(c) The patient attempts to withdraw from the source of painful stimulus
(flexor withdrawal) -- 4 points.
(d) The patient flexes an extremity abnormally -- 3 points.
(e) The patient extends an extremity abnormally -- 2 points.
The patient has no motor response to painful stimuli (flaccid) -- 1
The Glasgow Coma Scale may not be valid in certain circumstances. The
score of a patient who has used alcohol or other mind-altering drugs, is
hypoglycemic, is in shock (systemic blood pressure less than 80 mm Hg), or
who is hypothermic (body temperature below 34o C) may not accurately
reflect the patient's level of consciousness.
d. Meaning of Total Points on Glasgow Coma Scale. The total points
accumulated from the patient's responses indicate the following levels of
Figure 5-1. Glasgow Coma Scale. (Abbreviated response scale)