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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



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