Table 4 Glasgow Coma Scale modified by Cook and Palma
From: Instruments for monitoring intensive care unit sedation
Characteristic | Score |
|---|---|
Eyes open | |
Spontaneously | 4 |
In response to speech | 3 |
In response to pain | 2 |
None | 1 |
Response to nursing procedures | |
Obeys commands | 5 |
Purposeful movements | 4 |
Nonpurposeful flexion | 3 |
Nonpurposeful extension | 2 |
None | 1 |
Cough | |
Spontaneous strong | 4 |
Spontaneous weak | 3 |
On suction only | 2 |
None | 1 |
Respiration | |
Obeys commands | 5 |
Spontaneous intubated | 4 |
Spontaneous intermittent mandatory ventilator triggering | 3 |
Respiration against ventilator | 2 |
No respiratory efforts | 1 |