Template:GCS peds

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

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.

↑ 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.
↑ ^2.0 ^2.1 James HE. Neurologic evaluation and support in the child with an acute brain insult. Pediatr Ann. 1986 Jan;15(1):16-22.