Answer: The Full Outline of UnResponsiveness (FOUR) score is an alternative scale assessment scale of neurological exam besides Glasgow coma scale (GCS) particularly in patients with Traumatic Brain Injury (TBI). It has the advantage of being useful even in intubated patients. It has four components
- Eyelids response
- Motor response
- Brainstem reflexes (pupil, cornea and cough reflexes)
- Respiration
The online score calculator can be found at https://www.mdcalc.com/four-full-outline-unresponsiveness-score
#neurology
#trauma
References:
Wijdicks EF, Bamlet WR, Maramattom BV, et al. Validation of a new coma scale: The FOUR score. Ann Neurol 2005; 58:585.
McNett MM, Amato S, Philippbar SA. A Comparative Study of Glasgow Coma Scale and Full Outline of Unresponsiveness Scores for Predicting Long-Term Outcome After Brain Injury. J Neurosci Nurs 2016; 48:207.
Kasprowicz M, Burzynska M, Melcer T, Kübler A. A comparison of the Full Outline of UnResponsiveness (FOUR) score and Glasgow Coma Score (GCS) in predictive modelling in traumatic brain injury. Br J Neurosurg 2016; 30:211.
McNett MM, Amato S, Philippbar SA. A Comparative Study of Glasgow Coma Scale and Full Outline of Unresponsiveness Scores for Predicting Long-Term Outcome After Brain Injury. J Neurosci Nurs 2016; 48:207.
Kasprowicz M, Burzynska M, Melcer T, Kübler A. A comparison of the Full Outline of UnResponsiveness (FOUR) score and Glasgow Coma Score (GCS) in predictive modelling in traumatic brain injury. Br J Neurosurg 2016; 30:211.
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