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Paediatrics Emergency Medicine Neurology Strong — NICE CG176

Paediatric Glasgow Coma Scale

Age-modified GCS for children under 5 years, accounting for developmental verbal and motor responses.

Used in: Head Injury

< 2 yrs: cooing/babbling = 5; 2–5 yrs: words = 5

How to use & interpret

The Paediatric Glasgow Coma Scale adapts the GCS for infants and young children who cannot follow standard verbal and motor commands, using age-appropriate descriptors for the verbal and motor responses while keeping the same 3–15 range and E/V/M structure.

As in adults, record the three components separately, track the trend, and treat a score ≤8 or a fall of ≥2 points as significant. Note confounders (post-ictal state, sedation, intubation) and escalate early.

Score interpretation

Severe — Airway at Risk 3–8

Paediatric GCS 3–8: Severe impairment. Coma. Airway at high risk.

→ IMMEDIATE airway management. RSI with paediatric doses. Call PICU/retrieval team. CT head if stable. Consider ICP management: head 30°, PaCO₂ 4.5–5.0 kPa, avoid hypotension.

Moderate Impairment 9–12

Paediatric GCS 9–12: Moderate impairment. Close monitoring required.

→ Continuous monitoring. Frequent GCS reassessment. IV access. Consider CT head. Paediatrician / PICU review if not improving. Glucose check.

Mild / Normal 13–15

Paediatric GCS 13–15: Mild or no neurological impairment.

→ Observe. Investigate underlying cause. If GCS 13–14, still consider CT/investigation per clinical context. Serial GCS every 30 min.

Interpretation bands for the Paediatric GCS. Apply clinical judgement and local guidance.

Frequently asked questions

When should I use the paediatric rather than adult GCS?

Use the paediatric version for children who are pre-verbal or developmentally unable to give standard verbal/motor responses (broadly under ~5 years); older children can use the adult scale.

References

Related

Curated clinical cross-links plus same-class fallbacks.

Decision support only — verify against a current formulary, NICE, or your local guideline before clinical use.