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.