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Glasgow Coma Scale for Infants and Children

Area Assessed Infants Children
Score*






Eye opening

Open spontaneously Open spontaneously 4


Open in response to verbal stimuli Open in response to verbal stimuli 3


Open in response to pain only Open in response to pain only 2



No response No response 1










Verbal response

Coos and babbles Oriented, appropriate 5


Irritable cries Confused 4


Cries in response to pain Inappropriate words 3


Moans in response to pain Incomprehensible words or nonspecific sounds 2



No response No response 1










Motor response**

Moves spontaneously and purposefully Obeys commands 6


Withdraws to touch Localizes painful stimulus 5


Withdraws in response to pain Withdraws in response to pain 4



Responds to pain with decorticate posturing (abnormal flexion) Responds to pain with flexion 3



Responds to pain with decerebrate posturing (abnormal extension) Responds to pain with extension 2

No response No response 1

*Score:
12 suggests a severe head injury.
 8 suggests need for intubation and ventilation.
 6 suggests need for intracranial pressure monitoring.

**If the patient is intubated, unconscious, or preverbal, the most important part of this scale is motor response. This section should be carefully evaluated.

Adapted from Davis RJ et al: Head and spinal cord injury. In Textbook of Pediatric Intensive Care, edited by MC Rogers. Baltimore, Williams & Wilkins, 1987; James H, Anas N, Perkin RM: Brain Insults in Infants and Children. New York, Grune & Stratton, 1985; and Morray JP et al: Coma scale for use in brain-injured children. Critical Care Medicine 12:1018, 1984.


Source : www.northeastcenter.com

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