GCS

Standardized assessment of consciousness level

Indication

id: eye; label: Eye Opening (E); type: options; options: label: Spontaneous; value: 4; label: To voice; value: 3; label: To pain; value: 2; label: None; value: 1
id: verbal; label: Verbal Response (V); type: options; options: label: Oriented; value: 5; label: Confused; value: 4; label: Inappropriate words; value: 3; label: Incomprehensible sounds; value: 2; label: None; value: 1
id: motor; label: Motor Response (M); type: options; options: label: Obeys commands; value: 6; label: Localizes pain; value: 5; label: Withdraws from pain; value: 4; label: Abnormal flexion (decorticate); value: 3; label: Extension (decerebrate); value: 2; label: None; value: 1

function(score) { if (score >= 13) return { risk: score + '/15', tier: 'Mild', action: 'GCS 13–15. Monitor and reassess.', color: 'green' }; if (score >= 9) return { risk: score + '/15', tier: 'Moderate', action: 'GCS 9–12. Close monitoring. Consider CT head. Reassess frequently.', color: 'yellow' }; return { risk: score + '/15', tier: 'Severe', action: 'GCS ≤8. Consider airway protection (intubation). Emergent CT head. Neurosurgery consult.', color: 'red' }; }

GCS ≤8 = intubation threshold — "GR8 = intub8"
Motor component is most predictive of outcome — document E/V/M separately
GCS is unreliable in intubated, sedated, or paralyzed patients — document as "T" for tube
Always document as components (e.g., E3V4M5 = 12) not just total