Manitoba Health

Manitoba Health

EMERGENCY TREATMENT GUIDELINES APPENDIX

A4

GLASGOW COMA SCALE

The Glasgow Coma Scale (GCS) evaluates eye opening, verbal and motor responses, and brainstem reflex function. • It is considered one of the best indicators of clinical outcome • • • • 15 is normal 13-14 is associated with mild head injury 8-12 is associated with moderate head injury <8 is associated with severe head injury Adult Eye Opening 4 3 2 1 Best Verbal Response 5 4 3 2 1 Best Motor Response 6 5 4 3 2 1 obeys commands localizes pain withdraws from pain abnormal flexion extension no response spontaneous localizes pain flexion withdrawal abnormal flexion extension no response spontaneous localizes pain flexion withdrawal abnormal flexion extension no response spontaneously to command to pain no response spontaneously to command to pain no response spontaneously to shout to pain no response 1-5 years* 0-1 years**

oriented confused inappropriate words incomprehensible no response

appropriate words, phrases inappropriate words cries, screams grunts no response

coos, babbles, smiles cries inappropriate cries, screams grunts no response

*age 2-5 for verbal response **age 0-2 for verbal response

APPENDIX – Glascow Coma Scale

August 2003

Page A4-1

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