An arrangement and device for determining a state of consciousness of a patient includes an accelerometer or other feedback detection device for detecting movements or other responses of the patient. In addition the arrangement and device includes visual, auditory and physical stimulus generators, and are configured to emit of a visual, auditory and/or physical stimulus for a given time period. In addition a response signal is provided of the patient to the emitted stimulus, where said response signal is recorded using said accelerometer or said feedback detection device. In addition the response of the patient is determined and the patient is labelled as alert (A), responsive to verbal or auditory stimulus (V), responsive to pain or physical stimulus (P) or unconscious patient (U) based on the response.