Glasgow Coma Scale (GCS)
- Score: Minimum 3, maximum 15
Eye Opening
4 Spontaneous eye opening.
3 Eye opening in response to speech - that is, any speech or shout.
2 Eye opening in response to pain.
1 No eye opening.
Grades of Best Verbal Response
5 Oriented - patient knows who and where they are, and why, and the year, season and month.
4 Confused conversation - patient responds in conversational manner, with some disorientation and confusion.
3 Inappropriate speech - random or exclamatory speech, with no conversational exchange.
2 Incomprehensible speech - no words uttered, only moaning.
1 No verbal response.
Grades of Best Motor Response
6 Carrying out request ('obeying command') -patient does simple things you ask.
5 Localising response to pain.
4 Withdrawal to pain - pulls limb away from painful stimulus.
3 Flexor response to pain - pressure on nail bed causes abnormal flexion of limbs - decorticate posture.
2 Extensor posturing to pain - stimulus causes limb extension - decerebrate posture.
1 No response to pain.
Decoding
</= 8: severe injury
9-12: moderate
13-15: minor
Source
http://www.le.ac.uk/pa/teach/va/case_1/gcs.html