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 |