Purpose: To assess the severity of coma in children based on clinical findings.						Citations with documentation. 17.01.02	Medal Project 1997, See disclaimer.
data	enter
Are you evaluating the level of consciousness of a pediatric patient? (Y or N)		:-):-):-)
age of patient in years		years
Is the patient capable of talking? (Y or N)		:-):-):-)
Does the child have an oculovestibular reflex? (Y or N)		:-):-):-)						1
Does the child have bilateral fixed and dilated pupils? (Y or N)		:-):-):-)						1
intracranial pressure in mm Hg		mm Hg						0
enter an "x" in the appropriate column for each finding (give only 1 answer per row)
	spontaneous	to verbal stimuli	to pain	do not open
eye opening							Yes	2
	oriented, converses	disoriented, converses	uses inappropriate words	groans or moans	no response
best verbal response							Yes	3
	obeys commands	localizes pain	flexion withdrawal	decorticate rigidity	decerebrate rigidity	no response
best motor response							Yes	1
interpretation	results
essential data complete?	Yes
age of patient appropriate for this assessment?	Yes	:-):-):-)
children's coma scale	6	out of 15
which indicates	an intermediate level of injury
number of adverse findings in prognostic factors	2
which indicates	probably fatal