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Reaction Level Scale (RLS85)

Scale to evaluate the neurologic status of patients after head trauma or neurosurgery.

1Alert, with no delay in response (responds without stimulus).
2Drowsy or confused, but responds to light stimulation.

Very drowsy or confused, but responds to strong stimulation.


Unconscious; localizes (moves a hand towards) a painful stimulus but does not ward it off.

5Unconscious; makes withdrawing movements following a painful stimulus.

Unconscious; stereotypic flexion movements following painful stimuliery.

7Unconscious; stereotypic extension movements following painful stimuli.
8Unconscious; no response to painful stimuli.



Stalhammer D, Starmark JE. Assessment of responsiveness in head injury patients. The Glasgow Coma Scale and some comments on alternative methods. Acta Neurochir. 1986; Supplement 36: 91-94.

Starmark J-E, Stalhammer D, Holmgren E. The reaction level scale (RLS85). Manual and guidelines. Acta Neurochir. 1988; 91: 12-20.

Starmark J-E, Stalhammer D, et al. A comparison of the Glasgow coma scale and the Reaction Level Scale (RLS85). J Neurosurg. 1988; 69: 699-706.

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