Glascow Coma Scale (GCS)

For children < 2 years old, see the pediatric GCS.

Eyes

  • 4pt – Open spontaneously
  • 3pt – Open to voice
  • 2pt – Open to pain
  • 1pt – No eye opening

Verbal

  • 5pt – Oriented, normal conversation
  • 4pt – Confused, disoriented
  • 3pt – Incoherent words
  • 2pt – Incomprehensible sounds
  • 1pt – No sounds

Motor

  • 6pt – Obeys command
  • 5pt – Localizes pain
  • 4pt – Withdrawal / flexion to pain
  • 3pt – Flexion to pain (decorticate)
  • 2pt – Extension to pain (decerebrate)
  • 1pt – No movement

Most useful when stated as individual scores and total:  E4,V5,M6= 15


Head Injury Classification :

  • Minor >13
  • Moderate 9-12
  • Severe  <8

Threshold to consider intubation for airway protection (ATLS) = 8Intubated patients are given a “t” for verbal, denoted as “GCS 3t”Use pediatric GCS for patients <2 years old. (pGCS)

References:

  1. CDC Mass Trauma Resources Download PDF
  2. The Glascow Structured Approach to Assessment of the Glascow Coma Scale Link

Last Updated on February 20, 2022

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