Malaria > Malaria

Modifies Glasgow coma scale for adults

The Glasgow Coma Scale (GCS) also known as Glasgow Coma Score is a neurological scale which provides a reliable method of recording the conscious state of a person. GCS was initially used to access the level of consciousness after head injury and now is widely used for acute medical and trauma patients

Eye opening	Spontaneously To speech To pain No response	4 3 2 1
Best verbal response (Nonitubated) (Intubated)	Oriented and talks Disoriented and talks Inappropriate words Incomprehensible sounds No respomse Seems able to talk Questionable ability to talk Generally unresponsive	5 4 3 2 1 5 3 1
Best motor response	Verbal commands Localizes to pain Withdraws to pain Decorticate Decerebrate None	6 5 4 3 2 1
Total Score		3-15

Total score = eye opening score + verbal (intubated or nonintubated) score + motor score

Total score ranges from 3 to 15; unrousable coma reflected in a score of <9.

This scale can be used repeatedly to assess improvement or deterioration.



Blantyre coma scale for children ("Blantyre coma scale")

The Blantyre Coma Scale is a modification of Glagow Coma Scale and is used to assess malarial coma in chidren.

Eye opening	Directed (e.g. towards mother's face) Not directed	1 0
Verbal response	Appropriate cry Inappropriate cry or moan None	2 1 0
Best motor response	Localises painful stimuli Withdraws limb from pain Non specific or absent response	2 1 0
Total Score		0-5

The score can range from 0-5; 2 or less indicates unrousable coma.

This scale can be used repeatedly to assess improvement or deterioration.