Glasgow Coma Scale
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Background
- Abbreviation: GCS
Scoring
Adult GCS
Eye Opening | Verbal | Motor |
6: Obeys commands | ||
5: Oriented | 5: Localizes to pain | |
4: Spontaneously opens | 4: Confused speech | 4: Withdraws from pain (normal flexion) |
3: Opens to command | 3:Inappropriate words | 3: Decorticate posturing (abnormal flexion) |
2: Opens to pain | 2: Incomprehensible sounds | 2: Decerebrate posturing (extension) |
1: Does not open | 1: No response | 1: No response |
- 14-15: Mild
- 9-13: Moderate
- 3-8: Severe
Pediatric GCS[1][2]
Eye Opening | Verbal | Motor |
6: Normal spontaneous movement | ||
5: Smiles, coos, babbles | 5: Withdraws to touch | |
4: Opens eyes spontaneously | 4: Irritable, crying (but consolable) | 4: Withdraws to pain |
3: Opens eyes to speech only | 3:Inconsolable crying or crying only in response to pain | 3: Abnormal flexion to pain (Decorticate response) |
2: Opens eyes to pain only | 2: Moans in response to pain | 2: Abnormal extension to pain (Decerebrate response) |
1: Does not open eyes | 1: No response | 1: No response |
Note:
- For Motor score 4, pain is defined flat, fingernail pressure (often performed with the barrel of a pencil).
- For Motor scores 2 and 3, pain is defined by pressing hard on the supraorbital notch. If this unsuccessful, sternal pressure may also be attempted.
See Also
- Blunt head trauma
- Altered Mental Status
- Trauma (Peds)
- Altered mental status (peds)
- Pediatric head trauma