Medical room assessment

On arriving in the medical room, the player should be reassessed and managed accordingly.

To assess neurological disability (D) in the medical room, a Glasgow Coma Scale(GCS) assessment is used in order to obtain a GCS score (see below).

The size and reactivity of both pupils should be assessed using a bright light brought in from the sides, and documented.. This information should also be passed on to emergency department staff if the patient is transferred.

The GCS is a validated tool that allows the assessment and recording of a patient’s conscious level with a high level of intraoperative and temporal reliability, when applied properly. It has three components: eye opening, verbal response, and motor response.

Best eye response

4 - eyes open spontaneously

3 - eyes open to speech

2 - eyes open to pressure stimulus

1 - no eye opening

Best vocal response

5 - alert (orientated in time, place and person)

4 - confused (the patient responds appropriately but there is some disorientation/confusion)

3 - inappropriate words

2 - incomprehensible sounds

1 - no verbal response

Best motor response

6 - obeys commands

5 - localises to pressure stimulus (a supraclavicular stimulus should be applied, and their hand should come up above the clavicle)

4 - withdrawal from a pressure stimulus

3 - abnormal flexion to a pressure stimulus

2 - extension to a pressurestimulus

1 - no motor response to a pressure stimulus