Template:GCS peds: Difference between revisions

(/* 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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===[[Pediatric GCS]]===
===[[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"  
!colspan="3"|Eyes
| align="center" style="background:#f0f0f0;"|'''Eye Opening'''
|-
| align="center" style="background:#f0f0f0;"|'''Verbal'''
|4 | 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
| '''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;"| 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)
| '''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;"| 3 ||style="width:250px; text-align:center;"| Persistent, inconsolable crying or crying only in response to pain
| '''1''': Does not open eyes||'''1''': No response||'''1''': No response
|-
|style="width:40px; text-align:center;"| 2 ||style="width:250px; text-align:center;"| Moans in response to pain
|-
|style="width:40px; text-align:center;"| 1 ||style="width:250px; text-align:center;"| No response
|-
!colspan="3"|Motor
|-
|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.