TABLE 7.2 GLASGOW COMA SCALE Eye opening Verbal response Motor response Glasgow Coma Scale Infant Coma Scale Score Spontaneous Spontaneous To voice To voice To pain None To pain None Oriented Coos, babbles Confused Irritable cry, consolable Inappropriate Cries to pain Garbled None Moans to pain None Obeys commands Normal movements Localizes pain Withdraws to touch Withdraws to pain Withdraws to pain Flexion Extension Flexion Extension Flaccid Flaccid AVPU Mnemonic to Assess Level of Consciousness Level of arousal Approximate GCS equivalent A Alert 15 V P Voice Pain 13 U Unresponsive VITAL SIGNS Measured VS (heart rate, respiratory rate, temperature, and pulse oximetry) significantly outside of the age-specific norms often signify potential for severe illness Ready access to age-specific VS parameters is ideal, as VS parameters vary significantly with age of the child VS reassessment is important to monitor evolving