<P> The scale was published in 1974 by Graham Teasdale and Bryan J. Jennett, professors of neurosurgery at the University of Glasgow's Institute of Neurological Sciences at the city's Southern General Hospital . </P> <P> GCS is used as part of several ICU scoring systems, including APACHE II, SAPS II, and SOFA, to assess the status of the central nervous system, as it was designed for . The initial indication for use of the GCS was serial assessments of patients with traumatic brain injury and coma for at least 6 hours in the neurosurgical ICU setting, though it is commonly used throughout hospital departments . A similar scale, the Rancho Los Amigos Scale is used to assess the recovery of traumatic brain injury patients . </P> <Table> Glasgow Coma Scale <Tr> <Td> </Td> <Th> </Th> <Th> </Th> <Th> </Th> <Th> </Th> <Th> 5 </Th> <Th> 6 </Th> </Tr> <Tr> <Th> Eye </Th> <Td> Does not open eyes </Td> <Td> Opens eyes in response to painful stimuli </Td> <Td> Opens eyes in response to voice </Td> <Td> Opens eyes spontaneously </Td> <Td> N / A </Td> <Td> N / A </Td> </Tr> <Tr> <Th> Verbal </Th> <Td> Makes no sounds </Td> <Td> Incomprehensible sounds </Td> <Td> Utters incoherent words </Td> <Td> Confused, disoriented </Td> <Td> Oriented, converses normally </Td> <Td> N / A </Td> </Tr> <Tr> <Th> Motor </Th> <Td> Makes no movements </Td> <Td> Extension to painful stimuli (decerebrate response) </Td> <Td> Abnormal flexion to painful stimuli (decorticate response) </Td> <Td> Flexion / Withdrawal to painful stimuli </Td> <Td> Localizes to painful stimuli </Td> <Td> Obeys commands </Td> </Tr> </Table> <Tr> <Td> </Td> <Th> </Th> <Th> </Th> <Th> </Th> <Th> </Th> <Th> 5 </Th> <Th> 6 </Th> </Tr>

The three sections of the glasgow coma scale​ (gcs) include
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