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VITAL FUNCTIONS ASSESSMENT REFERENCE CHART
Glasgow Coma Scale
SCORE Adult CHILD INFANT
Eye Opening
4 Spontaneous
3 To Speech
Eye-Opening Response Same as an Adult
2 To pain
1 None
Verbal Response
5 Oriented Oriented Coos and babbles
4 Confused Conversation Confused Conversation Irritable, Cries
3 Inappropriate Words Inappropriate Words Cries in Response to Pain
2 Incomprehensible Incomprehensible Moans in Response
Sounds Words/Sounds to Pain
1 None None None
Best Motor Response
6 Obeys Commands Obeys Commands Moves spontaneously
5 Localizes Pain Localizes Pain Withdraws to Touch
4 Flexion Withdrawal Flexion Withdrawal to Pain Withdraws from Pain
to Pain Stimulus
3 Abnormal Flexion Abnormal Flexion Abnormal Flexion
(Decorticate) (Decorticate) (Decorticate)
2 Extension Extension Extension
(Decerebrate) (Decerebrate) (Decerebrate)
1 None None None
(Flaccid) (Flaccid) (Flaccid)
For intubated patients, use Verbal “T”
(Example: Eyes open to pain, Intubated, and Localizes would be E2, V1, M5, or GCS 8T)
240 • REFERENCE

