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Emergency Medicine 

Assessing Coma: The Glasgow Coma Scale

Emergency Medicine 

Assessing Coma: The Glasgow Coma Scale

Response Score
Eyes Open
Spontaneous 4
To Speech 3
To Pain 2
Absent 1
Verbal
Converses/Oriented 5
Converses/Disoriented 4
Inappropriate 3
Incomprehensible 2
Absent 1
Motor
Follows commands 6
Localizes Pain 5
Withdraws (flexion) 4
Decorticate (flexion) Rigidity 3
Decerebrate (extension) Rigidity 2
Absent 1

  • The sum obtained in this scale is used to assess the degree of impaired consciousness
  • Mild is over 13 points
  • Moderate is 9 to 12 points
  • Severe 3 through 8 points

    Ref: Teasdale G., Jennett B., LANCET (ii) 81-83, 1974.