Two scales are usually used in assessment of consciousness level, The Alert Verbal Painful Unresponsiveness (AVPU) scale and the Glasgow Coma Scale. The AVPU scale uses four simple categories (Alert; Verbal response; response to Pain; Unresponsive), but has not been studied in a large. Intensive Crit Care Nurs. Apr;31(2) doi: / Epub Jan How accurate is the AVPU scale in detecting neurological.

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The AVPU scale should be assessed using these three identifiable traits, looking for the best response of each.

Patients who had encephalitis years of age. In first aidan AVPU score of anything less than A is often considered an indication to get further help, as the patient is likely to be in need of more definitive care. All Published work is licensed under a Avpk Commons Attribution 4.

Patients who have Glasfow score under 10 and convulsion are more likely to have complicatins and die Table 2. Although AVPU has been used for many years, but research assessing avph two scales is limited. Informed and asked the consent scake enrolment, Interviewed caregivers for risk factors predictors ; all subjects were tracked to discharge or end of life: Every year, in National Hospital of Pediatrics from to encephalitis patients are hospitalized due to encephalitis.

Comparison of the AVPU Scale and the Pediatric GCS in Prehospital Setting.

Data included presenting complaint, clinical discriminator, information on whether mobility was normal for age or not, respiratory rate, heart rate, temperature, level of consciousness on the AVPU scale indicating whether the patient is A–alert, V -only responding to verbal stimulus, P–only responding to painful stimulus, U–unresponsiveand whether physical trauma was present or not. This page was last edited on 19 Octoberat Patients who have less than 10 points of GCS and paralyse are times more likely to be death or to have complications compare sclae the group without paralyse.


In the hospital or long term healthcare facilities, caregivers may consider an AVPU score of less than A to be the patient’s normal baseline.

The AVPU scale is a rapid neurologic assessment scale commonly used by paramedics. You can help by adding to it. The AVPU scale is not suitable for long-term neurological observation of the patient; in this situation, the Glasgow Coma Scale is more appropriate. From Wikipedia, the free encyclopedia. Mirsa UK found that the lower the Glasgow score is, the more change of convulsion occures By using this site, you agree to the Terms of Use and Privacy Policy.

Select your language afpu interest to view the total content in your interested language. Vietnam is a developing country with tropical climate where infectious diseasesespecially encephalitis are common.

Annals of Emergency Medicine. More scales Rationale behind comparisons Citations. The risk of death and complications increases 50 times in the patients with glasgow under 10 and respiratosy disstress, and 19 times in the group glasgow score over 10 and respiratory disstress; and 4 time in the group with GCS over 10 without respitatory disstress. Glasgow score under 10 relates to paralyse.

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The four possible recordable outcomes are: Views Read Edit View history. The assessor should always work from best A to worst U to avoid unnecessary tests on patients who are clearly conscious. In term of agpu Factors: Use this AVPU scale to check their level of consciousness: When glasgow score is under 10, the damage in the brain is more severe, and convulsion may makes the damage worse due to hypoxia and metabolic disfunction.

First aid Emergency medicine.

AVPU – Wikipedia

Vital signs for children at triage: The damage includes edema, buise, heamorrhage, necrotise, grey tissues. Procedures A descriptive study was prospectively candid and patients were monitored at the hospital vertically until discharge or death [ 12 ].


Can’t read the image? It stands for a lert oriented to person, place and day ; responds to v erbal stimuli appropriate or inappropriate ; responds to p ainful stimuli localizes, withdraws or demonstrates decorticate or decerebrate neurological posturing ; or totally u nresponsive. October 26, ; Published date: Figure 2 shows that patents with Glassgow scaler of fewer than 10 can have a higher risk of death and complications with a fairly high sensitivity Patients who were noted to be “unresponsive” on the AVPU scale were excluded.

Retrieved from ” https: AVPU scale is a simple method for assessment of consciousness. AVPU Abbreviation and mnemonic for prehospital assessment of mental status.

Visit for more related articles at Pediatric Infectious Diseases: Avppu 31, Citation: This section needs expansion with: Binary and ordered logistic regression. Glasgow score less than 10 and respiratosy disstress. A study of Bhutto E assessing patients with acute encepalitis by Glasgow demonstrates a score abpu less than 10 points accounting for When patients have reduction of conciuousness levers and respiratory disstress not because of respiratory diseasesthe damage may develop in the center of respiratory.

The GCS score is one of the most commonly used methods. In our study, in most of the case, the cerebral spinal fluid is positive with JE. In some scle medical services protocols, “Alert” can be subdivided into a scale of 1 to 4, in which 1, 2, 3 and 4 correspond to certain attributes, such as time, person, place, and event.

It is a simplification of the Glasgow Coma Scalewhich assesses a patient response in three measures: Results 95 patients were diagnosed of encephalitis in a 6 month study period. A study of Mackey demonstrates similar results [ 34 ].

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