|
Pediatric Glasgow Coma Scale
|
ACTIVITY |
SCORE |
INFANTS |
CHILDREN |
|
Eye Opening |
4 |
Spontaneous |
Spontaneous |
| |
3 |
To speech or sound |
To speech |
| |
2 |
To painful stimuli |
To painful stimuli |
| |
1 |
None |
None |
|
Verbal |
5 |
Appropriate words or sounds, social smile,
fixes and follows |
Oriented |
| |
4 |
Cries, but consolable |
Confused |
| |
3 |
Persistently irritable |
Inappropriate words |
| |
2 |
Restless, agitated |
Incomprehensible sounds |
| |
1 |
None |
None |
|
Motor |
6 |
Spontaneous movement |
Obeys commands |
| |
5 |
Localizes to pain |
Localizes to pain |
| |
4 |
Withdraws to pain |
Withdraws to pain |
| |
3 |
Abnormal flexion (decorticate) |
Abnormal flexion (decorticate) |
| |
2 |
Abnormal extension (decerebrate) |
Abnormal extension (decerebrate) |
| |
1 |
None |
None |
13-15 Minor Head Injury
9-12 Moderate Head Injury
< 8 Severe Head Injury (Coma) |
Pediatric Trauma Score
|
Components |
+2 |
+1 |
-1 |
SCORE |
|
Weight |
>20 kg (44 lbs) |
10-20 kg (22-44 lbs) |
<10 kg (22 lbs) |
|
|
Airway |
Patent |
Maintainable |
Unmaintainable |
|
|
Systolic BP Pulses |
> 90
Radial |
50 – 90
Carotid |
< 50
Nonpalpable |
|
| CNS |
Awake |
+LOC (responsive) |
Unresponsive |
|
|
Fractures |
None |
Closed or suspected |
Multiple closed or open |
|
|
Wounds |
None |
Minor |
Major, penetrating or Burns > 10% |
|
|
TOTAL SCORE |
|
|
|
| 9 –12
Minor Trauma Use local guidelines/protocols 6 –8 Potentially
Life Threatening Suggests need for Trauma Center
0 –5 Life Threatening Need for Trauma Center
<0 Usually Fatal Transport to Nearest Facility |
|
|
|
