MUDAH, HITUNG CEPAT GLASGOW COMA SCALE PADA PASIEN!!!

Summary

In this video, the host introduces a method to assess consciousness levels using the Glasgow Coma Scale (GCS). The GCS is broken down into three components: Eye, Verbal, and Motor responses, each with specific scoring criteria. The video explains how to assess each component, with examples of different responses and corresponding scores. It also covers how to calculate the total score and categorize the patient's consciousness level, from full consciousness to coma. The video serves as an educational guide for evaluating a patient's neurological state.

Takeaways

• 😀 The Glasgow Coma Scale (GCS) is used to assess the level of consciousness.
• 😀 GCS evaluates consciousness using three parameters: Eye (E), Verbal (V), and Motor (M).
• 😀 The highest score for Eye (E) is 4, for Verbal (V) is 5, and for Motor (M) is 6, totaling 15 points for full consciousness.
• 😀 The Eye (E) score is assessed based on the patient's response to stimuli: no response (1), opens eyes to stimuli (2), opens eyes to voice (3), or opens eyes spontaneously (4).
• 😀 The Verbal (V) score ranges from no response (1) to orientation (5), indicating the clarity and appropriateness of the patient's verbal responses.
• 😀 For Motor (M), the score ranges from no response (1) to following commands (6), with intermediate scores for various abnormal responses to pain.
• 😀 A GCS score of 15-14 indicates full consciousness, while lower scores indicate varying levels of impairment.
• 😀 GCS categories: 13-12 = confused, 11-10 = delirium, 9-7 = stupor, 6-5 = semi-coma, and 4-3 = coma.
• 😀 The highest motor score (6) is given when a patient can follow commands, such as lifting both hands when asked.
• 😀 The script emphasizes practical application of GCS scoring, demonstrating how to assess the eye, verbal, and motor responses in a patient.

Q & A

What does GCS stand for and what is its purpose?

GCS stands for Glasgow Coma Scale. It is used to assess the level of consciousness in patients, helping to determine the severity of brain injury based on eye, verbal, and motor responses.

What are the three components evaluated in the GCS?

The three components evaluated in the GCS are Eye response (E), Verbal response (V), and Motor response (M).

What is the highest possible score a patient can achieve on the GCS?

The highest possible GCS score is 15, which indicates full consciousness.

How is the Eye response (E) scored in the GCS?

The Eye response (E) is scored from 1 to 4. A score of 1 means no eye response, 2 means eye opening to pain, 3 means eye opening to verbal stimuli, and 4 means spontaneous eye opening.

What is the difference between a GCS score of 3 and 4 for the Verbal response (V)?

A score of 3 indicates incoherent or inappropriate speech, while a score of 4 means the patient is confused but can respond coherently to questions.

What does a GCS score of 5 for Verbal response indicate?

A GCS score of 5 for Verbal response indicates that the patient is fully oriented and can communicate appropriately, with no confusion.

What is the highest score for the Motor response (M) in the GCS?

The highest score for the Motor response (M) is 6, which indicates that the patient can follow commands correctly.

How is a patient with abnormal flexion (decorticate posture) scored for the Motor response?

A patient showing abnormal flexion (decorticate posture) in response to pain is scored 3 for Motor response.

What are the categories of consciousness based on GCS scores?

The categories are: GCS 15-14 indicates full consciousness (alert), GCS 13-12 is considered lethargy, GCS 11-10 indicates delirium, GCS 9-7 indicates stupor, GCS 6-5 indicates semi-coma, and GCS 3-4 indicates coma.

What should be done if a patient does not respond to any stimuli in the GCS assessment?

If a patient does not respond to any stimuli, they will receive the lowest score for each component: 1 for Eye response, 1 for Verbal response, and 1 for Motor response, which indicates coma.