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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The damage includes edema, buise, heamorrhage, necrotise, grey tissues.

Retrieved from ” https: Procedures A descriptive study was prospectively candid and patients were monitored at the hospital vertically until discharge or death [ 12 ]. Informed and asked the consent and enrolment, Interviewed caregivers for risk factors predictors ; all subjects were tracked to discharge or end avpk life: This section needs expansion with: References in periodicals archive?

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

The relationship is statistically significant. 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.

A study of Mackey demonstrates similar results [ 34 ]. You can help by adding to it. Annals of Emergency Medicine.

Glasgow score less than 10 and respiratosy disstress. The damage is severe and the chance to a fully recovery is poor.

AVPU scale – WikEM

Binary and ordered logistic regression. The risk of death and complications increases 50 times in the patients with glasgow under 10 and respiratosy disstress, and 19 times in the group glasgow score over 10 and respiratory disstress; and 4 time in the group with GCS over 10 without respitatory disstress. Results 95 patients were diagnosed of encephalitis in a 6 month study period. Select your language of interest to view the total content in your interested language.


AVPU Abbreviation and mnemonic for prehospital assessment of mental status. The AVPU scale is a rapid neurologic assessment scale commonly used by paramedics. All Published work is licensed under a Creative Commons Attribution 4.

The assessor should always work from best A to worst U avlu avoid unnecessary tests on patients who are clearly conscious. A descriptive study was prospectively candid and patients were monitored at the hospital vertically until discharge or death [ 12 ].

Pediatric Infect Dis 1: Battlefield documentation of tactical combat casualty care in Afghanistan.

It is a simplification of the Glasgow Coma Scalewhich assesses a patient response in three measures: First aid Emergency medicine. From Wikipedia, the free encyclopedia.

Comparison of the AVPU Scale and the Pediatric GCS in Prehospital Setting.

Vital signs for children at triage: Relationship between GCS score, clinical indicators and treatment outcome. Visit for more related articles at Pediatric Infectious Diseases: A study of Bhutto E assessing patients with acute encepalitis scalee Glasgow demonstrates a score of less than 10 points accounting for In term of prognosis Factors: The AVPU scale should be assessed using these three identifiable traits, looking for the best response of each.

When patients have reduction of conciuousness levers and respiratory disstress avvpu because of respiratory diseasesthe damage may develop in the center of respiratory. Every year, in National Hospital of Pediatrics from to encephalitis patients are hospitalized due to encephalitis.

The AVPU scale is not suitable for long-term neurological observation of the patient; in this situation, the Glasgow Coma Scale is more appropriate. Data included presenting complaint, clinical discriminator, information on whether mobility was normal for age or not, respiratory 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.


October 26, ; Published date: A rapid assessment of consciousness level in encephalitis is of importance in treatment and prognosis for patients. Children with motor and mental retardation, and mental illnesses: When paralyse occures, there cohld be permernent damage in the brain tissues and it is difficult to recover. In our study, in most of the case, the cerebral spinal fluid is positive with JE. 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.

Glasgow score under 10 relates to paralyse. Although AVPU has been used for many years, but research assessing the two scales is limited.

AVPU – Wikipedia

Patients who were noted to be “unresponsive” on the AVPU scale were excluded. The four possible recordable outcomes are: October 31, Citation: Can’t read the image? 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. Patients who have Glasfow score under 10 and convulsion are more likely to have complicatins and die Table 2. Use this AVPU scale to check their level of consciousness: