Wijdicks EF, Bamlet WR, Maramattom BV, Manno EM, Mcclelland RL. Validation of a new coma scale: The FOUR score. Ann Neurol. 2005;58(4):585-93.

Iyer VN, Mandrekar JN, Danielson RD, Zubkov AY, Elmer JL, Wijdicks EF. Validity of the FOUR score coma scale in the medical intensive care unit. Mayo Clin Proc. 2009;84(8):694-701.

Stead LG, Wijdicks EF, Bhagra A, et al. Validation of a new coma scale, the FOUR score, in the emergency department. Neurocrit Care. 2009;10(1):50-4.

Wolf CA, Wijdicks EF, Bamlet WR, Mcclelland RL. Further validation of the FOUR score coma scale by intensive care nurses. Mayo Clin Proc. 2007;82(4):435-8.

Dr. Eelco F.M. Wijdicks

var calc_output = [];

var eyeresponse = parseFloat(eyeresponse)
var motorresponse = parseFloat(motorresponse)
var brainstemreflex = parseFloat(brainstemreflex)
var respirationpattern = parseFloat(respirationpattern)

var score = eyeresponse + motorresponse + brainstemreflex + respirationpattern 
var subscore = 'E' + eyeresponse + ' M' + motorresponse + ' B' + brainstemreflex + ' R' + respirationpattern

//results
calc_output.push({
    name: 'mini',
    value: score,
    value_text: 'points',
    message: subscore 
});
calc_output.push({
    name: '10028_FOUR Score_result',
    value: score,
    value_text: 'points',
    message: subscore + '<br/><br/>Lower scores indicate higher coma severity.'
});


FOUR (Full Outline of UnResponsiveness) Score

eyeresponse

motorresponse

brainstemreflex

respirationpattern

<p>Grades coma severity; may be more accurate than the Glasgow Coma Scale.</p>

FOUR Score

Victor Lin, MD

The FOUR (Full Outline of UnResponsiveness) Score grades severity of coma, more accurately than GCS.

Pediatric BIG Score

GCS-Pupils Score

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Calc Function