GCS (peds): Difference between revisions

(Undo revision 40527 by Rossdonaldson1 (talk))
(Replaced content with "{{GCS peds}} ==See Also== *Trauma (Peds) *Altered mental status (peds) ==References== <references/> Category:Peds Category:Trauma Category:Neuro")
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===Eyes===
{{GCS peds}}
{| 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==
==See Also==

Revision as of 00:28, 15 June 2015

Pediatric GCS[1][2]

Eye Opening Verbal Motor
6: Normal spontaneous movement
5: Smiles, coos, babbles 5: Withdraws to touch
4: Opens eyes spontaneously 4: Irritable, crying (but consolable) 4: Withdraws to pain
3: Opens eyes to speech only 3:Inconsolable crying or crying only in response to pain 3: Abnormal flexion to pain (Decorticate response)
2: Opens eyes to pain only 2: Moans in response to pain 2: Abnormal extension to pain (Decerebrate response)
1: Does not open eyes 1: No 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.

See Also

References

  1. 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.
  2. James HE. Neurologic evaluation and support in the child with an acute brain insult. Pediatr Ann. 1986 Jan;15(1):16-22.