PEDIATRIC GLASCOW COMA SCALE Escambia County, Florida – 1st Responder Medical Protocol Approved: Approved by: Version: 3.1 Page 1 of 1 Charles Neal, D.O. Medical Director.
. The Pediatric Glasgow Coma Scale (pGCS) is a variation of the standard Glasgow Coma Scale (GCS), with age-appropriate modifications to the motor and verbal components. Like the standard GCS, the pGCS score range is from 3 to 15, with components for eye opening, verbal response, and motor response.

Glasgow Coma Scale (GCS) reproducibility between prehospital providers and pediatric trauma hospital personnel in pediatric patients that presented with a traumatic brain injury.The authors found that prehospital and trauma center GCS scores varied significantly, particularly in TBI patients less than 3 years old and those with moderate TBI.

Paediatric Glasgow Coma Scale
Synonyms	Pediatric Glasgow Coma Score
Purpose	assess the level of consciousness of child

The Paediatric Glasgow Coma Scale (British English) or the Pediatric Glasgow Coma Score (American English) or simply PGCS is the equivalent of the Glasgow Coma Scale (GCS) used to assess the level of consciousness of child patients. As many of the assessments for an adult patient would not be appropriate for infants, the Glasgow Coma Scale was modified slightly to form the PGCS. As with the GCS, the PGCS comprises three tests: eye, verbal and motor responses. The three values separately as well as their sum are considered. The lowest possible PGCS (the sum) is 3 (deep coma or death) whilst the highest is 15 (fully awake and aware person). The pediatric GCS is commonly used in emergency medical services.

Coma scale[edit]

Pediatric Glasgow Coma Scale
1	2	3	4	5	6
Eyes	Does not open eyes	Opens eyes in response to painful stimuli	Opens eyes in response to speech	Opens eyes spontaneously	N/A	N/A
Verbal	No verbal response	Inconsolable, agitated	Inconsistently inconsolable, moaning	Cries but consolable, inappropriate interactions	Smiles, orients to sounds, follows objects, interacts	N/A
Motor	No motor response	Extension to pain (decerebrate response)	Abnormal flexion to pain for an infant (decorticate response)	Infant withdraws from pain	Infant withdraws from touch	Infant moves spontaneously or purposefully

Best eye response: (E)[edit]

4. Eyes opening spontaneously

3. Eye opening to speech

2. Eye opening to pain

1. No eye opening or response

Best verbal response: (V)[edit]

5. Smiles, oriented to sounds, follows objects, interacts.

4. Cries but consolable, inappropriate interactions.

3. Inconsistently inconsolable, moaning.

2. Inconsolable, agitated.

1. No verbal response.

Source:^[1]

Best motor responses: (M)[edit]

6. Infant moves spontaneously or purposefully

5. Infant withdraws from touch

4. Infant withdraws from pain

3. Abnormal flexion to pain for an infant (decorticate response)

2. Extension to pain (decerebrate response)

1. No motor response

Any combined score of less than eight represents a significant risk of mortality.

Pediatric Glasgow Coma Scale Pdf In Vector Format

References[edit]

Merck Manual. 'Modified Glasgow Coma Scale for Infants and Children'. Retrieved 2008-05-03.CS1 maint: discouraged parameter (link)

^'Archived copy'. Archived from the original on 2016-01-22. Retrieved 2020-04-29.CS1 maint: archived copy as title (link)

Retrieved from 'https://en.wikipedia.org/w/index.php?title=Paediatric_Glasgow_Coma_Scale&oldid=996099693'

Contents

Glasgow Coma Scale

Glasgow Coma Scale or GCS is a neurological scale that aims to give a reliable, objective way of recording the general level of consciousness in patients with traumatic brain injury (TBI) and to to help gauge the severity of an acute brain injury . The Glasgow Coma Scale (GCS) is divided into 3 categories, eye opening (E), motor response (M), and verbal response (V). The Glasgow Coma Scale score is determined by the sum of the score in each of the 3 categories, with a maximum score of 15 and a minimum score of 3, as follows:

Glasgow Coma Scale score = eye opening (E) + motor response (M) + verbal response (V)

Based on motor responsiveness, verbal performance, and eye opening to appropriate stimuli, the Glascow Coma Scale was designed and should be used to assess the depth and duration coma and impaired consciousness. Glasgow Coma Scale helps to gauge the impact of a wide variety of conditions such as acute brain damage due to traumatic and/or vascular injuries or infections, metabolic disorders (e.g., hepatic or renal failure, hypoglycemia, diabetic ketosis), etc. Education is necessary to the proper application of the Glasgow Coma Scale . The predictive value of the GCS, even when applied early, is limited . Despite these and other limitations , health care practitioners continue to use Glasgow Coma Scale widely.

Glasgow Coma Scale was initially used to assess level of consciousness after head injury, and the Glasgow Coma Scale is now used by first aid, emergency medical services, and doctors as being applicable to all acute medical and trauma patients. In hospitals it is also used in monitoring chronic patients in the intensive care. The Glasgow Coma Scale was published in 1974 by Graham Teasdale and Bryan J. Jennett, professors of neurosurgery at the University of Glasgow’s Institute of Neurological Sciences at the city’s Southern General Hospital .

Eye Opening Response (E)

Spontaneous–open with blinking at baseline = 4 points
To verbal stimuli, command, speech = 3 points
To pain only (not applied to face) = 2 points
No response = 1 point

Verbal Response (V)

Oriented conversation = 5 points
Confused conversation, but able to answer questions = 4 points
Inappropriate words = 3 points
Incomprehensible speech or sounds = 2 points
No response = 1 point

Motor Response (M)

Obeys verbal commands for movement = 6 points
Purposeful movement to painful stimuli = 5 points
Withdraws in response to painful stimuli = 4 points
Flexion in response to painful stimuli (decorticate posturing) = 3 points
Extension response in response to painful stimuli (decerebrate posturing) = 2 points
No response = 1 point

Total Glasgow Coma Scale score = 15

Total Glasgow Coma Scale score 15 is Normal
Total Glasgow Coma Scale score 3-14 is Abnormal

Glasgow Coma Scale and Children

The Glasgow Coma Scale has limited applicability to children, especially below the age of 36 months (where the verbal performance of even a healthy child would be expected to be poor). Consequently, the Pediatric Glasgow Coma Scale or PGCS, a separate yet closely related scale, was developed for assessing young children. The Pediatric Glasgow Coma Scale still uses the three tests — eye, verbal, and motor responses — and the three values are considered separately as well as together.

Pediatric brain injuries are classified by severity using the same scoring levels as adults, i.e. 8 or lower reflecting the most severe, 9-12 being a moderate injury and 13-15 indicating a mild traumatic brain injury (TBI). As in adults, moderate and severe injuries often result in significant long-term impairments.

Table 1. Pediatric Glasgow Coma Scale for Children

Eye Opening