Table 1 Glasgow Coma Scale
• Spontaneous 4
• To painful stimulus 2
Best motor response
• Obeys commands 6
• Localises painful stimulus 5
• Withdraws (normal flexion) 4
• Flexes abnormally (spastic flexion) 3
Best verbal response
• Says inappropriate words 3
• Makes incomprehensible sounds 2
• No verbal response 1
From Jennett, B., Teasdale, G. Aspects of coma after severe head injury. Lancet. 1:878-881,
Detained Person: Observation List
If any detainee fails to meet any of the following criteria, an appropriate health care professional or ambulance must be called.
When assessing the level of rousability consider:
Rousability—can they be woken?
Response to questions—can they give appropriate answers to questions such as:
Response to commands—can they respond appropriately to commands such as:
Remember—take into account the possibility or presence of other illnesses, injury, or mental condition. A person who is drowsy and smells of alcohol may also have the following:
• Drug intoxication or overdose
From Home Office. Annex H. Police and Criminal Evidence Act 1984 (s.60[a] and s.66). Codes of Practice A-E revised edition. Effective 1 April 2003. Her Majesty's Stationery Office, Norwich, UK, 2003.
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