Paediatric Glasgow Coma Scale ChartName:
Date:
CHI Number:
Time:
PUPILS
Size (1-8) + reacts
- no reaction
c eye closed
Record right (r)
and left (l)
separately if
there is a
difference
between the
two sides.
Eyes closed by
swelling = C
Endotracheal
Tube or
Tracheostomy
= T
Usually record
best arrival
response.
Right Reaction
Left Reaction
Normal power
Normal power
Mild weakness
Mild weakness
Severe weakness
Severe weakness
Spontaneously
Obeys commands
Orientated
Spastic flexion
Spastic flexion
To speech
Localise pain
Confused
Extension
Extension
To pain
Withdrawal to pain
Inappropriate Words
No response
No response
None
Extension to pain
TOTAL COMA SCORE
None
None
Flexion to pain
Incomprehensible Sounds
Size (1-8)
FEATURE SCALE RESPONSE SCORE
Eye Opening Spontaneous 4 To voice 3 To pain 2 None 1
Verbal response Orientated/interacts/follows objects/smiles/alert/coos/babbles words to usual ability 5 Confused/consolable 4 Inappropriate words/moaning 3 Incomprehensible sounds/irritable/inconsolable 2 None 1
Best motor response Obeys commands/normal movement 6 Localise pain/withdraws to touch 5 Withdrawal to pain 4 Flexion to pain 3 Extension to pain 2 None 1
TOTAL COMA ‘SCORE’ 3/15 - 15/15
LI
MB
MOVEMENT
C
O
M
A
S
C
A
L
E
ARMS
LEGS
EYES
OPE
NBE
ST V
ERBA
L RE
SPO
NSE
BEST
MO
TOR
RESP
ON
SE
PupilScale(mm)
1 2 3 4 5 6 7 8
4
4
5
4
5
6
3
3
3
2
2
2
1
1
1
COmPLETE SCORES iN ShAdEd SECTiON