Coma scale, eyes open, never digital illustration

Coma scale, eyes open, never Save

ICD-10 code: R40.211

Chapter: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified

Understanding Coma Scale: Eyes Open, Never

Coma is a state of unconsciousness where a person cannot respond to any external stimuli, including pain, touch, or sound. Coma is a critical medical condition that requires immediate attention as it can be a sign of a severe underlying medical issue such as head injury, stroke, or brain damage.

The Glasgow Coma Scale (GCS) is a widely used scoring system to assess the level of consciousness in patients with coma. The GCS measures the patient's response in three categories: eye-opening, verbal response, and motor response. The score ranges from 3 to 15, with 3 being the most severe and 15 being the least severe.

One of the possible scores in the eye-opening category is "Eyes Open, Never" which means the patient does not open their eyes in response to any external stimuli. This score is the lowest in the eye-opening category and indicates a severe level of unconsciousness.

The "Eyes Open, Never" score can be caused by various medical conditions such as severe head injury, brain damage, stroke, or drug overdose. The score indicates that the patient is not conscious and is not aware of their surroundings. The medical team will take immediate action to stabilize the patient and determine the underlying cause of the coma.

The GCS is a useful tool for healthcare professionals to assess the level of consciousness in patients with coma. The score helps medical teams to determine the severity of the condition, monitor the patient's progress, and adjust the treatment plan accordingly.

  1. Eye-opening:
    • Spontaneously: The patient opens their eyes without any external stimuli.
    • To speech: The patient opens their eyes in response to a loud noise or verbal command.
    • To pain: The patient opens their eyes in response to a painful stimulus.
    • Never: The patient does not open their eyes in response to any external stimuli.
  2. Verbal response:
    • Oriented: The patient answers questions correctly and coherently.
    • Confused: The patient responds to questions but is disoriented and confused.
    • Inappropriate words: The patient uses words that do not make sense.
    • Incomprehensible sounds: The patient makes sounds but does not form words.
    • None: The patient does not make any verbal response.
  3. Motor response: