GCS (peds): Difference between revisions
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== Verbal == | == Verbal == | ||
5 | 5 Smiles, coos, babbles | ||
4 Irritable, | 4 Irritable, crying (but consolable) | ||
3 | 3 Persistent, inconsolable crying or crying only in response to pain | ||
2 Moans to pain | 2 Moans in response to pain | ||
1 No response | 1 No response | ||
==References== | |||
#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. | |||
#James HE. Neurologic evaluation and support in the child with an acute brain insult. Pediatr Ann. 1986 Jan;15(1):16-22. | |||
#Kirkham FJ, Newton CR, Whitehouse W. Paediatric coma scales. Dev Med Child Neurol. 2008 Apr;50(4):267-74. | |||
<br/><br/> | <br/><br/> | ||
Revision as of 06:21, 6 June 2014
Eyes
4 Opens eyes spontaneously
3 Opens eyes to speech only
2 Opens eyes to pain only
1 Does not open eyes
Motor
6 Normal spontaneous movement
5 Withdraws to touch
4 Withdraws to pain1
3 Abnormal flexion to pain2 (Decorticate response)
2 Abnormal extension to pain2 (Decerebrate response)
1 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.
Verbal
5 Smiles, coos, babbles
4 Irritable, crying (but consolable)
3 Persistent, inconsolable crying or crying only in response to pain
2 Moans in response to pain
1 No response
References
- 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.
- James HE. Neurologic evaluation and support in the child with an acute brain insult. Pediatr Ann. 1986 Jan;15(1):16-22.
- Kirkham FJ, Newton CR, Whitehouse W. Paediatric coma scales. Dev Med Child Neurol. 2008 Apr;50(4):267-74.