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Ressources et utilitaires

Scoring systems for ICU and surgical patients:

Paediatric Coma Scale (Simpson & Reilly ) 

Eyes open	Best verbal response	Best motor response
Spontaneously (4) To speech (3) To pain (2) None (1)	Orientated (5) Words (4) Vocal sounds (3) Cries (2) None (1)	Obeys command (5) Localizes pain (4) Flexion to pain (3) Extension to pain (2) None (1)

Total =

Adjustment to age

• During the first 6 months
  • The best verbal response is normally a cry, though some infants make vocal responses during this period. Normal verbal score expected is 2.
  • The best motor response is usually flexion. Normal motor score expected is 3.
• 6 to 12 months
  • The normal infant makes noises : normal verbal score expected is 3.
  • The infant will usually locate pain but not obeys commands : normal motor score expected is 4.
• 12 months to 2 years
  • Recognizable words are expected: Normal verbal score expected is 4.
  • The infant will usually locate pain but not obeys commands : normal motor score expected is 4.
• 2 years to 5 years
  • Recognizable words are expected : normal verbal score expected is 4.
  • The infant will usually obeys commands : normal motor score expected is 5.
• After 5 years
  • Orientation is defined as awareness of being in hospital : normal verbal score expected is 5.

Normal aggregate score

0-6 months:	9
> 6 - 12 months:	11
> 1 - 2 years :	12
>2 - 5 years:	13
> 5 years:	14

 References

• Simpson D, Reilly P. Paediatric Coma Scale. Lancet 1982;2:450.
• Reilly P, Simpson D and al. Assessing the conscious level in infants and young children : a paediatric version of the Glasgow Coma Scale. Child's Nerv Syst 1988;4:30-3.

 

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