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General rule is less than 8...that being said there are very few always and nevers in medicine. A 2009 study of 73 patients with Glasgow scale less than 12 (many less than 8) did not intubate and they did not aspirate. A better answer would be to thoroughly assess the patient including history if available when deciding whether to tube or not.

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Q: At what Glasgow coma scale score is it appropriate to intubate?
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