What is the GCS score of a patient who opens their eyes to pain, makes unintelligible sounds, and withdraws to pain?

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GCS Score Calculation

The GCS score for this patient is 8 (Eyes = 2, Verbal = 2, Motor = 4), placing them in the severe traumatic brain injury category that requires immediate critical care intervention and close neurological monitoring. 1

Score Breakdown

Based on the standardized GCS scoring table, this patient's components are:

  • Eye Opening = 2: Opens eyes in response to painful stimuli 1
  • Verbal Response = 2: Makes incomprehensible sounds (unintelligible sounds noted) 1
  • Motor Response = 4: Flexion/withdrawal to painful stimuli (withdraws to pain) 1

Total GCS = 8 1

Clinical Significance and Immediate Actions

This GCS of 8 indicates severe traumatic brain injury (GCS ≤8) requiring immediate transport to a trauma center and consideration for neurosurgical intervention. 2

  • Any patient with GCS <14 meets critical physiologic criteria requiring immediate transport to a trauma center, with documented mortality rates of 24.7% for this population 2, 3
  • A GCS of 8 specifically falls within the severe TBI category where airway protection becomes critical, as most patients with GCS ≤8 require intubation 1

Essential Monitoring Requirements

Serial GCS assessments provide substantially more valuable clinical information than single determinations, with declining scores indicating poorer prognosis. 2, 3

  • Monitor GCS every 15 minutes during the first 2 hours, then hourly for the following 12 hours per Scandinavian protocols 3
  • Document individual E, V, and M scores separately at each assessment rather than just the sum, as patients with identical total scores but different component profiles have vastly different outcomes 2, 3, 4
  • A decrease of at least two points in GCS score should prompt immediate repeat CT scanning 2, 3
  • Pupillary size and reactivity must be documented at each assessment as key prognostic indicators 2, 3

Critical Pitfalls to Avoid

Never rely solely on the GCS score for clinical decision-making, particularly regarding treatment limitations. 2

  • Account for confounding factors including sedation, intubation, facial trauma, intoxication, and metabolic disturbances that may affect GCS accuracy 2, 3
  • The motor component has the highest predictive value and remains most robust even in sedated patients 3
  • All GCS total scores between 4-14 can be associated with more than one disorder of consciousness diagnosis, with greatest variability observed for scores of 7-11 4
  • The GCS was originally designed for comatose patients and serial evaluations, not for single-point severity determination 1, 2

References

Guideline

Guideline Directed Topic Overview

Dr.Oracle Medical Advisory Board & Editors, 2025

Guideline

Critical Neurological Emergency: Glasgow Coma Score of 5

Praxis Medical Insights: Practical Summaries of Clinical Guidelines, 2025

Guideline

GCS Monitoring Frequency for ICU Patients with Moderate Traumatic Brain Injury

Praxis Medical Insights: Practical Summaries of Clinical Guidelines, 2025

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Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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