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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