Template:GCS peds: Difference between revisions
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!colspan="2"|Eyes | !colspan="2"|Eyes | ||
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|4||Opens eyes spontaneously | |style="width:20px; text-align:center;"| 4||Opens eyes spontaneously | ||
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|3||Opens eyes to speech only | |style="width:20px; text-align:center;"|3||Opens eyes to speech only | ||
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|2||Opens eyes to pain only | |style="width:20px; text-align:center;"|2||Opens eyes to pain only | ||
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|1||Does not open eyes | |style="width:20px; text-align:center;"|1||Does not open eyes | ||
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!colspan="2"|Verbal | !colspan="2"|Verbal | ||
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|5||Smiles, coos, babbles | |style="width:20px; text-align:center;"|5||Smiles, coos, babbles | ||
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|4||Irritable, crying (but consolable) | |style="width:20px; text-align:center;"|4||Irritable, crying (but consolable) | ||
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|3||Inconsolable crying; or, only crying in response to pain | |style="width:20px; text-align:center;"|3||Inconsolable crying; or, only crying in response to pain | ||
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|2||Moans in response to pain | |style="width:20px; text-align:center;"|2||Moans in response to pain | ||
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|1||No response | |style="width:20px; text-align:center;"|1||No response | ||
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!colspan="2"|Motor | !colspan="2"|Motor | ||
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|6||Normal spontaneous movement | |style="width:20px; text-align:center;"|6||Normal spontaneous movement | ||
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|5||Withdraws to touch | |style="width:20px; text-align:center;"|5||Withdraws to touch | ||
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|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> | |style="width:20px; text-align:center;"|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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|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> | |style="width:20px; text-align:center;"|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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|2||Abnormal extension to pain (Decerebrate response)<ref name="m"/> | |style="width:20px; text-align:center;"|2||Abnormal extension to pain (Decerebrate response)<ref name="m"/> | ||
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|1||No response | |style="width:20px; text-align:center;"|1||No response | ||
|} | |} | ||
Revision as of 12:17, 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 | Inconsolable crying; or, only crying 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.