Assessment and Management of Pediatric Trauma
Module 4: Pediatric Head Injuries
of 46

Glasgow Coma Scale (GCS) in Infants and Children

Function

Adults

Infants & Children

Score

Eye Opening

Spontaneous
To command
To pain
None

Spontaneous
To command
To pain
None

4
3
2
1

Best Verbal Response

Oriented
Disoriented
Inappropriate
Incomprehensible
None

Age appropriate, fixes and follows, social smile
Cries but consolable
Persistently irritable
Restless, lethargic
None

5
4
3
2
1

Best Motor Response

Obeys commands
Localizes pain
Withdraws to pain
Reflex flexion
Reflex extension
None

Spontaneous
Localizes pain
Withdraws to pain
Reflex flexion
Reflex extension
None

6
5
4
3
2
1

Module 4: Pediatric Head Injuries