Pediatric Glasgow Coma Scale (PGCS)

Pediatric Glasgow Coma Scale (PGCS) is the pediatric equivalent of the Glasgow Coma Scale (GCS) used to assess the mental state of adult patients. As many of the assessments for an adult patient would not be appropriate for infants, the scale was modified slightly. As with the GCS, the PGCS comprises three tests: eye, verbal and motor responses. The three values separately as well as their sum are considered. The lowest possible PGCS (the sum) is 3 (deep coma or death) whilst the highest is 15 (fully awake and aware person). The pediatric GCS is commonly used in emergency medical services.

Best eye response: (E)

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

Best verbal response: (V)

5 Smiles, oriented to sounds, follows objects, interacts.
4 Cries but consolable, inappropriate interactions.
3 Inconsistently inconsolable, moaning.
2 Inconsolable, agitated.
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


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