Which Glasgow Coma Scale score applies to a man who opens his eyes only to pain, makes incomprehensible sounds and withdraws his limb from pain?

Answer and explanation

Correct answer: C. 8, so his airway is at risk and senior airway help is needed

  1. Step 1: Score each component: eyes to pain 2, incomprehensible sounds 2, withdrawal from pain 4.
  2. Step 2: 2 + 2 + 4 = 8. A score of 8 or less means the airway is at risk and needs expert assessment.
Answer
8, so his airway is at risk and senior airway help is needed.
Why not the others: 9, so he can be observed on a general ward with routine half-hourly checks: The sum is 8, not 9, and scores of 8 or less need airway assessment. 10, so he needs only a repeat CT head after 24 hours of observation: The sum is 8, not 10, and delaying airway planning is unsafe. 7, so the airway is secure and low-flow nasal oxygen is sufficient: The sum is 8, not 7, and a low score does not make the airway secure.

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