For use in children age <2. If Child over 2 years old, standard GCS has been shown to be slightly superior. (Standard GCS page)
Eye
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4pt – Open spontaneously
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3pt – Open to verbal stimuli
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2pt – Open to pain only
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1pt – No response
Verbal
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5pt – Coos, babbles
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4pt – Irritable cries
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3pt – Cries in response to pain
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2pt – Moans in response to pain
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1pt – No response
Motor
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6pt – Moves spontaneously / purposefully
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5pt – Withdraws to touch
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4pt – Withdraws to pain
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3pt – Flexor posturing to pain
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2pt – Extensor posturing to pain
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1pt – No response
Head Injury Classification:
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≥13 – minor head injury.
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9-12 – moderate head injury.
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≤8 – severe head injury.
Most useful when stated as individual scores and total: E4,V5,M6= 15
MDCalc link.
References:
- Teasdale G, Jennett B. Assessment of coma and impaired consciousness. A practical scale. Lancet. 1974;2(7872):81-4. (Original development) PubMed
- James HE. Neurologic evaluation and support in the child with an acute brain insult. Pediatr Ann. 1986;15(1):16-22. (Original development) PubMed
- Borgialli DA, Mahajan P, Hoyle JD, et al. Performance of the Pediatric Glasgow Coma Scale Score in the Evaluation of Children With Blunt Head Trauma. Acad Emerg Med. 2016;23(8):878-84. (Validation study) PubMed