Template:GCS peds: Difference between revisions

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!colspan="2"|Verbal
!colspan="2"|Verbal
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|style="width:40px; text-align:center;"| 5 ||style="width:450px; text-align:center;"| Smiles, coos, babbles
|5||Smiles, coos, babbles
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|style="width:40px; text-align:center;"| 4 ||style="width:350px; text-align:center;"| Irritable, crying (but consolable)
|4||Irritable, crying (but consolable)
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|style="width:40px; text-align:center;"| 3 ||style="width:250px; text-align:center;"| Persistent, inconsolable crying or crying only in response to pain
|3||Persistent, inconsolable crying or crying only in response to pain
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|style="width:40px; text-align:center;"| 2 ||style="width:250px; text-align:center;"| Moans in response to pain
|2||Moans in response to pain
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|style="width:40px; text-align:center;"| 1 ||style="width:250px; text-align:center;"| No response
|1||No response
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!colspan="2"|Motor
!colspan="2"|Motor
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|style="width:40px; text-align:center;"| 6 ||style="width:350px; text-align:center;"| Normal spontaneous movement
|6||Normal spontaneous movement
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|style="width:40px; text-align:center;"| 5 ||style="width:350px; text-align:center;"| Withdraws to touch
|5||Withdraws to touch
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|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>
|4||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>
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|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>
|3||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>
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|style="width:40px; text-align:center;"| 2 ||style="width:250px; text-align:center;"| Abnormal extension to pain (Decerebrate response)<ref name="m"/>
|2||Abnormal extension to pain (Decerebrate response)<ref name="m"/>
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|style="width:40px; text-align:center;"| 1 ||style="width:250px; text-align:center;"| No response
|1||No response
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|}


'''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.

Revision as of 00:42, 15 June 2015

Pediatric GCS

Eyes
4 Opens eyes spontaneously
3 Opens eyes to speech only
2 Opens eyes to pain only
1 Does not open eyes
Verbal
5 Smiles, coos, babbles
4 Irritable, crying (but consolable)
3 Persistent, inconsolable crying or crying only in response to pain
2 Moans in response to pain
1 No response
Motor
6 Normal spontaneous movement
5 Withdraws to touch
4 Withdraws to pain[1]
3 Abnormal flexion to pain (Decorticate response)[2]
2 Abnormal extension to pain (Decerebrate response)[2]
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. ↑ 2.0 2.1 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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