Glasgow Coma Scale

>Trauma Surgery >Glasgow Coma ScaleAuthor: J. Sprakel, MD - Latest update: 03-07-2014

Glasgow Coma Scale

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Eye

Response Points Description
Spontaneously 4 Eyes open spontaneously.
To speech 3 Eyes open to verbal command, speech or shout.
To pain 2 Eyes open to pain (not applied to face).
No response 1 No eye opening.
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Movement

Response Points Description
Obeys commands 6 Obeys commands for movement.
Moves to localized pain 5 Purposeful movement to painful stimulus.
Flexion withdrawal from pain 4 Withdraws from pain
Abnormal flexion 3 Abnormal (spastic) flexion, decorticate posture.
Abnormal extension 2 Extensor (rigid) response, decerebrate posture.
No response 1 No motor response.
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Verbal

Response Points Description
Oriented 5 Oriented to time, place and person.
Confused 4 Confused conversation, but able to answer questions.
Inappropriate words 3 Inappropriate reponses, words discernible.
Incomprehensible sounds 2 Incomprehensible sound or speech.
No response 1 No verbal response.
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References

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