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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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What does a score of six on the Glasgow Coma Scale indicate?

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The Glasgow Coma Scale (GCS) is a tool medical professionals use to objectively evaluate the degree to which a person is conscious or comatose. Also referred to as the "Glasgow Coma Score," it operates on a scale of "3" to "15," in which progressively higher scores indicate higher levels of consciousness. For example, while a patient who is profoundly unconscious would receive a 3 according to the Glasgow Coma Scale, conscious, healthy adults would be rated at 15. Immediately after a head trauma, emergency doctors and nurses will use the Glasgow Coma Scale to assess a patient's condition. Others who use the GCS include intensive care staff, EMTs and chronic care professionals. If a person has a brain injury resulting in a GCS of 3, it is most likely that the person has suffered some amount of brain damage. For a complete GCS chart, see: http://www.brainandspinalcord.org/recovery-traumatic-brain-injury/glasgow-coma-scale/index.html


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