Pediatric Glasgow Coma Scale
Encyclopedia
The Paediatric Glasgow Coma Scale (BrE
British English
British English, or English , is the broad term used to distinguish the forms of the English language used in the United Kingdom from forms used elsewhere...

) (also known as Pediatric Glasgow Coma Score (AmE
American English
American English is a set of dialects of the English language used mostly in the United States. Approximately two-thirds of the world's native speakers of English live in the United States....

) or simply PGCS) is the equivalent of the Glasgow Coma Scale
Glasgow Coma Scale
Glasgow Coma Scale or GCS is a neurological scale that aims to give a reliable, objective way of recording the conscious state of a person for initial as well as subsequent assessment...

 (GCS) used to assess the mental state of adult patients. As many of the assessments for an adult patient would not be appropriate for infant
Infant
A newborn or baby is the very young offspring of a human or other mammal. A newborn is an infant who is within hours, days, or up to a few weeks from birth. In medical contexts, newborn or neonate refers to an infant in the first 28 days after birth...

s, the scale was modified slightly. As with the GCS
Glasgow Coma Scale
Glasgow Coma Scale or GCS is a neurological scale that aims to give a reliable, objective way of recording the conscious state of a person for initial as well as subsequent assessment...

, the PGCS comprises three tests: eye
Human eye
The human eye is an organ which reacts to light for several purposes. As a conscious sense organ, the eye allows vision. Rod and cone cells in the retina allow conscious light perception and vision including color differentiation and the perception of depth...

, verbal
Language
Language may refer either to the specifically human capacity for acquiring and using complex systems of communication, or to a specific instance of such a system of complex communication...

 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).

Coma scale

Paediatric Glasgow Coma Scale
1 2 3 4 5 6
Eyes Does not open eyes Opens eyes in response to painful stimuli Opens eyes in response to speech Opens eyes spontaneously N/A N/A
Verbal No verbal response Inconsolable, agitated Inconsistently inconsolable, moaning Cries but consolable, inappropriate interactions Smiles, orients to sounds, follows objects, interacts N/A
Motor No motor response Extension to pain (decerebrate response) Abnormal flexion to pain for an infant (decorticate response) Infant withdraws from pain Infant withdraws from touch Infant moves spontaneously or purposefully

Best eye response: (E)


  1. Eyes opening spontaneously

  2. Eye opening to speech

  3. Eye opening to pain

  4. No eye opening


Best verbal response: (V)


  1. Smiles, oriented to sounds, follows objects, interacts.
  2. Cries but consolable, inappropriate interactions.
  3. Inconsistently inconsolable, moaning.
  4. Inconsolable, agitated.
  5. No verbal response.


Best motor responses: (M)


  1. Infant moves spontaneously or purposefully

  2. Infant withdraws from touch

  3. Infant withdraws from pain

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

  5. Extension to pain (decerebrate response)

  6. No motor response



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