Page 271 - 2023 SMOG Digital

FORMS

Vital Functions

Assessment Reference Charts

GLASGOW COMA SCALE

SCORE ADULT CHILD INFANT
Eye Opening
4 Spontaneous Eye Opening Response Same as Adult
3 To Speech
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 Sounds Incomprehensible Words/Sounds Moans in Response 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 to Pain Flexion Withdrawal to Pain Withdraws from Pain Stimulus
3 Abnormal Flexion (Decorticate) Abnormal Flexion (Decorticate) Abnormal Flexion (Decorticate)
2 Extension (Decerebrate) Extension (Decerebrate) Extension (Decerebrate)
1 None (Flaccid) None (Flaccid) None (Flaccid)
For Intubated Patient use Verbal “T”
(Example: Eyes open to pain, Intubated, and Localizes would be E2,V1,M5, or GCS 8T)

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