Indicates ability of the head-injured child to obey simple commands or say any words. For younger children, indicates ability to act/react/interact beyond reflexes.

Domain: CONSCIOUSNESS. Q1

2014-10-23

Beers, S., Hahner, T., and Adelson, P. (2005). Validity of a pediatric version of the Glasgow Outcome Scale-Extended (GOSE Peds). J. Neurotrauma 22, 1224.

If No, register Vegetative State (VS) and skip to end of form and record GOS-E Peds Score = 7. An individual who shows the ability to obey even simple commands or utter any word or communicate specifically in any other way is no longer considered to be in a vegetative state. Eye movements are not reliable evidence of meaningful responsiveness; corroborate with nursing staff and the childs parents when possible. Confirmation of VS requires full assessment as in the Royal College of Physician Guidelines. However, for infants, actively following the movement of a parent or people/object with eyes, grasping for objects, making faces, etc. are interactions; breast feeding and crying continuously can be reflexes.

Is the head-injured person able to obey simple commands or say any words? For younger patients, can he or she act/react/interact beyond reflexes?