|
T-RTS
| |
T1
|
T2
|
|---|
|
Respiratory rate
| |
|
10–29/min
|
4
| | |
|
30/min or higher
|
3
| | |
|
6–9/min
|
2
| | |
|
1–5/min
|
1
| | |
|
Nil
|
0
| | |
|
Systolic blood pressure
| |
|
≥90 mmHg
|
4
| | |
|
76–98 mmHg
|
3
| | |
|
50–75 mmHg
|
2
| | |
|
1–49 mmHg
|
1
| | |
|
No BP/pulse
|
0
| | |
|
Subtotal
| | |
|
Eye response (GCS)
| |
|
Spontaneously
|
4
|
*
| | |
|
To verbal command
|
3
|
*
| | |
|
To pain
|
2
|
*
| | |
|
No eye opening
|
1
|
*
| | |
|
Motor response (GCS)
| |
|
Obeying commands
|
6
|
*
| | |
|
Localising pain
|
5
|
*
| | |
|
Withdrawal from pain
|
4
|
*
| | |
|
Flexion to pain
|
3
|
*
| | |
|
Extension to pain
|
2
|
*
| | |
|
No motor response
|
1
|
*
| | |
|
Verbal response (GCS)
| |
|
Orientated
|
5
|
*
| | |
|
Confused
|
4
|
*
| | |
|
Inappropriate words
|
3
|
*
| | |
|
Incomprehensible sounds
|
2
|
*
| | |
|
No verbal response
|
1
|
*
| | |
|
Subtotal
| | |
|
*Glasgow Coma Scale (GCS)
| |
|
13−15=4
|
|
9−12=3
|
|
6−8=2
|
|
4−5=1
|
|
3=0
|
|
Total
|
