I got to speak with Michael McGonigal, MD of the Trauma Professional's Blog about severe pediatric trauma in the ED.
Pediatric Glasgow Score
Best eye response: (E)
- Eyes opening spontaneously
- Eye opening to speech
- Eye opening to pain
- No eye opening or response
Best motor responses: (M)
- Infant moves spontaneously or purposefully
- Infant withdraws from touch
- Infant withdraws from pain
- Abnormal flexion to pain for an infant (decorticate response)
- Extension to pain (decerebrate response)
- No motor response
Best verbal response: (V)
- Smiles, oriented to sounds, follows objects, interacts.
- Cries but consolable, inappropriate interactions.
- Inconsistently inconsolable, moaning.
- Inconsolable, agitated.
- No verbal response.
Any combined score of less than eight represents a significant risk of mortality.
Articles Mentioned in the Episode
- Cerebral hemodynamic predictors of poor 6-month Glasgow Outcome Score in severe pediatric brain injury. J Neurotrauma 26(5):657-663, 2009.
- CPR for bradycardia with poor perfusion vs pulseless cardiac arrest. Pediatrics 124(6): 1541-1548, 2009.
- Osmolar therapy in pediatric traumatic brain injury. Crit Care Med 40(1): 208-215, 2012.
The Trauma Professional's Blog
Want to read more of Dr. McGonigal's stuff; hell yeah you do. Go on over to the The Trauma Professional's Blog.
Now, on to the podcast…
- COVID19 – Awake Pronation (aka the Pig Roast) A guest write-up by David Gordon, MD - April 6, 2020
- EMCrit Wee – Webinar I Gave to Pulm/Crit Care Fellows on Avoiding Intubation and Initial Ventilation of COVID19 Patients - April 4, 2020
- EMCrit 269 – Rationing of Critical Care and Ventilators in COVID19 with Reub Strayer - March 31, 2020