Edited sentence: Accuracy of responses can be affected by complications such as sedation, intoxications, facial injury, and endotracheal intubation.Appropriate Use of the Glasgow Coma Scale in Intubated Patients: A Linear Regression Prediction of the Glasgow Verbal Score from the Glasgow Eye and Motor Scores.Criticized for lacking reliability in monitoring levels of consciousness or predicting outcome in patients with middle range scores (GCS 9-12).Emergency Medicine (2003), 15: 353-360.Gabbe BJ, Cameron PA, Finch CF.Includes a numerical skew toward motor response.Interrater reliability of GCS scoring, namely different people will rate things differently.Its failure to incorporate brainstem reflexes.No consensus how to score intubated patients.Recent studies have shown that the verbal component can be extrapolated using the eye and motor components.Rutledge R, Lentz CW, Fakhry S, Hunt J.Studies have shown that experience improves reliability and suggests moderate to very good reliability of the GCS scoring system.The Journal of Trauma Injury, Infections and Critical Care (1996), 41(3): 514-522.The status of the Glasgow Coma Scale