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Appendix 5 705

Appendix 5:

Glasgow Coma Score

Glasgow coma score (GCS) ranges from 3 to 15 and is composed of three param-
eters: best eye response, best verbal response, and best motor response. The GCS is
typically reported in its components such as E2 V1 M3 5 GCS 6. A GCS score of
13 to 14 correlates with a mild brain inju-ry, 9 to 12 suggests a moderate injury, and
8 or less a severe brain injury.
BEST EYE RESPONSE (1 TO 4)

1. No eye opening
2. Eye opening to pain

3. Eye opening to verbal command
4. Eyes open spontaneously

BEST VERBAL RESPONSE (1 TO 5)
1. No verbal response
2. Incomprehensible sounds

3. Inappropriate words
4. Confused
5. Orientated

BEST MOTOR RESPONSE (1 TO 6)

1. No motor response
2. Extension to pain
3. Flexion to pain
4. Withdrawal from pain

5. Localizing pain
6. Obeys commands

REFERENCE
Teasdale, G. and Jennett, B. (1974). "Assessment of coma and impaired conscious-
ness: A practical scale," The Lancet, 304, 81–84.

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