The Glasgow Coma Scale provides a score in the range 3-15; patients with scores of 3-8 are usually said to be in a coma. The total score is the sum of the scores in three categories. For adults the scores are as follows:
Eye Opening | Response Spontaneous: open with blinking at baseline | 4 points |
Opens to verbal command, speech, or shout | 3 points | |
Opens to pain, not applied to face | 2 points | |
None | 1 point | |
Verbal Response | Oriented | 5 points |
Confused conversation, but able to answer questions | 4 points | |
Inappropriate responses, words discernible | 3 points | |
Incomprehensible speech | 2 points | |
None | 1 point | |
Motor Response | Obeys commands for movement | 6 points |
Purposeful movement to painful stimulus | 5 points | |
Withdraws from pain | 4 points | |
Abnormal (spastic) flexion, decorticate posture | 3 points | |
Extensor (rigid) response, decerebrate posture | 2 points | |
None | 1 point |
Bibliografía:
- Teasdale G, Jennett B. Assessment of coma and impaired consciousness. A practical scale. Lancet. 1974 Jul 13;2(7872):81-4.[Medline]
Created: Abr 28, 2008