GCS (peds): Difference between revisions
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== Motor== | ===Motor=== | ||
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|style="width:40px; text-align:center;"| 6 ||style="width:350px; text-align:center;"| Normal spontaneous movement | |||
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|style="width:40px; text-align:center;"| 5 ||style="width:350px; text-align:center;"| Withdraws to touch | |||
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|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> | |||
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|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> | |||
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|style="width:40px; text-align:center;"| 2 ||style="width:250px; text-align:center;"| Abnormal extension to pain (Decerebrate response)<ref name="m"/> | |||
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|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 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. | #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 == | ===Verbal=== | ||
{| class="wikitable" | |||
5 Smiles, coos, babbles | |- | ||
|style="width:40px; text-align:center;"| 5 ||style="width:450px; text-align:center;"| Smiles, coos, babbles | |||
4 Irritable, crying (but consolable) | |- | ||
|style="width:40px; text-align:center;"| 4 ||style="width:350px; text-align:center;"| Irritable, crying (but consolable) | |||
3 Persistent, inconsolable crying or crying only in response to pain | |- | ||
|style="width:40px; text-align:center;"| 3 ||style="width:250px; text-align:center;"| Persistent, inconsolable crying or crying only in response to pain | |||
2 Moans in response to pain | |- | ||
|style="width:40px; text-align:center;"| 2 ||style="width:250px; text-align:center;"| Moans in response to pain | |||
1 No response | |- | ||
|style="width:40px; text-align:center;"| 1 ||style="width:250px; text-align:center;"| No response | |||
|} | |||
==See Also== | ==See Also== | ||
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==References== | ==References== | ||
<references/> | |||
[[Category:Peds]] | [[Category:Peds]] | ||
[[Category:Trauma]] | [[Category:Trauma]] | ||
[[Category:Neuro]] | [[Category:Neuro]] | ||
Revision as of 19:44, 12 June 2015
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 pain[1] |
| 3 | Abnormal flexion to pain (Decorticate response)[2] |
| 2 | Abnormal extension to pain (Decerebrate response)[2] |
| 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 |