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Use for children 2 years and younger only. For older children, use the standard Glasgow Coma Scale (GCS). Note the difference between the Glasgow Coma Score (total score, only applicable when all three components are testable) and the Glasgow Coma Scale (component scores, applicable if any of three components is not testable). Glasgow Coma Scale of 14 or higher. Using the PECARN Pediatric Head Injury/Trauma Algorithm 1. Use the Glasgow Coma Scale (GCS) to determine if the pediatric patient fits the required criteria for evaluation using the PECARN algorithm. The Glasgow Coma Scale is based on a 15 point scale for estimating and categorizing the out. Child’s Glasgow Coma Scale Revised BPNA 2001 Pain should be made by pressing hard on the supra-orbital notch (beneath medial end of eyebrow) with your thumb, except for M4, which is tested by pressing hard on the flat nail surface with the barrel of a pencil. Score the best response with unclear or asymmetrical.

• James’ adaptation of the Glasgow coma scale (JGCS) was designed for young children. Intubated patients are not allocated a verbal score, however, so important changes in a patient’s conscious level may be missed. A grimace score was therefore developed and assessed for use in intubated children. Two observers made a JGCS observation within 15 minutes of each other.
• Education is necessary to the proper application of this scale. Teasdale G, Kril-Jones R, van der Sande J. Observer variability in assessing impaired consciousness and coma. J Neurol Neurosurg Psychiatry 1978; 41:603-610; Rowley G, Fielding K. Reliability and accuracy of the Glasgow Coma Scale with experienced and inexperienced users.

The Paediatric Glasgow Coma Scale (British English) or the Pediatric Glasgow Coma Score (American English) or simply PGCS is the equivalent of the Glasgow Coma Scale (GCS) used to assess the level of consciousness of child patients. As many of the assessments for an adult patient would not be appropriate for infants, the Glasgow Coma Scale was modified slightly to form the PGCS. As with the GCS, the PGCS comprises three tests: eye, verbal and motor responses. The three values separately as well as their sum are considered. The lowest possible PGCS (the sum) is 3 (deep coma or death) whilst the highest is 15 (fully awake and aware person). The pediatric GCS is commonly used in emergency medical services.

Coma scale[edit]

Best eye response: (E)[edit]

4. Eyes opening spontaneously

3. Eye opening to speech

2. Eye opening to pain

1. No eye opening or response

Best verbal response: (V)[edit]

Pediatric Glasgow Coma Scale Pdf

5. Smiles, oriented to sounds, follows objects, interacts.

4. Cries but consolable, inappropriate interactions.

3. Inconsistently inconsolable, moaning.

2. Inconsolable, agitated.

1. No verbal response.

Source:^[1]

Best motor responses: (M)[edit]

6. Infant moves spontaneously or purposefully

5. Infant withdraws from touch

4. Infant withdraws from pain

3. Abnormal flexion to pain for an infant (decorticate response)

2. Extension to pain (decerebrate response)

1. No motor response

Any combined score of less than eight represents a significant risk of mortality.

See also[edit]

References[edit]

• Merck Manual. 'Modified Glasgow Coma Scale for Infants and Children'. Retrieved 2008-05-03.CS1 maint: discouraged parameter (link)

Pediatric Glasgow Coma Scale Pdf In Vector Art

1. ^'Archived copy'. Archived from the original on 2016-01-22. Retrieved 2020-04-29.CS1 maint: archived copy as title (link)

The GCS Aid is available in a number of different languages.

Acknowledgements

ARABIC - Dr Saad shehata mohamed, Qatar armed forces hospital, Qatar and Dr Mohammed Said Heriza, United Nations Assistance Mission in Afghanistan. BANGLA - Dr Indranil Ghosh CATALAN – Albert Homs, Hospital de Cerdanya, Girona, Spain. CHINESE – Dr Yirui Sun, Huashan Hospital, Shanghai, China. DANISH – Dr Susanne Scott, Rigshospitalet, København, Denmark GAELIGE/GAELCI – Dr Johnny O'Mahony, Mater Misericordiae, Dublin, Ireland GREEK – Dr Marina Pltsika, Plymouth, UK and Klaire Exrachou, Leeds, UK GUJARATI - Dr Tushit Mewada and Dr Ketan Patel HINDI - Dr Rajiv Chawla and Mr Sanjay Khusrija HUNGARIAN –Dr Matyas Fehervari, Harefield Hospital, Middlesex, UK INDONESIAN – Dr Sanjeet Singh Avtaar Singh, Golden Jubilee National Hospital, Glasgow, UK INDONESIAN (BAHASA) - Dr Tatang Bisri, ITALIAN Pierluigi Trevisan, KANNADA - Dr Sathyanarayana Lale KOREAN - Prof. Mun-Sun Jang and Gwang-Seok Kim, Dept. of Emergency Medical Technology, Chungbuk Health & Science university, Korea LATVIAN – Dr Egils Valeinis, Pauls Stradins Clinical University Hospital, Riga, Latvia MALAY – Dr Peng Yong Sim, University of Edinburgh, UK MALAYALAM - Dr. Unnikrishnan P MARATHI - Dr Nilesh Dixit NEPALI – Dr Pratyush Shrestha, National Institute of Neurological and Allied Sciences, Kathmandu, Nepal NORWEGIAN - Dr Oyvind Asteras,Haukeland University Hospital, Bergen, Norway ODIA - Dr Upendra Hansdah PERSIAN - Mitra Movahed and Mahdi Sharif-Alhoseini, Sina Trauma and Surgery Research Center, Tehran University of Medical Sciences, Tehran, Iran, Hamid Reza Khayat Kashani, Department of Neurosurgery, Imam Hossein Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran POLISH - Dr Piotr Wawrzkiewicz and Professor Andrzej Radek, University Clinical Hospital Military Memorial Medical Academy, Łódź, Poland PORTUGUESE – Dr Bruno Lourenço Costa Centro Hospitalar Tondela-Viseu EPE, Portugal and Dr Óscar Alves, Centro Hospitalar de Gaia e Espinho, Portugal PORTUGUESE (BRAZILIAN) – Dra Ana Camila Gandolfi Federal University of São Paulo - São Paulo - Brazil PUNJABI - Dr Amandeep Kaur ROMANIAN - Dr Florentina Popescu, Queen Elizabeth Hospital, Birmingham, UK RUSSIAN Natalia A. Suponeva, Michael A. Piradov, Dmitry V. Sergeev, Dzhamilya G. Yusupova, Kseniia A. Ilina, Alexandr B. Zaytsev, Alexey A. Zimin, Elizaveta G. Iazeva, Liudmila A. Legostayeva, Irina E. Luneva, Anton S. Klochkov, Yulia V. Ryabinkina. Researcher center of neurology, Moscow, Russia. RWANDAN – Dr Alphonse Zeta Mutabazi, Kigali University Teaching Hospital, Kigali, Rwanda SLOVAKIAN - Istvan Bodor and MUDr Attila Ganyovics, Falck Zachranna, Kosice, Slovakia SPANISH – Mª Esther Gorjón Peramato, Enfermera de Emergencias, SUMMA112, Spain SWEDISH – Dr Martin M T Van THAI – Apichaya Amrapala, Imperial College School of Medicine, London, UK TAMIL - Dr. Arulvelan TELGU - Ms. Swarnalata Gunti URDU - Prof khalid Mahmood and Dr sundas Ali, Lahore General Hospital, Lahore Pakistan VIETNAMESE – Dr Mai Linh. Cho Ray Hospital, Ho Chi Minh City, Vietnam WELSH –Dr ffion Dewi - Morriston Hospital, Wales.