount of healing to do but the crazy part is, I didn’t tell anyone. I felt as just what you said - the doctors arent god and I was alive by a miracle. I didn’t want to hear fright and doom and took control of my healing. It was incredibly difficult to do but foods and herbs helped. Two years later I went in for mri’s I was still suffering a major concussion. But after I woke I had vomiting, dizziness, hearing problems, eyesight issues. My hair sheds out a lot today and I still have a soft spot where my skull fractured. I have a touch of dyslexia and have a hard time concentrating on reading but I knew I survived by a miracle and am back to myself but actually more improved. I believe something saved me so I could fulfill a purpose.

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M replied on Mon, 02/07/2022 - 8:07am Permalink

What doctors have forgotten is God that is the supreme and able to do things against drs' expectations. brain is not just something physical but relates to soul and metaphysical entities which we may not see or understand. in a coma, our brain cells need time to reconstruct and revive; drs just give up and many of them do not believe in God.

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Alisha W replied on Fri, 01/08/2021 - 1:02pm Permalink

It Only Took a Moment: A True Story of Tragedy, Faith, and Triumph Following a Traumatic Brain Injury //www.amazon.com/dp/0615457037/ref=cm_sw_r_cp_api_glc_fabc_D4j-FbT...

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Jen replied on Mon, 08/10/2020 - 6:25pm Permalink

I hope you will believe me when I say it's best not to dwell on the "what ifs." You'll drive yourself crazy. I worked in an ICU and saw some people recover from horrible injuries, but most did not. If they weren't able to relieve the pressure on his brain, he would have herniated and the results would be the same. I have seen that there are worse things than death, from work and in my own life. My grandfather lived in a miserable state for 20 years after he survived being taken off the ventilator. He had a stroke after a brain aneurysm repair at 58 years old, so he lived with the damage from the stroke for all of that time. He was confined to a wheelchair, then bedridden for the last 3 years of his life. He only knew my grandmother, my mom, and his 3 other children. I felt like I lost my grandfather the day he went into the hospital for the aneurysm repair. My sister was flown by helicopter after being found unresponsive in her recliner at home. She had been there for 3 days. We still don't know what happened, I have suspicions about her odd neighbors since she had some trauma to her head on both sides, not something that would happen if she had fallen before sitting in her recliner. Her MRI was terrible. She had suffered a stroke or lack of oxygen to her brain, or both, they weren't sure, she was only 46 years old. Her brain was swelling, and she didn't respond to anything. I noticed she began to posture, which indicates severe brain damage. I knew that even if she survived and could breathe on her own, she would be in a vegetative state. We decided to take her off of the ventilator. It was 13 hours before she finally passed. I feel we made the right decision, but I wish I knew what had happened to her. I don't know why you weren't the one making the decisions since the spouse is the next of kin and I don't like it when physicians tell people that the person will pass away quickly, it's unrealistic to predict such things. More often than not, it takes longer if the person isn't absolutely brain dead. I'm so sorry for your loss, I hope you can find peace.

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Bodisere Okoe replied on Mon, 01/04/2021 - 3:09pm Permalink

Am so sorry about all you being through.. and I hope you find peace. Amen

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Rajnish replied on Thu, 07/16/2020 - 9:10pm Permalink

May god give you strength to overcome your loss. Please look after yourself and may your husband rest in peace

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Anonymous replied on Sun, 07/05/2020 - 1:05am Permalink

I am so sorry for your loss and will pray for you. God please comfort this wife and help her get through this storm. Amen.

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Pandey replied on Sat, 05/30/2020 - 10:53am Permalink

I will keep you in my prayers Rebekah. May you get the strength to overcome this grief. Please take good care of yourself. I am sure that wherever your husband is, he will always want you to take care of yourself and will be watching over you.
Stay safe.

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Lisa replied on Thu, 05/28/2020 - 11:10am Permalink

How or why did the hospital let his family override you making that call to have him removed. You are his next of kin as long as you all were married.

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Kavelle replied on Wed, 07/22/2020 - 3:54pm Permalink

My thoughts exactly Lisa. Hope Rebekah finds peace at this time.

