When to call ITU
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Glasgow Coma Score
| Score |
Eye Opening |
Verbal |
Motor |
| 6 |
|
|
Obeys commands |
| 5 |
|
Conversation |
Localises to pain |
| 4 |
Spontaneous |
Sentences |
Withdrawal from pain |
| 3 |
To speech |
Words |
Abnormal flexion to pain |
| 2 |
To pain |
Sounds |
Extends to pain |
| 1 |
No eye opening |
No sounds |
No movements |
| AMBER call: If the following criteria are present on planned transfer when leaving the ED. |
| Airway |
Threatened |
| Breathing |
Resp. rate < 5 or > 36 |
| Circulation |
Pulse < 40 or > 140, SBP < 90 |
| Neurology |
↓ conscious level (↓GCS > 2 points), seizures |
| Biochemistry |
Lactate >3mmol/L |
Content by Dr Íomhar O' Sullivan. Last review Dr ÍOS 8/08/23.