GLASGOW
COMA
SCALE
Patient Name: ____________________________
Rater Name: ____________________________
Date: ____________________________
Activity
S core
EYE OPENING
None
To pain
To speech
Spontaneous
1
2
3
4
MOTOR RESPONSE
None
Extension
Flexor response
Withdrawal
Localizes pain
Obeys commands
1 = To any pain; limbs remain flaccid
2 = Shoulder adducted and shoulder and forearm internally rotated
3 = Withdrawal response or assumption of hemiplegic posture
4 = Arm withdraws to pain, shoulder abducts
5 = Arm attempts to remove supra-orbital/chest pressure
6 = Follows simple commands
_______
VERBAL RESPONSE
None
Incompreh ensible
Inappropri ate
Confused
Oriented
1 = No verbalization of any type
2 = Moans/groans, no speech
3 = Intelligible, no sustained sentences
4 = Converses but confused, disoriented
5 = Converses and oriented
_______
= Even to supra-orbital pressure
= Pain from sternum/limb/supra-orbital pressure
= Non-specific response, not necessarily to command
= Eyes open, not necessarily aware
_______
TOTAL (3–15): _______
References
Teasdale G, Jennett B. "Assessment of coma and impaired consciousness. A practical scale."
The Lancet 13;2(7872):81-4, 1974.
Provided by the Internet Stroke Center — www.strokecenter.org