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Brief
Communication
A new score to validate coma in emergency department
— FOUR score
TVSP Murthy MD
Dept
of Anaesthesia and Critical Care Command Hospital (CC),
Lucknow - 226002
Abstract
The Glasgow Coma Scale (GCS) is the most widely used method for evaluation
of coma, but it has a number of shortcomings, including limited utility
in intubated patients and an inability to assess brainstem reflexes.
A new coma score, the Full Outline of Un Responsiveness (FOUR) has
been developed. to overcome these shortcomings and to provide further
neurological details that might predict outcome in coma. Four different
components are included in the FOUR score (eye, motor, brainstem and
respiration), each of which has a maximal score of 4. In contrast
to the GCS, verbal response is not a component of the FOUR score,
making it fully applicable in intubated patients.
Keywords
coma, GCS, FOUR score, head injury |
Address for correspondence:
Col TVSP
Murthy
MD Prof & Senior Adviser Anaesthesiology,
Neuro and Liver Transplant Anaesthesia
Dept of Anaesthesiology and Intensive Care Command Hospital (CC), Lucknow
- 226002
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