Glasgow coma scale

Pediatric Glasgow Coma Scale
Activity	Score	Infant(0-12m0)	Score	Child(1+yr)
Eye opening	4	Spontaneously	4	Spontaneously
	3	To speech	3	To command
	2	To pain	2	To pain
	1	No response	1	No response
Best verbal response	5	Coos,babbles	5	Oriented
	4	Irritable,cries	4	Confused
	3	Cries to pain	3	Inappropriate words
	2	Moans,grunts	2	Incomprehensible
	1	No response	1	No response
Best motor response	6	Spontaneous	6	Obeys command
	5	Localizes pain	5	Localizes pain
	4	Withdraws from pain	4	Withdraws from pain
	3	Flexion(decorticate	3	Flexion (decorticate)
	2	Extension (decerebrate)	2	Extension (decerebrat)
	1	No response	1	No response

If a child is unable to speak as a result of damage to the speech centres of the brain (dysphasia), then a 'D' should be placed in the appropriate space on the assessment tool^[1]^[2].
If a child has a tracheostomy or an endotracheal tube in situ, a 'T' should be marked in the appropriate space on the assessment tool^[3]^[4]

1. ^a Appleton R, Gibbs J (1998) Epilepsy in Childhood and Adolescence (2nd edition). London, Martin Dunitz Ltd

2. ^a Shah S (1999) Neurological assessment (RCN Continuing Education). Nursing Standard 13(22): 49-56

3. ^a Aucken, S., Crawford, B. (1998) Neurological assessment. In: Guerrero, D. (ed) Neuro-Oncology for Nurses. London: Whurr Publishers

4. ^a Fischer J, Mathieson C. The history of the Glasgow Coma Scale: implications for practice. Crit Care Nurs Q. 2001 Feb;23(4):52-8. doi: 10.1097/00002727-200102000-00005.
[PMID: 11852950] [DOI: 10.1097/00002727-200102000-00005]

Glasgow coma scale

References

ICNApedia