| 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 |
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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[1][2].
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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[3][4]
References
1. Appleton R, Gibbs J (1998) Epilepsy in Childhood and Adolescence (2nd edition). London, Martin Dunitz Ltd
3. Aucken, S., Crawford, B. (1998) Neurological assessment. In: Guerrero, D. (ed) Neuro-Oncology for Nurses. London: Whurr Publishers
4. . The history of the Glasgow Coma Scale: implications for practice. Crit Care Nurs Q. 2001 Feb;23(4):52-8. doi: 10.1097/00002727-200102000-00005.
[PMID: 11852950] [DOI: 10.1097/00002727-200102000-00005]
[PMID: 11852950] [DOI: 10.1097/00002727-200102000-00005]
Cite this: Cite this: ICNApedia contributors.Glasgow Coma Scale. ICNApedia, The Child Neurology Knowledge Environment. 30 June 2024. Available at: https://icnapedia.org/knowledgebase/articles/glasgow-coma-scale Accessed 30 June 2024.
