Regional Emergency Medical Advisory Committee of New York City
Prehospital Advanced Life Support Protocols
Copyright January 1996 (3/96)

APPENDIX E

GLASCOW COMA SCORES/TRAUMA SCORES

Adult Glascow Coma Score
Pediatric Glascow Comma Score

RESPONSE
POINTS
RESPONSE
POINTS
Eye Opening
Spontaneous

To Voice

To Pain

None

4

3

2

1
Eye Opening
Spontaneous

To Voice

To Pain

None

4

3

2

1
Verbal Response
Oriented

Confused

Inappropriate Words

Incomprehensible Words

None

5

4

3

2

1
Verbal Response
Coos, Babbles

Irritable Cries

Cries to Pain

Moans to Pain

None

5

4

3

2

1
Motor Response
Obeys Commands

Localizes Pain

Withdraws to pain

Flexion

Extension

None

6

5

4

3

2

1
Motor Response
Normal Spontaneous Movement

Withdraws to Touch

Withdraws to pain

Abnormal Flexion

Abnormal Extension

None

6

5

4

3

2

1
Total Glascow Coma Score
3 - 15
Total Glascow Coma Score
3 - 15

ADULT TRAUMA SCORE
PEDIATRIC TRAUMA SCORE

Glascow Coma

Score Points

13-15

9- 12

6-8

4-5

3

4

3

2

1

0
Size > 20 kg (44 lb.)

10 - 20 kg (22 - 44 lb.)

< 10 kg (22 lb.)

+2

+1

-1
Systolic Blood Pressure Greater than 89 mm Hg

76-89 mm Hg

50-75 mm Hg

1-49 mm Hg

None

4

3

2

1

0
Airway
Normal

Maintainable

Unmaintainable

+2

+1

-1


Respiratory

Rate

10-29/min

Greater than 29/min

6-9/min

1-5/min

None

4

3

2

1

0
Systolic

Blood Pressure

> 90 mm Hg

50 - 90 mm Hg

< 50 mm Hg

+2

+1

-1
CNS Awake

Obtunded/LOC

Coma/Decerebrate

+2

+1

-1
Open Wounds None

Minor

Major/Penetrating

+2

+1

-1
Skeletal None

Closed Fractures

Open/Multiple Fractures

+2

+1

-1

TOTAL TRAUMA SCORE
0-12
 TOTAL TRAUMA SCORE -6 -+12
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