Glasgow Coma Scale (GCS)
|6: Obeys commands|
|5: Oriented||5: Localizes to pain|
|4: Spontaneously opens||4: Confused speech||4: Withdraws from pain (normal flexion)|
|3: Opens to command||3:Inappropriate words||3: Decorticate posturing (abnormal flexion)|
|2: Opens to pain||2: Incomprehensible sounds||2: Decerebrate posturing (extension)|
|1: Does not open||1: No response||1: No response|
- 14-15: Mild
- 9-13: Moderate
- 3-8: Severe
|6: Normal spontaneous movement|
|5: Smiles, coos, babbles||5: Withdraws to touch|
|4: Opens eyes spontaneously||4: Irritable, crying (but consolable)||4: Withdraws to pain|
|3: Opens eyes to speech only||3:Inconsolable crying or crying only in response to pain||3: Abnormal flexion to pain (Decorticate response)|
|2: Opens eyes to pain only||2: Moans in response to pain||2: Abnormal extension to pain (Decerebrate response)|
|1: Does not open eyes||1: No response||1: No response|
- For Motor score 4, pain is defined flat, fingernail pressure (often performed with the barrel of a pencil).
- For Motor scores 2 and 3, pain is defined by pressing hard on the supraorbital notch. If this unsuccessful, sternal pressure may also be attempted.
- Holmes JF, Palchak MJ, MacFarlane T, et al. Performance of the pediatric glasgow coma scale in children with blunt head trauma. Acad Emerg Med. 2005 Sep;12(9):814-9.
- James HE. Neurologic evaluation and support in the child with an acute brain insult. Pediatr Ann. 1986 Jan;15(1):16-22.