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(FOUR) Full Outline of UnResponsiveness Score  Eye ResponseFindingsScore eyelids open and tracking, or blinking on command4 eyelids open but not tracking3 eyelids closed but open to loud voice2 eyelids closed but open to pain1 eyelids closed with pain0 Motor ResponseFindingsScore makes sign (thumbs-up, fist, other)4 localizing to pain3 flexion response to pain2 extension response to pain1 no response to pain0 generalized myoclonus status0 Pupil ReflexesCorneal ReflexesCoughBrainstem Score presentpresentpresent4 one pupil wide and fixedpresentpresent3 absentpresentNA2 presentabsentNA2 absentabsentpresent1 absentabsentabsent0 IntubationBreathingRespiratory Score not intubatedregular4 not intubatedCheyne-Stokes3 not intubatedirregular2 not intubatedapnea0 intubatedabove ventilator rate1 intubatedbreathes at ventilator rate0 total score = = SUM (points for all 4 parameters) Interpretation: minimum score: 0 maximum score: 16 The lower the score the greater the coma Sources: Gusa D, Miers A, Wijdicks E. More than meets the eye: the FOUR Score scale for coma assessment. RN Web. 2007; 70(12).  HYPERLINK "http://rn.modernmedicine.com/rnweb" http://rn.modernmedicine.com/rnweb Wijdicks EFM, Bamler WR, et al. Validation of a new coma scale: The FOUR score.  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