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.