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Glasgow Coma Scale

Aka: Glasgow Coma Scale, Pediatric Glasgow Coma Scale

See Also
Scoring
1. Eye Opening
  1. Spontaneous: 4
  2. To speech: 3
  3. To pain: 2
  4. No Response: 1
2. Best Verbal Response
  1. Oriented (Infant coos or babbles): 5
  2. Confused (Infant irritable cries): 4
  3. Inappropriate words (Infant Cries to pain): 3
  4. Incomprehensible sounds (Infant Moans to pain): 2
  5. No Response: 1
3. Best Motor Response
  1. Obeys (Infant moves spontaneous/purposefully): 6
  2. Localizes (infant withdraws to touch): 5
  3. Withdraws to pain: 4
  4. Abnormal Flexion to pain (Decorticate): 3
  5. Extensor Response to pain (Decerebrate): 2
  6. No Response: 1
Interpretation
1. Total: 3-15
2. Minor Head Injury: 13-15
3. Moderate Head Injury: 9-12
4. Severe Head Injury (Coma): <= 8
  1. Confers Significant Mortality Risk <= 8
References
1. Morray (1984) Crit Care Med 12: 1018
2. Teasdale (1974) Lancet 2:81-4
3. Davis (1987) in Rogers, Textbook of Ped Int Care

Family Practice Notebook

Patients should address specific medical concerns with their physicians.

Although access to this page is not restricted, the information found here is intended for use by medical providers.

This page was written by Scott Moses, MD, last revised on 6/23/2012 and last published on 5/14/2013.

This is one of 5887 pages in the Family Practice Notebook