[janfrn]

We have had kids whose GCS is less than 8 who aren't intubated. GCS isn't a very good tool for kids under about 6 years of age, or for kids who have developmental concerns. A toddler could easily have a GCS of 7 or 8 and not be in need of a tube. Eye opening to pain (2) could be behaviorally normal... I don't know you, I'm not going to look at you... OW! Withdraws to pain (4) ditto... Maybe if I lay really still and don't move she'll go away... OW! And no verbal response (1) or crying (2) also ditto... I've never laid eyes on you before, I'm scared and I'm just not going to talk to you... OW! It all has to be taken in context.

[Kidrn911]

It all has to be taken in context.
__________________

Can I say Duh

[Rio]

Absolutely... "taken within context" . Plus, even with adults, the GCS is not always a reliable index.
However, within the context of the presented scenario, this kid gets a tube.

[Kidrn911]

Absolutely... "taken within context" . Plus, even with adults, the GCS is not always a reliable index.
However, within the context of the presented scenario, this kid gets a tube.

Exactly!!!!

Not only that a good sternal rub will get eyes opened and often a scream