Glasgow Coma Scale

The Glasgow Coma Scale provides a score in the range 3-15; patients with scores of 3-8 are usually said to be in a coma. The total score is the sum of the scores in three categories. For adults the scores are as follows: Spontaneous--open with blinking at baseline Opens to verbal command, speech, or shout Eye Opening Response Opens to pain, not applied to face None Oriented Confused conversation, but able to answer questions Verbal Response Inappropriate responses, words discernible Incomprehensible speech None Obeys commands for movement Purposeful movement to painful stimulus Withdraws from pain Abnormal (spastic) flexion, decorticate Motor Response posture Extensor (rigid) response, decerebrate posture None For children under 5, the verbal response criteria are adjusted as follow SCORE 5 4 3 2 1 2 to 5 YRS Appropriate words or phrases Inappropriate words Persistent cries and/or screams Grunts No response 4 points 3 points 2 points 1 point 5 points 4 points 3 points 2 points 1 point 6 points 5 points 4 points 3 points 2 points 1 point

0 TO 23 Mos. Smiles or coos appropriately Cries and consolable Persistent inappropriate crying &/or screaming Grunts or is agitated or restless No response

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