Paediatric Glasgow Coma Scale

The Paediatric Glasgow Coma Scale or Paediatric Glasgow Coma Score (PGCS) is the equivalent of the Glasgow Coma Scale used to assess the consciousness of adult patients.

As many of the assessments for an adult patient would not be appropriate for infants, the scale was modified slightly.

The PGCS comprises of three tests: eye, verbal and motor responses as in Glasgow coma scale(GCS).

Best eye response: (E)

4. Eyes opening spontaneously
3. Eye opening to speech
2. Eye opening to pain
1. No eye opening

Best verbal response: (V)

5. Infant coos or babbles (normal activity)
4. Infant is irritable and continually cries
3. Infant cries to pain
2. Infant moans to pain
1. No verbal response

Best motor responses: (M)

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

Interpretation

Any combined score of less than eight represents a significant risk of mortality.

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