🧠 GCS-Pupils Score (GCS-P)
Refine coma assessment with the GCS-Pupils score (GCS-P).
GCS-Pupils Score (GCS-P)
Total GCS (3–15)
Pupils unreactive to light
When to use
Add prognostic discrimination at the low end of the GCS.
How it works
GCS-P = total GCS − Pupil Reactivity Score (both reactive 0, one 1, none 2). Range 1–15.
Key points
- Extends range to 1, capturing the worst injuries.
- Improves TBI outcome prediction.
- Easy bedside extension of the GCS.
References
Decision support for licensed clinicians only; not a substitute for clinical judgement, diagnosis or local protocols.