Pediatric Glasgow Coma Scale (pGCS)
Use for children 2 years and younger only. For older children, use the standard Glasgow Coma Scale (GCS).
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- The score can be used to assess and track a patient’s mental status and level of consciousness. However, like the standard GCS, the score alone is not sufficient to guide diagnosis or management. (Teasdale 2014)
- Although a valuable diagnostic tool, the score alone should not be used for management decisions in the acute setting.
- Common applications include the need to consider intubation/definitive airway management in those with a GCS less than 8. However, the entire clinical picture must be taken into account.
- Due in part to the value in identifying those with ciTBIs, any patient with an abnormal GCS warrants close assessment and monitoring.
- All patients with a GCS <15 need appropriate monitoring.
- All patients with concern for mental status or neurologic compromise should be closely monitored and reassessed.
- Joyce Brown, MD
- Matthew Meigh, DO