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 (315): _______

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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