In assessing a 3-year-old child with altered responsiveness, what is his Pediatric Glasgow Coma Scale if he opens his eyes to command, localizes pain, and is disoriented?

To determine the Pediatric Glasgow Coma Scale (PGCS) score for a child with the described responses, it's important to break down the child's responses into the three components of the scale: eye opening, verbal response, and motor response.

For eye opening, the child opens their eyes to command, which scores a 4 on the scale (the highest score indicating they open their eyes spontaneously).

For motor response, localizing pain indicates a purposeful reaction to a painful stimulus, scoring a 5.

Finally, for verbal response, being disoriented is characterized by inappropriate verbal responses or confusion, which scores a 3.

Now, adding these scores together:

• Eye Opening: 4

• Motor Response: 5

• Verbal Response: 3

This yields a total score of 4 + 5 + 3 = 12.

Thus, the Pediatric Glasgow Coma Scale score for the child is 12, accurately reflecting the child's altered state of responsiveness based on the responses provided.