GCS (peds): Difference between revisions

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===Eyes===
#REDIRECT[[Glasgow Coma Scale]]
{| class="wikitable"
|+Eyes
|-
|style="width:40px; text-align:center;"| 4 ||style="width:250px; text-align:center;"| Opens eyes spontaneously
|-
|style="width:40px; text-align:center;"| 3 ||style="width:250px; text-align:center;"| Opens eyes to speech only
|-
|style="width:40px; text-align:center;"| 2 ||style="width:250px; text-align:center;"| Opens eyes to pain only
|-
|style="width:40px; text-align:center;"| 1 ||style="width:250px; text-align:center;"| Does not open eyes
|}
 
===Verbal===
{| class="wikitable"
|-
|style="width:40px; text-align:center;"| 5 ||style="width:450px; text-align:center;"| Smiles, coos, babbles
|-
|style="width:40px; text-align:center;"| 4 ||style="width:350px; text-align:center;"| Irritable, crying (but consolable)
|-
|style="width:40px; text-align:center;"| 3 ||style="width:250px; text-align:center;"| Persistent, inconsolable crying or crying only in response to pain
|-
|style="width:40px; text-align:center;"| 2 ||style="width:250px; text-align:center;"| Moans in response to pain
|-
|style="width:40px; text-align:center;"| 1 ||style="width:250px; text-align:center;"| No response
|}
 
===Motor===
{| class="wikitable"
|-
|style="width:40px; text-align:center;"| 6 ||style="width:350px; text-align:center;"| Normal spontaneous movement
|-
|style="width:40px; text-align:center;"| 5 ||style="width:350px; text-align:center;"| Withdraws to touch
|-
|style="width:40px; text-align:center;"| 4 ||style="width:350px; text-align:center;"| Withdraws to pain<ref>Holmes JF, Palchak MJ, MacFarlane T, et al. Performance of the pediatric glasgow coma scale in children with blunt head trauma. Acad Emerg Med. 2005 Sep;12(9):814-9.</ref>
|-
|style="width:40px; text-align:center;"| 3 ||style="width:250px; text-align:center;"| Abnormal flexion to pain (Decorticate response)<ref name="m">James HE. Neurologic evaluation and support in the child with an acute brain insult. Pediatr Ann. 1986 Jan;15(1):16-22.</ref>
|-
|style="width:40px; text-align:center;"| 2 ||style="width:250px; text-align:center;"| Abnormal extension to pain (Decerebrate response)<ref name="m"/>
|-
|style="width:40px; text-align:center;"| 1 ||style="width:250px; text-align:center;"| No response
|}
 
'''Note:'''
#For Motor score 4, pain is defined flat, fingernail pressure (often performed with the barrel of a pencil).
#For Motor scores 2 and 3, pain is defined by pressing hard on the supraorbital notch. If this unsuccessful, sternal pressure may also be attempted.
 
==See Also==
*[[Trauma (Peds)]]
*[[Altered mental status (peds)]]
 
==References==
<references/>
 
[[Category:Peds]]
[[Category:Trauma]]
[[Category:Neuro]]

Latest revision as of 18:16, 21 November 2017

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