Children’s Coma Scale (<4 years)

Question 1

Eye opening

Answer 1

Spontaneous 4
To sound 3
To pain 2
No response 1

Question 2

Best verbal response

Answer 2

interacts 5
Words 4
Vocal sounds 3
Cries 2
None 1

Question 3

Best motor response

Answer 3

Obeys commands 6
Localizes pain 5
Flexion to pain 4
Abnormal flexion (decorticate posture) 3
Abnormal extension (decerebrate posture) 2
No response 1

Question 4

score <
indicated

Answer 4

A score of <8 out of 15 means that the child’s airway is at risk and will need to be maintained