Glasgow Coma Scale
Glasgow Coma Scale
Eye Opening | E |
spontaneous | 4 |
to speech | 3 |
to pain | 2 |
no response | 1 |
Best Motor Response | M |
To Verbal Command: | |
obeys | 6 |
To Painful Stimulus: | |
localizes pain | 5 |
flexion-withdrawal | 4 |
flexion-abnormal | 3 |
extension | 2 |
no response | 1 |
Best Verbal Response | V |
oriented and converses | 5 |
disoriented and converses | 4 |
inappropriate words | 3 |
incomprehensible sounds | 2 |
no response | 1 |
E + M + V = 3 to 15
- 90% less than or equal to 8 are in coma
- Greater than or equal to 9 not in coma
- 8 is the critical score
- Less than or equal to 8 at 6 hours - 50% die
- 9-11 = moderate severity
- Greater than or equal to 12 = minor injury
Coma is defined as: (1) not opening eyes, (2) not obeying commands, and (3) not uttering understandable words.