Glasgow Coma Score (ADULTS)
Score |
Motor |
Verbal |
Eye opening |
6 |
Obeys commands | ||
5 |
Localises to pain | Conversation | |
4 |
Withdrawal from pain | Sentences | Spontaneous |
3 |
Abnormal flexion to pain | Words | To voice |
2 |
Extension to pain | Sounds | To pain |
1 |
None | None | None |
Notes
- 1974
- One objective measurement of a patient’s level of consciousness
- 3 variables: Eye opening, Verbal response and motor response
- Remember if assessing response to pain, stimulus should be in the midline above the clavicles
- Minimum score is 3
- Coma is 8 or less
- "Moderate" injury score is 9-12
- Abbreviated to AVPU (NB, P=coma)
Consider 5% NaCl in all obtunded trauma patients with lateralising sign (e.g. blown pupil).
Content by Dr Íomhar O' Sullivan 11/02/2011. Last rev31/10/22.