Adult-Child | Infant | ||
---|---|---|---|
Eyes Open | Spontaneous | Spontaneous | 4 |
On command | To voice | 3 | |
To pain | To pain | 2 | |
Unresponsive | Unresponsive | 1 | |
Best Verbal | Oriented | Coos, babbles | 5 |
Confused | Irritable, fussy | 4 | |
Inappropriate | Cries to pain | 3 | |
Incomprehensible | Grunts, moans | 2 | |
Unresponsive | Unresponsive | 1 | |
Best Motor | Obeys commands | Purposeful | 6 |
Localizes pain | Localizes pain | 5 | |
Withdraws from pain | Withdraws from pain | 4 | |
Abnormal flexion | Abnormal flexion | 3 | |
Abnormal extension | Abnormal extension | 2 | |
Unresponsive | Unresponsive | 1 |
Reporting: The total GCS score should be broken down into its relative components (e.g., a GCS of 11 can be stated as E3V3M5).
Score: 13-14 indicates mild brain injury; 9-12 indicates moderate brain injury; and 3-8 indicates severe brain injury.
Teasdale, G., & Jeanett, B. (1974). Assessment of coma and impaired conciousness: a practical scale. The Lancet, 304(7872), 81-84. With permission.