Pediatric emergency medicine trisk 0145 0145
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TABLE 7.2
GLASGOW COMA SCALE
Eye opening
Verbal
response
Motor
response
Glasgow Coma Scale
Infant Coma Scale
Score
Spontaneous
Spontaneous
4
To voice
To voice
3
To pain
None
To pain
None
2
1
Oriented
Coos, babbles
5
Confused
Irritable cry, consolable 4
Inappropriate
Cries to pain
3
Garbled
None
Moans to pain
None
2
1
Obeys commands
Normal movements
6
Localizes pain
Withdraws to touch
5
Withdraws to pain
Withdraws to pain
4
Flexion
Extension
Flexion
Extension
3
2
Flaccid
Flaccid
1
AVPU Mnemonic to Assess Level of Consciousness
Level of arousal
Approximate GCS
equivalent
A
Alert
15
V
P
Voice
Pain
13
8
U
Unresponsive
3
VITAL SIGNS
Measured VS (heart rate, respiratory rate, temperature, and pulse oximetry)
significantly outside of the age-specific norms often signify potential for severe
illness. Ready access to age-specific VS parameters is ideal, as VS parameters vary
significantly with age of the child. VS reassessment is important to monitor evolving
