Total GCS = Eye opening + Verbal response + Best motor response

Component	Response	Points
Eye opening	Spontaneous	4
Eye opening	To voice	3
Eye opening	To pressure	2
Eye opening	None	1
Verbal response	Oriented	5
Verbal response	Confused	4
Verbal response	Inappropriate words	3
Verbal response	Incomprehensible sounds	2
Verbal response	None	1
Best motor response	Obeys commands	6
Best motor response	Localises	5
Best motor response	Withdraws	4
Best motor response	Abnormal flexion	3
Best motor response	Extension	2
Best motor response	None	1

Possible adult total scores range from 3 (E1 V1 M1) to 15 (E4 V5 M6). Document the component scores alongside the total, for example GCS 14 = E4 V4 M6. If a component is not testable, record the available component scores and the reason rather than relying on the total alone.

Glasgow Coma Scale (GCS)