Template:GCS peds: Difference between revisions

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(/* Pediatric GCSHolmes JF, Palchak MJ, MacFarlane T, et al. Performance of the pediatric glasgow coma scale in children with blunt head trauma. Acad Emerg Med. 2005 Sep;12(9):814-9.James HE. Neurologic evaluation and support in the child with an acute...)
 
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===[[GCS peds]]===
===[[Glasgow Coma Scale|Pediatric GCS]]<ref>Holmes JF, Palchak MJ, MacFarlane T, et al. Performance of the pediatric glasgow coma scale in children with blunt head trauma. Acad Emerg Med. 2005 Sep;12(9):814-9.</ref><ref>James HE. Neurologic evaluation and support in the child with an acute brain insult. Pediatr Ann. 1986 Jan;15(1):16-22.</ref>===
{| class="wikitable"
{| class="wikitable"  
|+Eyes
| align="center" style="background:#f0f0f0;"|'''Eye Opening'''
|-
| align="center" style="background:#f0f0f0;"|'''Verbal'''
|style="width:40px; text-align:center;"| 4 ||style="width:250px; text-align:center;"| Opens eyes spontaneously
| align="center" style="background:#f0f0f0;"|'''Motor'''
|-
|-
|style="width:40px; text-align:center;"| 3 ||style="width:250px; text-align:center;"| Opens eyes to speech only
| ||||'''6''': Normal spontaneous movement
|-
|-
|style="width:40px; text-align:center;"| 2 ||style="width:250px; text-align:center;"| Opens eyes to pain only
| ||'''5''': Smiles, coos, babbles||'''5''': Withdraws to touch
|-
|-
|style="width:40px; text-align:center;"| 1 ||style="width:250px; text-align:center;"| Does not open eyes
| '''4''': Opens eyes spontaneously||'''4''': Irritable, crying (but consolable)||'''4''': Withdraws to pain
!colspan="3"|Verbal
|-
|style="width:40px; text-align:center;"| 5 ||style="width:450px; text-align:center;"| Smiles, coos, babbles
|-
|-
|style="width:40px; text-align:center;"| 4 ||style="width:350px; text-align:center;"| Irritable, crying (but consolable)
| '''3''': Opens eyes to speech only||'''3''':Inconsolable crying or crying only in response to pain||'''3''': Abnormal flexion to pain (Decorticate response)
|-
|-
|style="width:40px; text-align:center;"| 3 ||style="width:250px; text-align:center;"| Persistent, inconsolable crying or crying only in response to pain
| '''2''': Opens eyes to pain only||'''2''': Moans in response to pain||'''2''':  Abnormal extension to pain (Decerebrate response)
|-
|-
|style="width:40px; text-align:center;"| 2 ||style="width:250px; text-align:center;"| Moans in response to pain
| '''1''': Does not open eyes||'''1''': No response||'''1''': No response
|-
|style="width:40px; text-align:center;"| 1 ||style="width:250px; text-align:center;"| No response
|}
 
===Motor===
{| class="wikitable"
|-
|style="width:40px; text-align:center;"| 6 ||style="width:350px; text-align:center;"| Normal spontaneous movement
|-
|style="width:40px; text-align:center;"| 5 ||style="width:350px; text-align:center;"| Withdraws to touch
|-
|style="width:40px; text-align:center;"| 4 ||style="width:350px; text-align:center;"| Withdraws to pain<ref>Holmes JF, Palchak MJ, MacFarlane T, et al. Performance of the pediatric glasgow coma scale in children with blunt head trauma. Acad Emerg Med. 2005 Sep;12(9):814-9.</ref>
|-
|style="width:40px; text-align:center;"| 3 ||style="width:250px; text-align:center;"| Abnormal flexion to pain (Decorticate response)<ref name="m">James HE. Neurologic evaluation and support in the child with an acute brain insult. Pediatr Ann. 1986 Jan;15(1):16-22.</ref>
|-
|style="width:40px; text-align:center;"| 2 ||style="width:250px; text-align:center;"| Abnormal extension to pain (Decerebrate response)<ref name="m"/>
|-
|style="width:40px; text-align:center;"| 1 ||style="width:250px; text-align:center;"| No response
|}
|}


'''Note:'''
'''Note:'''
#For Motor score 4, pain is defined flat, fingernail pressure (often performed with the barrel of a pencil).  
*For Motor score 4, pain is defined flat, fingernail pressure (often performed with the barrel of a pencil).  
#For Motor scores 2 and 3, pain is defined by pressing hard on the supraorbital notch. If this unsuccessful, sternal pressure may also be attempted.
*For Motor scores 2 and 3, pain is defined by pressing hard on the supraorbital notch. If this unsuccessful, sternal pressure may also be attempted.

Latest revision as of 18:18, 21 November 2017

Pediatric GCS[1][2]

Eye Opening Verbal Motor
6: Normal spontaneous movement
5: Smiles, coos, babbles 5: Withdraws to touch
4: Opens eyes spontaneously 4: Irritable, crying (but consolable) 4: Withdraws to pain
3: Opens eyes to speech only 3:Inconsolable crying or crying only in response to pain 3: Abnormal flexion to pain (Decorticate response)
2: Opens eyes to pain only 2: Moans in response to pain 2: Abnormal extension to pain (Decerebrate response)
1: Does not open eyes 1: No response 1: No response

Note:

  • For Motor score 4, pain is defined flat, fingernail pressure (often performed with the barrel of a pencil).
  • For Motor scores 2 and 3, pain is defined by pressing hard on the supraorbital notch. If this unsuccessful, sternal pressure may also be attempted.
  1. ↑ Holmes JF, Palchak MJ, MacFarlane T, et al. Performance of the pediatric glasgow coma scale in children with blunt head trauma. Acad Emerg Med. 2005 Sep;12(9):814-9.
  2. ↑ James HE. Neurologic evaluation and support in the child with an acute brain insult. Pediatr Ann. 1986 Jan;15(1):16-22.
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