What three things are assessed? Mnemonic? Max score?
Eye response
Verbal response
Motor response
(AVPU)
max score = 15
What does AVPU stand for?
Alert, voice, pain, unresponsive
What’s the max grading for eye movement? What do each of the numbers mean?
4
4 = spontaneously open eyes 3 = responds to voice 2 = responds to pain 1 = no response
What’s the max grading for voice? What do each of the numbers mean?
5
5 = oriented to time, place and person 4 = confused 3 = inappropriate words 2 = incomprehensible sounds 1 = no response
What’s the max grading for movement?
6
6 = Obeys movement commands 5 = Moves to localised pain 4 = Withdrawal from pain 3 = abnormal flexion (decorticate) 2 = abnormal extension (decerebrate) 1 = no response
Note: flex>extension
What does decerebrate mean? What position is this?
UMN problem, results in extended arms and wrists turned outwards like in palsy
What does decorticate mean? What position is this?
LMN problem, results in flexed arms and wrists turned in, like holding in a teddy bear
What’s the lowest gcs score?
3