Acute
Care 30: Glasgow Coma Scale—Adult,
Pediatric, Infant
Eye Opening | |||
Infant (<1 year) | Pediatric (>1 year) | Adult | |
Spontaneous | Spontaneous | Spontaneous | 4 |
Voice | Voice | Voice | 3 |
Pain | Pain | Pain | 2 |
None | None | None | 1 |
Verbal Response |
|||
Infant (<2 years) | Pediatric (>2 years) | Adult | |
Coos, babbles | Appropriate
word/ phrase |
Oriented | 5 |
Irritable
but consolable |
Disoriented/ converses |
Confused | 4 |
Persistent
cries/ screams |
Inappropriate word |
Inappropriate | 3 |
Moans/grunts
to pain; restless |
Incomprehensible sounds |
Incomprehensible | 2 |
None | None | None | 1 |
Motor Response |
|||
Infant (<1 year) | Pediatric (>1 year) | Adult | |
Spontaneous | Obeys | Obeys | 6 |
Localizes pain | Localizes pain | Localizes pain | 5 |
Flexion-withdrawal | Flexion-withdrawal | Withdraws | 4 |
Flexion/decorticate | Flexion/decorticate | Abnormal
flexion (decorticate) |
3 |
Extension/decerebrate | Extension/decerebrate | Abnormal
extension (decerebrate) |
2 |
None | None | None | 1 |
_________ 3 to 15 |