5 smiles/coos, tracks or interacts appropriately · 4 irritable crying/inappropriate interaction · 3 cries with pain · 2 inconsolable or moans with pain · 1 none
Motor
6 purposeful spontaneous movement · 5 withdraws from touch · 4 withdraws from pain · 3 abnormal flexion · 2 extension · 1 none
Use a reproducible report
Record eye, verbal, and motor components separately so a later clinician can distinguish a change in one response from a change in another. Add the total after the components.
Use the pediatric descriptors for age 2 and younger; infant interaction and purposeful movement differ from the adult verbal/command tasks.
Connect the score with the clinical pathway
A GCS below 13 is one of four qualifying findings in the adult suspected-sepsis criteria; infection plus at least two findings is required. GCS alone does not diagnose sepsis.
In adult traumatic brain injury, SO-T-005 directs establishing the airway by the most appropriate available means at GCS 8 or below, with concurrent oxygenation, ETCO₂, and blood-pressure management. Interpret the score with the rest of the patient’s assessment.