Glasgow Coma Scale
                        ==================
þ Pediatric GCS:
Best eye response: (E)
 4    Eyes opening spontaneously
 3    Eye opening to speech
 2    Eye opening to pain
 1    No eye opening
Best verbal response: (V)
 5    Smiles, oriented to sounds, follows objects, interacts.
 4    Cries but consolable, inappropriate interactions.
 3    Inconsistently inconsolable, moaning.
 2    Inconsolable, agitated.
 1    No verbal response.
Best motor responses: (M)
 6    Infant moves spontaneously or purposefully
 5    Infant withdraws from touch
 4    Infant withdraws from pain
 3    Abnormal flexion to pain for an infant (decorticate response)
 2    Extension to pain (decerebrate response)
 1    No motor response

þ Adult GCS

Best eye response (E)
There are 4 grades starting with the most severe:
1   No eye opening
2   Eye opening in response to pain. (Patient responds to pressure on the
    patient’s fingernail bed; if this does not elicit a response, supraorbital 
    and sternal pressure or rub may be used.)
3   Eye opening to speech. (Not to be confused with an awaking of a sleeping
    person; such patients receive a score of 4, not 3.)
4   Eyes opening spontaneously

Best verbal response (V)
There are 5 grades starting with the most severe:
1    No verbal response
2    Incomprehensible sounds. (Moaning but no words.)
3    Inappropriate words. (Random or exclamatory articulated speech, but no 
     conversational exchange)
4    Confused. (The patient responds to questions coherently but there is some
     disorientation and confusion.)
5    Oriented. (Patient responds coherently and appropriately to questions such
     as the patient’s name and age, where they are and why, the year, month, 
     etc.)

Best motor response (M)
There are 6 grades starting with the most severe:
1    No motor response
2    Extension to pain (abduction of arm, internal rotation of shoulder,
     pronation of forearm, extension of wrist, decerebrate response)
3    Abnormal flexion to pain (adduction of arm, internal rotation of shoulder,
     pronation of forearm, flexion of wrist, decorticate response)
4    Flexion/Withdrawal to pain (flexion of elbow, supination of forearm,
     flexion of wrist when supra-orbital pressure applied ; pulls part of body 
     away when nailbed pinched)
5    Localizes to pain. (Purposeful movements towards painful stimuli; e.g.,
     hand crosses mid-line and gets above clavicle when supra-orbital pressure 
     applied.)
6    Obeys commands. (The patient does simple things as asked.)

LANCET 1974;2:81-83
Teasdale & Jennette

Jennett and Teasdale 1974-1976

Assessment of coma and impaired consciousness(Lancet ii:81-84, 1974)
Assessment and prognosis of coma after head injury(ACTA Neurochir34:45-55
1976) Aspects of coma after severe head injury (lanceti;878-881 1977)

Source of above (I have not checked the articles) Management of Head
Injuries, Contemporary Neurology series.
Jennett and Teasdale 1981 F.A. Davis Chapter 4, page 77