Table 57.1Grady Coma Scale

Responds appropriately to:
GradeState of awarenessCalling nameLight painDeep pain
IConfused, drowsy, lethargic, indifferent and/or uncooperative; does not lapse into sleep when left undisturbedYesYesYes
IIStuporous; may be disoriented to time, place, and person; will lapse into sleep when not disturbed; or belligerent and uncooperativeNoYesYes
IIIDeep stupor; requires strong pain to evoke movementNoNoYes
IVExhibits decorticate or decerebrate posturing to a deep pain stimulusNoNoNo
VDoes not respond to any stimuli; flaccidNoNoNo

From: Chapter 57, Level of Consciousness

Cover of Clinical Methods
Clinical Methods: The History, Physical, and Laboratory Examinations. 3rd edition.
Walker HK, Hall WD, Hurst JW, editors.
Boston: Butterworths; 1990.
Copyright © 1990, Butterworth Publishers, a division of Reed Publishing.

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