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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

 

 
     

 

     

 

 


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