Glasgow Coma Scale

• Eye Response: Eyes open spontaneously (4) Eyes opening to verbal command (3) Eye opening to pain (2) No eye opening (1)
• Motor Response: Obeys command (6) Localises pain (5) Withdraws from pain (4) Flexion response to pain (3) Extension response to pain (2) No motor response (1)
• Verbal Response: Oriented (5) Confused (4) Inappropriate words (3) incomprehensible sounds (2) No verbal response (1)

Sedation

Sedation:
• Yes
• No

Tonus

Tonus:
• Stiff
• Flexible

Pirimidality

Babinski sign:
Present
Not present
Hoffmann's reflex:
Present
Not present
Muscle reflexes:
Prominent
Normal
Weak

Involontarry movements

Involontarry movements:
• Yes
• No

Brain stem reflexes/functions

Pupillary reflexes:
Present
Not present
Vestibulo-ocular/caloric test:
Positive
Negative
Doll's eyes:
Yes
No
Gag reflex:
Present
Not present
Corneal reflex:
Present
Not present
Apnea test:
Positive
Negative