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Anonymous replied on Wed, 04/01/2020 - 11:17pm Permalink

My Gcs was a two when I had a grand Mal seizure do to alcohol - Aspirated as well. I survived it. How close was I to dead??

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Paul replied on Fri, 08/07/2020 - 7:44pm Permalink

How did you score two, when there are three parts to the test, all with a minimum score of one?
I've just come out of hospital after suffering diabetic hypoglycemia and a seizure, which left me in a coma on my bedroom floor. Paramedics found and saved me. My GCS was 3 and I was very close to death.
I'm not belittling you in any way, just curious.

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Anonymous replied on Sun, 11/08/2020 - 5:35pm Permalink

There is NT ( not testable) below a 1

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Anonymous replied on Sun, 11/10/2019 - 12:39am Permalink

My father gcs is 4 after surgery before surgery it was 7. is there any chance recovery

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Nightrogirl replied on Fri, 01/08/2021 - 2:48pm Permalink

There is ALWAYS HOPE...UNTIL THERE'S NOT!!

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Grayfox replied on Wed, 10/16/2019 - 12:55pm Permalink

So Jimmy Sham being GC15 is good and bad. Damn permanent neurological damage, I hope not.

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Nontobeko replied on Mon, 02/15/2021 - 6:36am Permalink

Examination if GCS is 115/15 you are Okey everything it's fine

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Anonymous replied on Wed, 09/11/2019 - 5:14pm Permalink

To all the Doctors, nurses and anybody whatsoever connected with hospitals and the emergency services. For all of us you are our heroes because we all need you throughout life.

Thank you!

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dr freeburns replied on Tue, 07/07/2020 - 10:10am Permalink

thank you....... God bless you

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Aqk replied on Sat, 08/31/2019 - 2:55am Permalink

My grandmother gcs level is 3 is there is any chance for her to be normal?

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Anonymous replied on Sat, 12/28/2019 - 3:50pm Permalink

That's pretty low, prognosis isn't good. Even an MD might say that. It all depends on the reason the GCS is so low...Stroke? Sepsis? No one can say much without the complete clinical picture. D. Gonzales RN

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Veronica cerda ... replied on Sat, 11/28/2020 - 4:30am Permalink

I'm a clear glass glow abnormal scale human diamond the general daughter

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Shane replied on Wed, 10/30/2019 - 11:37am Permalink

Hello! I don't know the extent of her injuries but, I was in a car accident almost 4 years ago and I believe my GCS score was 3-5, I was in a coma for 10 days and had paralysis on the right side of my body. Physically I have fully recovered, I had to relearn how to walk so I still have a very slight limp. However during my recent research of TBIs I have come to learn that TBIs start as acute (when they first happen) and turn into chronic TBIs (over time it becomes worse neurologically) as it turns into a chronic TBI, the psychological effects of the injury become worse due to the effect it has on the brains neurotransmitters. As far as I put together (I'm no doctor) my injury has effect on my serotonin, dopamine, and acetylcholine levels (probably effect other neurotransmitters, I have only researched these so far) and the TBI causes a deficit in these neurotransmitters. These deficits have caused a lack of motivation, sleeping all the time, memory, attention, learning and processing speeds, these are typical signs of depression, I am not sad, just experiencing symptoms of depression do to my brain injury affecting my neurotransmitters. From my research a SSRI and dopamine agonists/DARI (dopamine reuptake inhibitors) will help reduce these affects. I have yet to go to a psychologists to get these drugs. Do some research of how TBIs affect the neurotransmitters! She might not need them now but in a few years he might, definitely tell her or care giver to mention this to doctors, I waited 4 years to get help and my condition has only gotten worse, I can barely pass basic college classes now, with this information in her doctors hands can improve his doctors life! I've also read that Deep brain stimulation (DBS) can bring people out of vegetative states

What is the Four Score neurological assessment?

What does a GCS score of 4 mean?

What is the value of 4 score?

What are the 3 responses that the Glasgow Coma Scale is scoring?