• Note: It is important to use the best motor response in calculating the score. 
• When assessing the motor response to pain we are looking to see whether the patient has a coordinated motor response to commands i.e. squeeze my hands, performs a basic localised movement or simply flexes or extends limbs and/ or spine in response to painful stimuli.

Calculate the sum of the score from 1 (Eye Opening), 2 (Best Verbal Response) and 3 (Best Motor Response). This number will give you a Glasgow Coma Score out of 15.

For example (adult patient):

• Eye Opening: To Voice (3)
• Best Verbal Response: Confused (4)
• Best Motor Response: Obeys commands (6)
• GCS = 3 + 4 + 6 = 13 out of 15.
  
• Record this on your ePCR as GCS 13/15 (E3, V4, M6)

Note: Painful stimuli refers to firm squeeze of trapezius muscle, must be adequate for task, but not excessive.