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Overview :
The Edinburgh Coma Scales were developed in Japan to
evaluate patients with impaired consciousness. An initial coma scale developed
in 1973 reportedly has been used by the
Department of Surgical Neurology at the University of Edinburgh (caption to
Table 1, page 412,Sigiura et al, 1983). This was modified in 1978 (Edinburgh-2
Coma Scale) to improve its usefulness. The
Edinburgh-2 scale reportedly correlates well with the Glasgow Coma Scale and
may complement it for better accuracy.
Patient selection:
• The age range
for use is not given, but young children might be unable to answer the
questions or follow the commands.
Edinburgh Coma Scale
(1973)
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Finding
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Score
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answers simple questions
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? 0
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obeys simple commands
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? 1
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localizing movements of limb(s)
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? 2
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flexor to pain
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? 3
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extensor to pain
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? 4
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no response
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? 5
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where:
• The score
values are uncertain, pending review of original references (in Japanese).
Edinburgh-2 Coma
Scale (1978)
Set of Questions:
(1) What month is it?
(2) What is your age?
Set of Commands:
(1) Close and open your hand.
(2) Close and open your eyes.
|
Stimulation
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Best Response
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Score
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2 set of question
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answers both correctly
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0
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answers either correctly
|
1
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answers neither correctly
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2
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2 sets of commands
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obeys both correctly
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3
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obeys either correctly
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4
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obeys neither correctly
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5
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response to strong pain
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localizing
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6
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flexion
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7
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extension
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8
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no response
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9
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Interpretation of Edinburgh-2 Coma Scale:
• The lower the value the better the prognosis.
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