====== Glasgow coma scale ======
^ Activity              ^ Score  | Infant (1-12m)           | Score  | Child (1y+)              |
| Eye opening           | 4      | spontaneously            | 4      | spontaneously            |
|                       | 3      | to speech                | 3      | to command               |
|                       | 2      | to pain                  | 2      | to pain                  |
|                       | 1      | no response              | 1      | no response              |
| Best verbal response  | 5      | coos, babbles            | 5      | oriented                 |
|                       | 4      | irritable, cries         | 4      | confused                 |
|                       | 3      | cries to pain            | 3      | inappropriate words      |
|                       | 2      | moans, grunts            | 2      | incomprehensible         |
|                       | 1      | no response              | 1      | no response              |
| Best motor response   | 6      | spontaneous              | 6      | obeys command            |
|                       | 5      | localises pain           | 5      | localises pain           |
|                       | 4      | withdraws to pain        | 4      | withdraws to pain        |
|                       | 3      | flexion (decorticate)    | 3      | flexion (decorticate)    |
|                       | 2      | extension (decerebrate)  | 2      | extension (decerebrate)  |
|                       | 1      | no response              | 1      | no response              |

  * If a child is unable to speak as a result of damage to the speech centres of the brain (dysphasia), then a 'D' should be placed in the appropriate space on the assessment tool[(:cite:appleton1998>Appleton R, Gibbs J (1998) Epilepsy in Childhood and Adolescence (2nd edition). London, Martin Dunitz Ltd)][(:cite:shah1999>Shah S (1999) Neurological assessment (RCN Continuing Education). Nursing Standard 13(22): 49-56)].
  * If a child has a tracheostomy or an endotracheal tube in situ, a 'T' should be marked in the appropriate space on the assessment tool[(:cite:aucken1998>Aucken, S., Crawford, B. (1998) Neurological assessment. In: Guerrero, D. (ed) Neuro-Oncology for Nurses. London: Whurr Publishers)][(:cite:11852950>{{pmid>long:11852950}})]

====== References ======
~~REFNOTES~~