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Assessment · Adult & pediatric · Assessment

Glasgow Coma Scale

Score eye, verbal, and motor responses. Report each component and the total.

OCEMS source summary · Updated 2026-09-16

Report the components

  • Give eye / verbal / motor scores in that order, followed by the total. Example: E4 V5 M6 = 15.
  • The minimum total is 3, not 0. Use the age-appropriate scoring table.

Adult scoring

ComponentScore → response
Eyes4 spontaneous · 3 voice · 2 pain · 1 none
Verbal5 oriented · 4 confused · 3 inappropriate words · 2 incomprehensible sounds · 1 none
Motor6 follows commands · 5 localizes pain · 4 withdraws from pain · 3 abnormal flexion · 2 extension · 1 none

Pediatric scoring: age 2 and younger

ComponentScore → response
Eyes4 spontaneous · 3 sound · 2 pain · 1 none
Verbal5 smiles/coos, tracks or interacts appropriately · 4 irritable crying/inappropriate interaction · 3 cries with pain · 2 inconsolable or moans with pain · 1 none
Motor6 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.