Glasgow Goma Scale

Glasgow Goma Scale

is a neurological tool used to objectively measure a person's level of consciousness, particularly after a traumatic brain injury (TBI). It scores patients from 3 to 15 based on three criteria: eye-opening (1-4), verbal response (1-5), and motor response (1-6).

4 - spontaneous

3 - to speech

2 - to pain

1 - no response

Eye Opening Response (E)

5- oriented (knows who, where, when)

4 - confused (answers questions but disoriented)

3 - inappropriate words (random words, no conversation)

2 - incomprehensible sounds (moaning, no words)

1 - no response

verbal response (V)

6 - obeys commands

5 - localizes to pain

4 - withdraws from pain

3 - flexion to pain (decorticate posturing)

2 - extension to pain (decerebrate posturing)

1 - no response

motor response (M)

mild head injury

GCS 13-15

moderate head injury

GCS 9-12

severe head injury (indicates coma; consider airway protection)

GCS ≤ 8