Purpose: To use the COHMC coma scale to evaluate a child with a central nervous system injury, especially if the child is preverbal or intubated.
Citations with documentation. 17.01.04
Sriram and Svirbely 1997
data
enter
Are you evaluating the neurologic status of a child? (Y or N)
:-):-):-)
Are purposeful movements present? (Y or N)
:-):-):-)
enter an "x" in the appropriate column for each finding (give only 1 answer per row)
spontaneous movements
voice evoked movements
painful stimulus localized
:-):-):-)
cortical function
Yes
4
intact
delayed or diminished
absent
pupillary light reflex
Yes
0
intact
delayed or diminished
absent
corneal reflex
Yes
0
intact
delayed or diminished
absent
oculovestibular or oculocephalic reflexes
Yes
0
spontaneous
apneic
breathing
Yes
1
calculate
result
data complete?
Yes
cortical function subtotal
4
out of 6
brainstem function subtotal
1
out of 3
COHMC coma score
5
out of 9
Is survival possible?
Yes
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