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GLASGOW COMA SCALE

Activity
EYE OPENING None To pain To speech Spontaneous MOTOR RESPONSE None Extension Flexor response Withdrawal Localizes pain Obeys commands VERBAL RESPONSE None Incompreh ensible Inappropri ate Confused Oriented 1 2 3 4

Patient Name : ____________________________ Rater Name: ____________________________ Date: ____________________________ S core


= Even to supra-orbital pressure = Pain from sternum/limb/supra-orbital pressure = Non-specific response, not necessarily to command = Eyes open, not necessarily aware

_______

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

_______

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

_______

TOTAL (315): _______

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

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