EVALUATION ON TRAUMATIC BRAIN INJURY

GLASGOW COMA SCALE (GCS)

RANCHOS LOS AMIGOS SCALE (RLAS)

Measure a person's level of consciousness after a brain injury

To assess level of consciousness

By Teasdale and Jennett in 1974

3 independent responses

Eye opening

One (1)

Three (3)

Four (4)

Two (2)

No response

To pain

To speech

Spontaneously

Verbal Response

One (1)

No response

Three (3)

Inappropriate words

Four (4)

Confused

Two (2)

Incomprehensible sounds

Five (5)

Oriented to time, person & place

Motor Response

One (1)

No response

Three (3)

Abnormal Flexion

Four (4)

Flex to withdraw from pain

Two (2)

Abnormal Extension

Five (5)

Moves to localised pain

Six (6)

Obeys command

to measures level of awareness and cognitive function

standardised measure which describes the cognitive and behavioural patterns commonly observed in patients as they recover from a TBI

LEVELS OF COGNITIVE FUNCTIONING

One (I)

No response

Three (III)

Localized Response

Four (IV)

Confused/Agitated

Two (2)

Generalized Response

Five (V)

Confused, Inappropriate Non-Agitated

Six (6)

Confused, Appropriate

Seven (VII)

Eight (VIII)

Automatic, Appropriate

Purposeful, Appropriate