Pediatric GCS — JoyShine Medical

Pediatric Glasgow Coma Scale

Age-modified Glasgow Coma Scale that grades impaired consciousness in children, keeping the eye-opening and motor scales identical across ages while adapting the verbal scale for pre-verbal infants and young children, to gauge head-injury severity.

Age group (determines verbal scale)

Infant / pre-verbal (< 2 years) Young child (2 to < 5 years) Older child / adult (≥ 5 years)

E — Eye opening

4 - Spontaneous 3 - To voice / speech 2 - To pain 1 - None

V — Verbal response (scale shown matches the age group above)

5 - Oriented 4 - Confused 3 - Inappropriate words 2 - Incomprehensible sounds 1 - None

M — Motor response

6 - Obeys commands (or spontaneous purposeful movement in infants) 5 - Localizes to pain 4 - Withdraws from pain 3 - Abnormal flexion (decorticate) 2 - Extension (decerebrate) 1 - None