Glasgow Coma Scale (GCS)

Eye (E) 4 - Spontaneous 3 - To voice 2 - To pain 1 - None Verbal (V) 5 - Oriented 4 - Confused 3 - Inappropriate words 2 - Incomprehensible sounds 1 - None Motor (M) 6 - Obeys commands 5 - Localizes pain 4 - Withdraws 3 - Flexion (decorticate) 2 - Extension (decerebrate) 1 - None Calculate GCS

qSOFA

RR ≥ 22 ? YesNo Systolic BP ≤ 100 ? YesNo Altered mentation (GCS <15) ? YesNo Calculate qSOFA

CURB-65

Confusion ?NoYes Enter one Urea/BUN value.Urea mmol/L mg/dL or BUN mg/dL. RR ≥ 30 ?NoYes SBP < 90 or DBP ≤ 60 ?NoYes Age ≥ 65 ?NoYes Calculate CURB-65