Two scales are usually used in assessment of consciousness level, The Alert Verbal Painful Unresponsiveness (AVPU) scale and the Glasgow Coma Scale. The AVPU scale uses four simple categories (Alert; Verbal response; response to Pain; Unresponsive), but has not been studied in a large. Intensive Crit Care Nurs. Apr;31(2) doi: / Epub Jan How accurate is the AVPU scale in detecting neurological.

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Battlefield documentation of tactical combat casualty care in Afghanistan. A rapid assessment of consciousness level in encephalitis is of importance in treatment and prognosis for patients.

AVPU scale is a simple method for assessment of consciousness. Patients who have Glasfow score under 10 and convulsion are more likely to have complicatins and die Table 2. All Published work is licensed under a Creative Commons Attribution 4. Although AVPU has been used for many years, but research assessing the two scales is limited.

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The relationship is statistically significant. In the hospital or long term healthcare facilities, caregivers may consider an AVPU score of less than A to be the patient’s normal baseline.

When paralyse occures, there cohld be permernent damage in the brain tissues and it is difficult to recover. When glasgow score is under 10, the damage in the brain is more severe, and convulsion may makes the damage worse due to hypoxia and metabolic disfunction.

More scales Rationale behind comparisons Citations. Patients who had encephalitis years of age.

AVPU scale | definition of AVPU scale by Medical dictionary

You can help by adding to it. Procedures A descriptive study was prospectively candid and patients were monitored at the hospital vertically until discharge or death [ 12 ]. Articles to be expanded from December All articles to abpu expanded Articles using small message boxes. Relationship between GCS score, clinical indicators and treatment outcome. The assessor should always work from best A to worst U to avoid unnecessary tests on patients who are clearly conscious.


A study of Mackey demonstrates similar results [ 34 ]. Visit for more related articles at Pediatric Infectious Diseases: Vital signs for children at triage: Informed and asked the consent and avpy, Interviewed caregivers for risk factors predictors ; all subjects were tracked to discharge or end of life: Glasgow score under 10 relates to paralyse.

It is a simplification of the Glasgow Coma Scalewhich assesses a patient response in three measures: The AVPU scale is a rapid neurologic assessment av;u commonly used by paramedics.

Methods and Design Subjects: October 31, Citation: By using this site, you agree to the Terms of Use and Privacy Policy. The risk of death and complications increases 50 times in the sdale with glasgow under 10 and respiratosy disstress, and 19 times in the group glasgow score avvpu 10 and respiratory disstress; and 4 time in the group with GCS over 10 without respitatory disstress. The AVPU scale should be assessed using these three identifiable traits, looking for the best response of each.

Every year, in National Hospital of Pediatrics from to encephalitis patients are hospitalized due to encephalitis. First aid Emergency medicine. October 13, ; Accepted date: Patients who have less than 10 points of GCS and paralyse are times more likely to be death or to have complications compare to the group without paralyse. Vietnam is a developing country with tropical climate where infectious diseasesespecially encephalitis are common. In term of prognosis Factors: It stands for a lert oriented to person, place and day ; responds to v erbal stimuli appropriate or inappropriate ; responds to p ainful stimuli localizes, withdraws or demonstrates decorticate or decerebrate neurological posturing ; or totally u nresponsive.


The AVPU scale is not suitable for long-term neurological observation of the patient; in this situation, the Glasgow Coma Scale is more appropriate. Binary and ordered logistic regression. Use this AVPU scale to check their level of consciousness: AVPU Abbreviation and mnemonic for prehospital assessment of mental status.

Comparison of AVPU Scale and the Glasgow Coma Scale Score in Assessing Encephalitis in Children

Data included presenting complaint, clinical discriminator, information on whether mobility was normal for age or not, ecale rate, heart rate, temperature, level of consciousness on the AVPU scale indicating whether the patient is A–alert, V -only responding to verbal stimulus, P–only responding to painful stimulus, U–unresponsiveand whether physical trauma was present or not.

Results 95 patients were diagnosed of encephalitis in a 6 month study period.

Figure 2 shows that patents with Glassgow scaler of fewer than 10 can have a higher risk of death and complications with a fairly high sensitivity A descriptive study was prospectively candid and patients were monitored at the hospital vertically until discharge or death [ 12 ]. References in periodicals archive? In some emergency medical services protocols, “Alert” can be subdivided into a scale of 1 to 4, in which 1, 2, sacle and 4 correspond to certain attributes, such as time, person, place, and event.

In first aidan AVPU score of anything less than A is often considered an indication to get further help, as the patient is likely to be in need of more definitive care.

AVPU scale – WikEM

Glasgow score less than 10 and respiratosy disstress. Annals of Emergency Medicine. Views Read Edit View history. This section needs expansion with: