GCS in Children
Background
- The GCS is for use in children with traumatic brain injury
- Consider 5% NaCl in all obtunded trauma patients with lateralising sign (e.g. blown pupil)
< 2 years
Score |
Motor |
Verbal |
Eye opening |
6 |
Normal spontaneous movement |
|
|
5 |
Withdraws to touch |
Cries appropriately |
|
4 |
Withdrawal to pain |
Irritable crying |
Spontaneous |
3 |
Abnormal flexio(decorticate) |
Inappropriate screaming/crying |
To speech |
2 |
Extension (decrerbrate) |
Grunts |
To pain |
1 |
No response |
No response |
No response |
2 - 5 years
Score |
Motor |
Verbal |
Eye opening |
6 |
Obeys command |
|
|
5 |
Localises pain |
Appropriate words |
|
4 |
Flexion withdrawal |
Inappropriate words |
Spontaneous |
3 |
AbN flexion (decorticate) |
Screams |
To speech |
2 |
Extension (decerebrate) |
Grunts |
To pain |
1 |
No response |
No response |
No response |
> 5 years
Score |
Motor |
Verbal |
Eye opening |
6 |
Normal spontaneous movement |
|
|
5 |
Withdraws to touch |
Orientated |
|
4 |
Withdrawal to pain |
Confused |
Spontaneous |
3 |
Abnormal flexio(decorticate) |
Inappropriate |
To speech |
2 |
Extension (decrerbrate) |
Incomprehensible |
To pain |
1 |
No response |
No response |
No response |
Content by Dr Íomhar O' Sullivan. Last review Dr ÍOS 31/10/22.