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  • Modified Glasgow Coma Scale For Infants and Children

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    Yudha Perwira Putra
    915 vizualizări1 pagină
    The document describes a modified Glasgow Coma Scale used to assess infants and children with head injuries. It evaluates eye response, verbal response, and motor response on a scale of 1 to 6, with lower scores indicating more severe impairment. A total score of 12 suggests a severe head injury, 8 suggests need for intubation and ventilation, and 6 suggests need for intracranial pressure monitoring. The motor response section is especially important to evaluate if the patient is intubated, unconscious, or preverbal.

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    Modified Glasgow Coma Scale for Infants and Children

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    The document describes a modified Glasgow Coma Scale used to assess infants and children with head injuries. It evaluates eye response, verbal response, and motor response on a scale of 1 to 6, with lower scores indicating more severe impairment. A total score of 12 suggests a severe head injury, 8 suggests need for intubation and ventilation, and 6 suggests need for intracranial pressure monitoring. The motor response section is especially important to evaluate if the patient is intubated, unconscious, or preverbal.

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    Attribution Non-Commercial (BY-NC)
    Descărcați ca PDF, TXT sau citiți online pe Scribd
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    915 vizualizări1 pagină

    Modified Glasgow Coma Scale For Infants and Children

    Încărcat de

    Yudha Perwira Putra
    The document describes a modified Glasgow Coma Scale used to assess infants and children with head injuries. It evaluates eye response, verbal response, and motor response on a scale of 1 to 6, with lower scores indicating more severe impairment. A total score of 12 suggests a severe head injury, 8 suggests need for intubation and ventilation, and 6 suggests need for intracranial pressure monitoring. The motor response section is especially important to evaluate if the patient is intubated, unconscious, or preverbal.

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    Modified Glasgow Coma Scale for Infants and Children

    Area assessed Eye Response Infants Open spontaneously Open in response to verbal stimuli Open in response to pain only No response Verbal Response Coos and babbles Irritable cries Cries in response to pain Moans in response to pain No response Motor Response** Children Open spontaneously 4 Score*

    Open in response to 3 verbal stimuli Open in response to pain 2 only 1 No response Oriented, appropriate Confused Inappropriate words 5 4 3

    Incomprehensible words 2 or nonspecific sounds 1 No response 6 5 4 3

    Moves spontaneously and Obeys commands purposefully Withdraws to touch Localizes painful stimulus Withdraws in response to Withdraws in response to pain pain Responds to pain with Responds to pain with decorticate posturing flexion (abnormal flexion) Responds to pain with Responds to pain with decerebrate posturing extension (abnormal extension) No response No response

    *Score: 12 suggests a severe head injury. 8 suggests need for intubation and ventilation. 6 suggests need for intracranial pressure monitoring. **If the patient is intubated, unconscious, or preverbal, the most important part of this scale is motor response. This section should be carefully evaluated. Adapted from Davis RJ et al: Head and spinal cord injury. In Textbook of Pediatric Intensive Care, edited by MC Rogers. Baltimore, Williams & Wilkins, 1987; James H, Anas N, Perkin RM: Brain Insults in Infants and Children. New York, Grune & Stratton, 1985; and Morray JP et al: Coma scale for use in brain-injured children. Critical Care Medicine 12:1018, 1984.

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