Modified Glasgow coma scale. Pain as nail bed pressure with pencil; score best response
| Adult and child > 5 years | Child < 5 years |
|---|---|
| Eye opening | |
| E4 spontaneous | As older child |
| E3 to verbal stimulus | As older child |
| E2 to pain | As older child |
| E1 no response to pain | As older child |
| Verbal | |
| V5 orientated | Alert, babbles, coos, words or sentences to usual ability |
| V4 confused | Less than usual ability or spontaneous irritable cry |
| V3 inappropriate words | Cries to pain |
| V2 incomprehensible sounds | Moans to pain |
| V1 no response to pain | No reponse to pain |
| VT intubated | Intubated |
| Grimace | |
| G5 spontaneous normal facial/oromotor activity, for example sucks tube, coughs | |
| G4 less than usual spontaneous ability or only responds to touch | |
| G3 vigorous grimace to pain | |
| G2 mild grimace or some change in facial expression to pain | |
| G1 no response to pain | |
| Motor | |
| M6 obeys commands | Normal spontaneous movements or withdraws to touch |
| M5 localises to pain stimulus | As older child |
| M4 withdraws from pain | As older child |
| M3 abnormal flexion to pain | As older child |
| M2 abnormal extension to pain | As older child |
| M1 no response to pain | As older child |