Table 29-1. PROGRESSION OF DECREASING CONSCIOUSNESS

1. Alert and oriented.
2. Confused and drowsy but awakens to verbal stimuli.
3. Drowsy and awakens to noxious stimuli only.
4. Unconscious but responds appropriately to noxious stimulation by reaching in attempt to remove the stimulus.
5. Unconscious and responds inappropriately to noxious stimulation by random arm and leg movements.
6. Unconscious but responds to noxious stimulation with leg extension and arm flexion posturing (decorticate) or arm extension and internal rotation posturing (decerebrate).
7. No response to even noxious stimulation.