Eye response |
4 = eyelids open or opened, tracking, or blinking to command |
3 = eyelids open but not tracking |
2 = eyelids closed but open to loud voice |
1 = eyelids closed but open to pain |
0 = eyelids remain closed with pain |
Motor response |
4 = thumbs-up, fist, or peace sign |
3 = localizing to pain |
2 = flexion response to pain |
1 = extension response to pain |
0 = no response to pain or generalized myoclonus status |
Brainstem reflexes |
4 = pupil and corneal reflexes present |
3 = one pupil wide and fixed |
2 = pupil or corneal reflexes absent |
1 = pupil and corneal reflexes absent |
0 = absent pupil, corneal, and cough reflex |
Respiration |
4 = not intubated, regular breathing pattern |
3 = not intubated, Cheyne-Stokes breathing pattern |
2 = not intubated, irregular breathing |
1 = breathes above ventilator rate |
0 = breathes at ventilator rate or apnea |
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