Paediatric Glasgow Coma Scale

The Pediatric Glasgow Coma Scale (BrE) (also known as Pediatric Glasgow Coma Score (AmE) or simply PGCS) is the equivalent of the Glasgow Coma Scale (GCS) used to assess the mental state of child patients. As many of the assessments for an adult patient would not be appropriate for infants, the Glascow Coma Scale was modified slightly to form the PGCS. As with the GCS, the PGCS comprises three tests: eye, verbal and motor responses. The three values separately as well as their sum are considered. The lowest possible PGCS (the sum) is 3 (deep coma or death) whilst the highest is 15 (fully awake and aware person). The pediatric GCS is commonly used in emergency medical services.

Coma scale

Pediatric Glasgow Coma Scale
1 2 3 4 5 6
Eyes Does not open eyes Opens eyes in response to painful stimuli Opens eyes in response to speech Opens eyes spontaneously N/A N/A
Verbal No verbal response Inconsolable, agitated Inconsistently inconsolable, moaning Cries but consolable, inappropriate interactions Smiles, orients to sounds, follows objects, interacts N/A
Motor No motor response Extension to pain (decerebrate response) Abnormal flexion to pain for an infant (decorticate response) Infant withdraws from pain Infant withdraws from touch Infant moves spontaneously or purposefully

Best eye response: (E)

4. Eyes opening spontaneously
3. Eye opening to speech
2. Eye opening to pain
1. No eye opening or response

Best verbal response: (V)

5. Smiles, oriented to sounds, follows objects, interacts.
4. Cries but consolable, inappropriate interactions.
3. Inconsistently inconsolable, moaning.
2. Inconsolable, agitated.
1. No verbal response.

[1]

Best motor responses: (M)

6. Infant moves spontaneously or purposefully
5. Infant withdraws from touch
4. Infant withdraws from pain
3. Abnormal flexion to pain for an infant (decorticate response)
2. Extension to pain (decerebrate response)
1. No motor response

Any combined score of less than eight represents a significant risk of mortality.

See also

References

  1. ↑ TRAUMA.ORG
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