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How to Assess The Patient's Level of Consciousness / GCS (Glasgow Coma Scale)

GCS (GLASGOW COMA SCALE) is a scale that is used to determine or assess the patient's level of consciousness, ranging from a fully conscious state to a state of coma.

On examination of consciousness or GCS, there are 3 functions (E, V, M) to be examined, each function has different values, for the following explanation.

E: Eyes / Eye: total value of 4
V: Verbal: total value of 5
M: Motor / motion: the total value of 6

HOW TO ASSESSMENT

Type of Examination Value Response
Eye Response

Spontaneous
Voice stimuli
Pain stimuli
Nothing


4
3
2
1

Eyes open spontaneously
Eyes open to verbal commands
Eyes open to pain stimuli
Do not open our eyes to any stimulation
Verbal Response

Good orientation
Confused
Say the words that are not appropriate
Say the words are not clear
Nothing

5
4

3

2

1

Good orientation and is able to speak
Disoriented and Confused
Repeating words improper randomly

Moan or groan

No response
Motor Response
Obeying orders
Localize stimuli
Pulling stimuli
Abnormal flexion Abnormal extension
Nothing
6
5
4
3
2
1

Can move to follow orders
Can localize pain (directional movement and aiming in the direction of painful stimuli)
Flexion or interesting moment in pain stimuli example: draw a hand when the nail on tap
Forming decortication position. Example: wrist flexion
Forming decerebrate position. Example: wrist extension
No response, just lay weak, while in any excitatory

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