Table 2: Glasgow coma scale.
|
Score |
Eye opening |
|
Spontaneous |
4 |
Response to verbal command |
3 |
Response to pain |
2 |
No eye opening |
1 |
Best verbal response |
|
Oriented |
5 |
Confused |
4 |
Inappropriate word |
3 |
Incomprehensible sounds |
2 |
No verbal response |
1 |
Best motor response |
|
Obeys commands |
6 |
Localizing response to pain |
5 |
Withdrawal response to pain |
4 |
Flexion to pain |
3 |
Extension to pain |
2 |
No motor response |
1 |
Total |
|
The GCS is scored between 3 and 15, 3 being the worst and 15 the best. It is composed of three parameters: Best eye response (E), best verbal response (V), and best motor response (M). The components of the GCS should be recorded individually; for example E2V3M4 results in a GCS score of 9. A score of 13 or higher correlates with mild brain injury, a score of 9 to 12 correlates with moderate injury, and a score of 8 or less represents severe brain injury.