GCS = E + V + M (range 3–15) GCS-Pupils = GCS − Pupil Score Pupil Score: 0 = both reactive | 1 = one unreactive | 2 = both unreactive
Clinical Pearl: GCS ≤8 is the conventional threshold for intubation consideration. Serial measurements are more valuable than a single value. GCS-Pupils score improves 30-day mortality prediction after TBI.
For clinical decision support only. Not a substitute for professional medical judgment. Always integrate with full clinical assessment.
