Eye opening (E)
Best eye response observed
Verbal response (V) — Child (>2y)
Use age-appropriate speech
Motor response (M) — Child (>2y)
Instructions
Use the Pediatric GCS for infants and children who may lack verbal skills or coordinated responses. Adjust the verbal and motor criteria based on developmental stage, observing spontaneous behaviors first. For children too young to follow commands, rely on age-appropriate responses, such as crying, cooing, or withdrawal to pain. Document the most appropriate and highest observed behavior in each domain, and note any unable-to-assess components due to developmental or medical limitations. Total scores still range from 3 to 15. Use the standard GCS for older children.
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What is the Pediatric GCS used for?+
How is it different from the adult GCS?+
When should PGCS be used instead of GCS?+
What is a normal PGCS score?+
Can nurses and EMS use PGCS?+
What if a child is sedated or intubated?+