Human Kinetics
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Spine Injury Management in Sport

Performing an Initial Evaluation

Focused Assessment

GCS Sample Score Sheet
Best Eye Response (4 possible points)
  1. No eye opening
  2. Eye opening in response to pain
  3. Eye opening in response to verbal command
  4. Eyes open spontaneously
Best Verbal Response (5 possible points)
  1. No verbal response
  2. Incomprehensible sounds
  3. Inappropriate words
  4. Confused
  5. Orientated
Best Motor Response (6 possible points)
  1. No motor response
  2. Extension to pain
  3. Flexion to pain
  4. Withdrawal from pain
  5. Localizing pain
  6. Obeys commands

 

 

Assessment 1 Assessment 2 Assessment 3 Assessment 4 Assessment 5

Assessment by:

Time:

Assessment by:

Time:

Assessment by:

Time:

Assessment by:

Time:

Assessment by:

Time:

Best eye response (4)

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

Best verbal response (5)

1

2

3

4

5

1

2

3

4

5

1

2

3

4

5

1

2

3

4

5

1

2

3

4

5

Best motor response (6)

1

2

3

4

5

6

1

2

3

4

5

6

1

2

3

4

5

6

1

2

3

4

5

6

1

2

3

4

5

6

Total:

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