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Table 52-4

Level 1: AVPU System
A = alert
V = responds to verbal stimuli
P = responds to painful stimuli
U = unresponsive
Level 2: Glasgow Coma Scale (GCS)*
Eye opening (E)
Spontaneous, already open and blinking4
To speech3
To pain2
None1
Verbal response (V)
Oriented5
Answers but confused4
Inappropriate but recognizable words3
Incomprehensible sounds2
None1
Best motor response (M)
Obeys verbal commands6
Localizes painful stimulus5
Withdraws from painful stimulus4
Decorticate posturing (upper extremity flexion)3
Decerebrate posturing (upper extremity extension)2
No movement1

*GCS score 8 = deep coma, severe head trauma, poor outcome.

GCS score 9–12 = conscious patient with moderate injury.

GCS score >12 = mild injury.