Glasgow Coma Scale

ACTIVITY

SCORE

INFANT RESPONSE

CHILD RESPONSE

ADULT RESPONSE

EYE OPENING

4

Spontaneous

Spontaneous

Spontaneous

3

To speech or sound

To speech

To speech

2

To painful stimuli

To pain

To pain

1

None

None

None

 

 

 

 

 

VERBAL

5

Appropriate words/ sounds; social smile; fixes and follows

Oriented appropriate to age

Oriented to person, place, month, year

4

Cries but consolable

Confused

Confused

3

Persistently irritable

Inappropriate words

Inappropriate words

2

Restless/agitated

Incomprehensible words

Incomprehensible words

1

None

None

None

 

 

 

 

 

MOTOR

6

Spontaneous movement

Obeys commands

Obeys commands

5

Localizes pain

Localizes pain

Localizes pain

4

Withdraws to pain

Withdraws to pain

Withdraws to pain

3

Abnormal extremity flexion

Abnormal extremity flexion

Abnormal extremity flexion

2

Abnormal extremity extension

Abnormal extremity extension

Abnormal extremity extension

1

None

None

None

Coma score is computed by adding one score from each category (eye + motor + verbal = total score). The total score will be between 3 and 15. Ask your child's doctor or nurse to explain this scale and whether it has been used to evaluate your child's condition. Scores may vary at different times in your child's recovery. Different people using the scale may not always get the same score. It is a general guide for coma. It is not a precise measurement system.