Purpose: To use the Pittsburgh Brain Stem Score to evaluate a patient with possible coma.						Citations with documentation. 17.01.06	Sriram & Svirbely 2000
data	enter
Are you evaluating a patient with or at risk for coma? (Y or N)		:-):-):-)
Is the lash reflex present on the left side? (Y or N)		:-):-):-)						2
Is the lash reflex present on the right side? (Y or N)		:-):-):-)
Is the corneal reflex present on the left side? (Y or N)		:-):-):-)						2
Is the corneal reflex present on the right side? (Y or N)		:-):-):-)
Is the doll's eye and/or ice water caloric reflex present on the left side? (Y or N)		:-):-):-)						1
Is the doll's eye and/or ice water caloric reflex present on the right side? (Y or N)		:-):-):-)
Does the left pupil react to light? (Y or N)		:-):-):-)						2
Does the right pupil react to light? (Y or N)		:-):-):-)						1
Is the gag reflex present? (Y or N)		:-):-):-)						2
Is the cough reflex present? (Y or N)		:-):-):-)
enter an "x" in the appropriate column for each question (give only 1 answer per row)
	obeys	localizes	withdraws	abnormal flexion	extends	none
best motor response							Yes	1
	oriented	confused	inappropriate words	incompre-hensible sounds	none
best verbal response							Yes	3
	spontaneous	to speech	to pain	none
eye opening							Yes	2
calculate	result
data complete?	Yes
evaluation appropriate?	Yes	:-):-):-)
Pittsburgh brain stem score	10	out of 12 (minimum 6)
Glasgow coma score	6	out of 15 (minimum 3)
combined Glasgow-Pittsburgh coma score	16	out of 27 (minimum 9)