Glasgow Coma Scale
Select the patient's best eye, verbal, and motor responses. Document the individual components as well as the total score.
E — Eye Response
V — Verbal Response
M — Motor Response
Documentation Reminder
Document each component separately, such as E3 V4 M6, rather than documenting only the total score.
If a response cannot be tested because of intubation, sedation, paralysis, swelling, or another limitation, document the reason clearly rather than assigning an inaccurate score.
Educational reference only. Perform a complete neurologic assessment and follow local protocols, trauma guidelines, and medical-control direction.