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^[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]

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. doi: 10.1097/00002727-200102000-00005.
[PMID: 11852950] [DOI: 10.1097/00002727-200102000-00005]