Protocol Status: PUBLISHED
Protocol:
Version: 2026.01
Effective Date:
Last Reviewed:
Medical Director Approval:
Clinical Note: This content reflects current GCEMS clinical guidelines as of the dates listed above. If content appears inconsistent with current policy, use the most recent approved guideline and notify leadership for correction.

Pediatric

Glascow Coma Scale

Score Interpretation

  • [E+V+M = total score]

 

  • 13-15 = mild brain injury
  • 9-12 = moderate brain injury
  • 3-8 = severe brain injury

 

Eye Response

 

  • [< 1 yo]
    • 1 = none
    • 2 = open to pain
    • 3= opens to shout
    • 4 = opens spontaneously

 

  • [> 1 yo]
    • 1=none
    • 2=opens to pain
    • 3=opens to verbal command
    • 4=opens spontaneously

 

Verbal response

 

  • [< 2 yo]
    • 1=None
    • 2=moans to pain
    • 3=persistent cries to pain
    • 4=irritable cries but consolable
    • 5=coos babbles

 

  • [2-5 yo]
    • 1=none
    • 2=moans to pain
    • 3=persistent cries to pain
    • 4=inappropriate words
    • 5=appropriate words/phases

 

  • [> 5 yo]
    • 1=none
    • 2=incomprehensible sounds
    • 3=inappropriate words
    • 4=confused
    • 5=oriented

 

Motor Response

 

  • [< 1 yo]
    • 1=none
    • 2=extension to pain
    • 3=flexion to pain
    • 4=withdrawal from pain
    • 5=withdrawal from touch
    • 6=spontaneous movement

 

  • [> 1 yo]
    • 1=none
    • 2=extension to pain
    • 3=flexion to pain
    • 4=withdrawal from pain
    • 5=localizes pain
    • 6=obeys commands