| Grade | Description |
|---|---|
| 1 | Fully awake and oriented. |
| 2 | Drowsy but eyes open. |
| 3 | Somnolent, eyes closed, but can be awakened by command. |
| 4 | Somnolent, eyes closed, but can be awakened by mild physical stimulation (e.g., pulling the earlobe). |
| 5 | Mild physical stimulation cannot awaken. |
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