Level of Consciousness

 

Glasgow Coma Scale (GCS)

The GCS is a universal scoring system for level of consciousness. The lowest score is 3.

Eye Response

4: spontaneous

3: opens eyes to commands

2: opens to pain

1: no eye opening

 

Verbal Response

5: oriented

4: confused

3: inappropriate words

2: incomprehensible sounds

1: nil

Motor Response

6: obeys commands

5: localizes to pain

4: withdraws from pain

3: abnormal flexion to pain (decorticate)

2: abnormal extension to pain (decerebrate)

1: no response

Four eyes; V = five

 

GCS is based on best response; a hemiparalyzed person will receive full marks

 

GCS <5