What are the 4 levels of eye opening in the Glasgow Coma Scale?

What are the 4 levels of eye opening in the Glasgow Coma Scale?

• A. 4 = spontaneous; 3 = in response to speech; 2 = in response to pain; 1 = no response
• B. 4 = spontaneous; 3 = in response to pain; 2 = in response to speech; 1 = no response
• C. 4 = in response to speech; 3 = spontaneous; 2 = in response to pain; 1 = no response
• D. 4 = spontaneous; 3 = in response to pain; 2 = in response to speech; 1 = no response

Answer: (A)

Eye opening in the Glasgow Coma Scale measures how awake a patient is, from eyes opening on their own to not opening at all. The four levels are: four spontaneous, three in response to speech, two in response to painful stimulation, one with no eye opening. The correct choice matches this exact sequence. It is important to note that eye opening in response to speech is a higher level of arousal than only responding to pain, and opening to pain is lower than opening spontaneously. The other options flip the order or assign the highest level to speech instead of spontaneous. In practice, this ordering helps quickly gauge how awake a patient is after a brain injury.

Eye opening in the Glasgow Coma Scale measures how awake a patient is, from eyes opening on their own to not opening at all. The four levels are: four spontaneous, three in response to speech, two in response to painful stimulation, one with no eye opening. The correct choice matches this exact sequence. It is important to note that eye opening in response to speech is a higher level of arousal than only responding to pain, and opening to pain is lower than opening spontaneously. The other options flip the order or assign the highest level to speech instead of spontaneous. In practice, this ordering helps quickly gauge how awake a patient is after a brain injury.