1. Evaluate the best response.

Glasgow coma scale 2. First talk to the patient: ask him/her to spread the fingers and move the toes.
3. If the patient does not respond, only then evaluate his/her response to pain (by performing the sternal rub).

Eye opening
response Verbal response Motor response Sum

Eyes opening No Add all points

Ask, what has Ask to squeeze and mark
spontaneously? happened your hand
Yes No
Eyes opening
No Is the sum
No
on verbal command? Does the patient more than 8?
Does the patient No
obey commands?
speak Yes
Yes
coherently? Mark "Coma"
No Yes
Eyes opening Produce a painful Is the sum
Yes
Yes
in response to pain? stimulus by rubbing less than 15?
the sternum with
Yes your knuckles No

No Mark Mark
Speech is "Conscious" "Altered
incoherent? Purposeful No
consciousness"
movement to
Yes localized pain?

Yes Withdrawal No

Single
No from painful
words only? stimuli?
End
Yes No
Yes
Flexion with
Incomprehensible No at least one hand?
sounds,
moaning?
Yes
No
Yes Extension with
at least one hand?

Yes

Score 4 points Score 3 points Score 2 points Score 1 point Score 5 points Score 4 points Score 3 points Score 2 points Score 1 point Score 6 points Score 5 points Score 4 points Score 3 points Score 2 points Score 1 point

Verbal response Motor response Sum

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