Paediatric GCS

Adult and ≥4 years<4 years
Eye openingEye opening
Spontaneously4Spontaneously
To verbal stimuli3To verbal stimuli
To painful stimuli2To painful stimuli
No response to pain1No response to pain
Best verbal responseBest verbal response
Orientated and converses5Appropriate words or social smile, fixes, follows
Confused and converses4Cries but consolable; less than usual words
Inappropriate words3Persistently irritable
Incomprehensible sounds2Moans to pain
No response to pain1No response to pain
Best motor responseBest motor response
Obeys verbal commands6Spontaneous or obeys verbal commands
Localises to stimuli5Localises to stimuli
Withdraws to stimuli4Withdraws to stimuli
Abnormal flexion to pain (decorticate)3Abnormal flexion to pain (decorticate)
Abnormal extension to pain (decerebrate)2Abnormal extension to pain (decerebrate)
No response to pain1No response to pain