Abnormal Extension in response to pain.Lack of any motor response should raise suspicion for spinal cord injury. There are six grades starting with the most severe: Examples for this would include intubation, deafness, language barrier, sedation from drugs, and paralysis. Person responds coherently and appropriately to questions such as the person's name and age, where they are and why, the year, month, etc. The person responds to questions coherently but there is some disorientation and confusion. Random or exclamatory articulated speech, but no conversational exchange.

There are five grades starting with the most severe: Examples for this would include severe damage to the eyes, sedation from drugs, and paralysis. Not to be confused with the awakening of a sleeping person such people receive a score of 4, not 3. A peripheral pain stimulus, such as squeezing the lunula area of the person's fingernail is more effective than a central stimulus such as a trapezius squeeze, due to a grimacing effect.

Eye opening in response to pain stimulus.

There are four grades starting with the most severe:

Alternatively, if a patient was intubated, their score could be GCS E2 V NT M3. As an example, a person's score might be: GCS 12, E3 V4 M5. The results are reported as the Glasgow Coma Score (the total points from the three tests) and the individual components. When specific tests cannot be performed, they must be reported as 'NT' and the total score is not reported. The scale also accounts for situations that prevent appropriate testing (Not Testable). ДЇor example, if a person obeys commands only on their right side, they get a 6 for motor. For each test, the value should be based on the best response that the person being examined can provide. The Glasgow Coma Scale is reported as the combined score (which ranges from 3 to 15) and the score of each test (E for eye, V for Verbal, and M for Motor). Paralysis/hemiparesis (acquired causes such as post-stroke, post-neurological injury congenital/innate such as cerebral palsy)ДЇlexion / Withdrawal from painful stimuli Oriented to time, person, and place, converses normally Intubation, non-oral language disability, linguistic barrierД¬onfused and disoriented, but able to answer questions The scores for each of these tests are indicated in the table below. The Glasgow Coma Scale is used for people above the age of two and composed of three tests: eye, verbal, and motor responses.

Gcs overview