Ramsay Sedation Scale

Ramsey Sedation Scale

If Awake

Ramsey 1

Anxious, agitated, restless

Ramsey 2

Cooperative, oriented, tranquil

Ramsey 3

Responsive to commands only If Asleep

Ramsey 4

Brisk response to light glabellar* tap  or loud auditory stimulus

Ramsey 5

Sluggish response to light glabellar tap or loud auditory stimulus

Ramsey 6

No response to light glabellar tap or loud auditory stimulus

*Glabellar reflex (Glabella) is a primitive reflex. It is elicited by repetitive tapping on the forehead. Subjects blink in response to the first several taps.