COMA SCALE

Patient Name: ___________________________

Rater Name: ___________________________

Date: ___________________________

Activity Score

EYE OPENING

None 1 = Even to supra-orbital pressure

To pain 2 = Pain from sternum/limb/supra-orbital pressure

To speech 3 = Non-specific response, not necessarily to command

Spontaneous 4 = Eyes open, not necessarily aware ______

MOTOR RESPONSE

None 1 = To any pain; limbs remain flaccid

Extension 2 = Shoulder adducted and shoulder and forearm internally rotated

Flexor response 3 = Withdrawal response or assumption of hemiplegic posture

Withdrawal 4 = Arm withdraws to pain, shoulder abducts

Localizes pain 5 = Arm attempts to remove supra-orbital/chest pressure

Obeys commands 6 = Follows simple commands ______

VERBAL RESPONSE

None 1 = No verbalization of any type

Incomprehensible 2 = Moans/groans, no speech

Inappropriate 3 = Intelligible, no sustained sentences

Confused 4 = Converses but confused, disoriented ______

TOTAL (3–15): ______

References

Teasdale G, Jennett B. "Assessment of coma and impaired consciousness. A practical scale."

The Lancet 13;2(7872):81-4, 1974.

Provided by the Internet Stroke Center