Glasgow coma scale score 9-12, in the field [EMT or ambulance] Save

Glasgow Coma Scale Score 9-12 in the Field: What EMTs and Ambulance Personnel Should Know

When it comes to assessing a patient's level of consciousness and neurological status in the field, the Glasgow Coma Scale (GCS) plays a crucial role. Among the various GCS score ranges, a score of 9-12 indicates a moderate level of brain injury or impairment. In this article, we will explore what EMTs and ambulance personnel need to know about patients with a Glasgow Coma Scale score of 9-12.

1. GCS Components: The Glasgow Coma Scale consists of three components: eye-opening response, verbal response, and motor response. Each component is assigned a score, and the sum of these scores determines the patient's GCS score. A score of 9-12 suggests a moderate level of consciousness impairment.

2. Assessment: EMTs and ambulance personnel should perform a systematic assessment of patients with a GCS score of 9-12. This includes evaluating the patient's eye-opening response, verbal interaction, and motor response. Documenting the specific findings is essential for accurate communication with the receiving healthcare facility.

3. Monitoring: Patients with a GCS score of 9-12 require close monitoring during transport. It is important to observe any changes in the patient's neurological status, such as deterioration or improvement. Regular reassessment of the GCS score can provide valuable information about the patient's condition.

4. Interventions: While this article does not cover treatment, it is crucial for EMTs and ambulance personnel to focus on providing appropriate supportive care for patients with a GCS score of 9-12. This may include maintaining a patent airway, ensuring adequate oxygenation and ventilation, and stabilizing any associated injuries.

1. Ensure proper cervical spine immobilization if there is a suspected or confirmed trauma.
2. Administer supplemental oxygen if the patient is hypoxic or in respiratory distress.
3. Monitor vital signs regularly, including blood pressure, heart rate, and oxygen saturation levels.
4. Initiate intravenous access for fluid resuscitation and medication administration, if necessary.

5. Communication: Effective communication with hospital staff is crucial when transferring a patient with a GCS score of 9-12. Providing accurate information about the patient's initial GCS score, changes in neurological status, and any interventions performed is essential for appropriate triage and treatment at the receiving facility.

Remember, a GCS score of 9-12 indicates a moderate level of brain injury or impairment. By following these guidelines