Richmond Agitation-Sedation Scale Calculator

+4 — Combative; overtly violent, immediate danger to staff +4 +3 — Very agitated; pulls or removes tubes/catheters or aggressive +3 +2 — Agitated; frequent non-purposeful movement or fights ventilator +2 +1 — Restless; anxious but movements not aggressive +1 0 — Alert and calm 0 −1 — Drowsy; sustained awakening to voice for more than 10 seconds -1 −2 — Light sedation; briefly awakens to voice for less than 10 seconds -2 −3 — Moderate sedation; movement or eye opening to voice but no eye contact -3 −4 — Deep sedation; movement or eye opening to physical stimulation -4 −5 — Unarousable; no response to voice or physical stimulation -5