content:glasgow_coma_scale

Glasgow coma scale

Pediatric Glasgow Coma Scale
Activity Score Infant(0-12m0) Score Child(1+yr)
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 Localizes pain 5 Localizes pain
4 Withdraws from pain 4 Withdraws from pain
3 Flexion(decorticate 3 Flexion (decorticate)
2 Extension (decerebrate) 2 Extension (decerebrat)
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[1][2].
  • 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. a Appleton R, Gibbs J (1998) Epilepsy in Childhood and Adolescence (2nd edition). London, Martin Dunitz Ltd
2. a Shah S (1999) Neurological assessment (RCN Continuing Education). Nursing Standard 13(22): 49-56
3. a Aucken, S., Crawford, B. (1998) Neurological assessment. In: Guerrero, D. (ed) Neuro-Oncology for Nurses. London: Whurr Publishers
4. a Fischer J, Mathieson C. The history of the Glasgow Coma Scale: implications for practice. Crit Care Nurs Q. 2001 Feb;23(4):52-8. PMID : 11852950
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