![]() Scores of 12 indicate severe head injury, scores below 8 require intubation and ventilation while scores below 6 should also be monitored intracranial pressure.Ĭlinicians often break down the score per its components to communicate more information so often the PGCS result will be something like GCS of 9 followed by E3V4M2. Results range from 3, associated with coma or death to 15, indicating the child is fully aware and awake. This version is preferred to other standard consciousness assessments as AVPU who are not as specific as to account for pediatric patient age. Score results provide a helpful tool in aiding clinicians choose for acute intervention. The main findings have been that the pediatric version is comparable in efficiency with the standard adult version in infants of 2 years and below. ![]() There are other tests and evaluation criteria that have been adapted for pediatric use, such as PELD, the pediatric version of the End Model for Liver Disease (MELD). The medical world was concerned whether administering the scale based test to a patient not able to speak or exhibit unaltered neurological response, would be a reliable mean to base subsequent clinical decision making upon. Once the modified version of the Glasgow Coma Scale has been published, given the reluctance in applying it, several studies concerning its performance have followed, with areas such as blunt head trauma or other types of infant trauma. Extension to pain (decerebrate response) (2 points) Īfter the results in each of the three tests are registered, the Pediatric Glasgow Coma Scale calculator sums them and provides an indication of the patient status. Abnormal flexion to pain for an infant (decorticate response) (3 points) Infant withdraws from touch (5 points) Infant moves spontaneously or purposefully (6 points) ■ Best motor responses – evaluates the degree of mobility of the pediatric patient and whether they are able to exert the normal reflexes of withdrawal from the painful stimuli: Inconsistently inconsolable, moaning (3 points) Cries but consolable, inappropriate interactions (4 points) ![]() ![]() Smiles, oriented to sounds, follows objects, interacts (5 points) ■ Best verbal response – analyses the ability of the infant/ child to interact with people and surrounding objects: ![]() ■ Best eye response – focuses on eye movement and recognition of external stimuli: This is a health tool that evaluates the mental status of child patients in the emergency room based on an adaptation of the Glasgow Coma Scale (with more infant specific reactions and stimuli analysis).Įach of the three types of response analyzed is described below: How does this Pediatric Glasgow Coma Scale calculator work? ![]()
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