Northeast Center for Special Care  www.northeastcenter.com  300 Grant Avenue Lake Katrine, NY 12449  845-336-3500

Home > Brain Injury Scales >  FOUR Full Outline of UnResponsiveness Score


FOUR Full Outline of UnResponsiveness Score



Eye Response Findings Score
eyelids open and tracking, or blinking on command 4
eyelids open but not tracking 3
eyelids closed but open to loud voice 2
eyelids closed but open to pain 1
eyelids closed with pain 0




Motor Response Findings Score
makes sign (thumbs-up, fist, other) 4
localizing to pain 3
flexion response to pain 2
extension response to pain 1
no response to pain 0
generalized myoclonus status 0




Pupil Reflexes Corneal Reflexes Cough Brainstem Score
present present present 4
one pupil wide and fixed present present 3
absent present NA 2
present absent NA 2
absent absent present 1
absent absent absent 0




Intubation Breathing Respiratory Score
not intubated regular 4
not intubated Cheyne-Stokes 3
not intubated irregular 2
not intubated apnea 0
intubated above ventilator rate 1
intubated breathes at ventilator rate 0



total score =

= SUM (points for all 4 parameters)


Interpretation:

minimum score: 0

maximum score: 16

The lower the score the greater the coma



Source:

Wijdicks EFM, Bamler WR, et al. Validation of a new coma scale: The FOUR score. Ann Neurol. 2005; 58: 585-593


Back

| Home | Mission | Brain Injury | Ventilator Care | Profile | Fine Arts | Admission | Employment | Podcast |
| Directions | Contact Us | News Feed | Information Bulletin | Newsletter | Amazing Art GearLink Portal |




2000-2008 Northeast Center for Special Care  All Rights Reserved