Glasgow Coma

GLASGOW COMA SCALE

Patient Name: ____________________________ Rater Name: ____________________________ Date: ____________________________

Activity

S core

EYE OPENING None To pain To speech Spontaneous

1 2 3 4

MOTOR RESPONSE None Extension Flexor response Withdrawal Localizes pain Obeys commands

1 = To any pain; limbs remain flaccid 2 = Shoulder adducted and shoulder and forearm internally rotated 3 = Withdrawal response or assumption of hemiplegic posture 4 = Arm withdraws to pain, shoulder abducts 5 = Arm attempts to remove supra-orbital/chest pressure 6 = Follows simple commands

_______

VERBAL RESPONSE None Incompreh ensible Inappropri ate Confused Oriented

1 = No verbalization of any type 2 = Moans/groans, no speech 3 = Intelligible, no sustained sentences 4 = Converses but confused, disoriented 5 = Converses and oriented

_______

= Even to supra-orbital pressure = Pain from sternum/limb/supra-orbital pressure = Non-specific response, not necessarily to command = Eyes open, not necessarily aware

_______

TOTAL (3–15): _______

References Teasdale G, Jennett B. "Assessment of coma and impaired consciousness. A practical scale." The Lancet 13;2(7872):81-4, 1974.

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