Glasgow Coma Scale

The order of the Glasgow Coma Scale

First - Eye opening

Second - Verbal Response

Third - Motor Response

Eye Opening (Glasgow Coma Scale From highest response to no response)

4 - Spontaneous

3 - In response to Verbal Stimuli

2 - In response to Painful Stimuli

1 - No response

Verbal Response (Glasgow Coma Scale From highest response to no response)

5 - Oriented Conversation

4 - Confused Conversation

3 - Inappropriate Words

2 - Incomprehensible Sounds

1 - No response

Motor Response (Glasgow Coma Scale From highest response to no response)

6 - Obeys Commands

5 - Localized Pain

4 - Withdraws from Pain

3 - Abnormal Flexion (deCORticate)

2 - Abnormal Extension (Decerebrate)

1 - No response

Highest GCS score, person is WITHOUT deficit

15

A GCS of 13-14 would be indicative of?

mild dysfunction

A GCS of 9-12 would be indicative of?

Moderate dysfunction

A GCS of 3-8 would be indicative of?

severe dysfunction

Spontaneous eye opening

4 points (eyes)

Eye opening In response to Verbal Stimuli

3 points

Eye opening In response to Painful Stimuli

2 points

No eye opening

1 point

Verbal Response; Oriented conversation

5 points

Verbal Response; Confused Conversation

4 points

Verbal Response; Inappropriate Words (wrong word choice)

3 points

Verbal Response; Incomprehensible Sounds

2 points

No Verbal Response

1 point

Motor Response; Obeys Commands

6 points

Motor Response; Localized Pain

5 points

Motor Response; Withdraws from Pain

4 points

Motor Response; Abnormal Flexion (Decorticate)

3 points

Motor Response; Abnormal Extension (Decerebrate)

2 points

No Motor Response

1 point

The highest score on the GCS

15

The lowest score on the GCS

3

A patient presenting Spontaneous eye opening, Confused Conversation, and Localized pain would score what on the GCS?

13

A patient presenting eye opening only in response to painful stimuli, incomprehensible sounds, and decorticate would score what on the GCS?

7

A patient presenting no eye opening, no verbal response, and decerebrate would score what on the GCS?

4

A patient presenting eye opening in response to verbal stimuli, using inappropriate word choice to answer questions, and Obeys motor response commands would score what on the GCS?

12