Paediatric Glasgow Coma Scale | |
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Medical diagnostics | |
Purpose | assess the level of consciousness of child |
This EMS-CE (1-Hour) – Glasgow Coma Scale Online BLS/ALS Continuing Education course was designed for currently certified/licensed EMTs or Paramedics who are looking to fulfill their continuing education requirements. The course covers the basics of the Glasgow Coma Scale and how to use and apply its findings to patients.
The Paediatric Glasgow Coma Scale (BrE) (also known as Pediatric Glasgow Coma Score (AmE) or simply PGCS) is the equivalent of the Glasgow Coma Scale (GCS) used to assess the level of consciousness of child patients. As many of the assessments for an adult patient would not be appropriate for infants, the Glasgow Coma Scale was modified slightly to form the PGCS. As with the GCS, the PGCS comprises three tests: eye, verbal and motor responses. The three values separately as well as their sum are considered. The lowest possible PGCS (the sum) is 3 (deep coma or death) whilst the highest is 15 (fully awake and aware person). The pediatric GCS is commonly used in emergency medical services.
Coma scale[edit]
1 | 2 | 3 | 4 | 5 | 6 | |
---|---|---|---|---|---|---|
Eyes | Does not open eyes | Opens eyes in response to painful stimuli | Opens eyes in response to speech | Opens eyes spontaneously | N/A | N/A |
Verbal | No verbal response | Inconsolable, agitated | Inconsistently inconsolable, moaning | Cries but consolable, inappropriate interactions | Smiles, orients to sounds, follows objects, interacts | N/A |
Motor | No motor response | Extension to pain (decerebrate response) | Abnormal flexion to pain for an infant (decorticate response) | Infant withdraws from pain | Infant withdraws from touch | Infant moves spontaneously or purposefully |
Best eye response: (E)[edit]
- 4. Eyes opening spontaneously
- 3. Eye opening to speech
- 2. Eye opening to pain
- 1. No eye opening or response
![Pediatric Glasgow Coma Scale Pdf Online Pediatric Glasgow Coma Scale Pdf Online](https://image.slidesharecdn.com/glasgowcomascale-140903084928-phpapp02/95/glasgow-coma-scale-presentation-33-638.jpg?cb=1409734429)
Best verbal response: (V)[edit]
- 5. Smiles, oriented to sounds, follows objects, interacts.
- 4. Cries but consolable, inappropriate interactions.
- 3. Inconsistently inconsolable, moaning.
- 2. Inconsolable, agitated.
- 1. No verbal response.
Source:[1]
Best motor responses: (M)[edit]
- 6. Infant moves spontaneously or purposefully
- 5. Infant withdraws from touch
- 4. Infant withdraws from pain
- 3. Abnormal flexion to pain for an infant (decorticate response)
- 2. Extension to pain (decerebrate response)
- 1. No motor response
Any combined score of less than eight represents a significant risk of mortality.
See also[edit]
References[edit]
- Merck Manual. 'Modified Glasgow Coma Scale for Infants and Children'. Retrieved 2008-05-03.
Retrieved from 'https://en.wikipedia.org/w/index.php?title=Paediatric_Glasgow_Coma_Scale&oldid=884061604'
![Pediatric Glasgow Coma Scale Pdf Online Pediatric Glasgow Coma Scale Pdf Online](https://0.academia-photos.com/attachment_thumbnails/44333636/mini_magick20190214-6799-1b9965r.png?1550196145)
Objective: The pediatric Glasgow coma scale (pGCS) is a consciousness score that, although widely applied, requires skill to apply. The AVPU scale uses four simple categories (Alert; Verbal response; response to Pain; Unresponsive), but has not been studied in a large pediatric population. We compared the performance of the AVPU and pGCS scales in a large pediatric cohort in an acute, prehospital setting. Methods: In a six-month-long prospective cohort study, AVPU and pGCS scores were determined by emergency physicians in children less than 10 years of age at their first prehospital encounter. Results: We included 302 children (median age 2.3 years) with a broad spectrum of diagnoses. Data were complete for 287 children. AVPU and pGCS scores showed good a correlation in the extreme categories A and U (positive predictive values of 98% and 100%, respectively). Corresponding pGCS scores for each AVPU category were as follows: 11–15 for A; 5–15 for V; 4–12 for P; and 3–5 for U. The positive predictive value to detect patients with pGCS ≥ 8 for AVPU category V was 100%. Conclusions: We demonstrated good correlation of simple and fast consciousness AVPU scoring to the standard pGCS in a large cohort of pediatric patients in a prehospital setting. The AVPU category “V” identifies patients with a pGCS of or exceeding 8 and, therefore, identifies children at low risk requiring more invasive procedures or intensive care treatment. Key words: Glasgow coma scale (GCS); Alert-verbal-pain-unresponsive-score; AVPU-score; consciousness assessment; children, pediatric emergency