Cns 3 avpu 3 Glasgow Coma Scale 3 Simplified Motor Score 3 Subarachnoid Hemorrhage 4 Intracerebral Hemorrhage Score 4 Stroke Scores 6 nih stroke Scale 6 Modified Rankin Scale 7 tia score 7 Abbreviated mental test score 8 Airway 8



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CNS 3

AVPU 3


Glasgow Coma Scale 3

Simplified Motor Score 3

Subarachnoid Hemorrhage 4

Intracerebral Hemorrhage Score 4

Stroke Scores 6

NIH Stroke Scale 6

Modified Rankin Scale 7

TIA Score 7

Abbreviated mental test score 8

Airway 8

LEMON, MOANS, RODS & SHORT 8



ENT 11

CENTOR 11

Croup 11

CARDIAC 12

GRACE RISK SCORE 13

Pursuit Score 14

Killip Classification 14



PULMONARY 15

 Pneumonia 15

PE/DVT 17

Pulmonary Embolism 17

DVT 19

GI 20

Appendicitis 20

Pancreatitis 20

TRAUMA 21

Minor Head Injury 21

C-Spine 22

Knee 22


Ankle & Midfoot 23

BURNS 25


RULE of 9s 25

Systemic Diseases 26

Syncope 26

FEVER 26

Infective Endocarditis 26

Febrile Infants 27

Kawasaki Syndrome 28

Morbidity & Mortality Scores 30

APGAR 30


CPR futility 30

Medical Arrest 30

Traumatic Arrest 31

SEPSIS in ED 31

Modified Early Warning Score 32

APACHE 32

Trauma Score 34

Brain Death Criteria 34



Reversible Conditions Manifesting as Coma 34

Other 35

Ramsey Sedation Score 35


CNS



AVPU


Abbreviated coma scale (AVPU)

A

alert

V

responds to vocal stimuli

P

responds to pain

U

unresponsive



Glasgow Coma Scale





Adult

Pediatric




Best Eye

Open spontaneously

4

Opens to verbal stimuli

3

Opens to painful stimuli

2

No eye opening

1

Best Verbal

Oriented

Coos, babbles & cries appropriately

5

Confused

Irritable cry

4

Inappropriate words

Inappropriate crying/screaming

3

Incomprehensible sounds

Grunts

2

No verbal response

1

Best Motor

Obeys commands

Normal spontaneous motor

6

Localizes pain

Withdraws to touch

5

Withdrawal from pain

Withdraws to pain

4

Flexion to pain

3

Extension to pain

2

No motor response

1

Graham Teasdale and Bryan J. Jennett first developed the Glasgow Coma Scale in 1974.1 .Risk of injury is high with GCS < 14 COMA is defined by GCS = 8 Any patient with a GCS < 9, consider intubation.2 The pediatric GCS is particularly accurate in evaluating preverbal children with blunt head trauma with regard to the need for acute intervention.

Simplified Motor Score


Obeys commands

2

Localizes pain

1

Withdrawal to pain or less

0

Derived from GCS, the Simplified Motor Score3 has been shown to be as accurate as the GCS in predicting brain injury outcomes.4





Subarachnoid Hemorrhage



Hunt and Hess Classification of Subarachnoid Hemorrhage

Grade

Signs and symptoms

Survival

1

Asymptomatic or minimal headache and slight neck stiffness

70%

2

Moderate to severe headache; neck stiffness; no neurologic deficit except cranial nerve palsy

60%

3

Drowsy; minimal neurologic deficit

50%

4

Stuporous; moderate to severe hemiparesis; possibly early decerebrate rigidity and vegetative disturbances

20%

5

Deep coma; decerebrate rigidity, moribund

10%

The first scale of severity was described by Hunt and Hess in 1968.5


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