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FOUR score

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FOUR score

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Version 1.2
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Updated December 3, 2012
Installs 23 times
Category Medical

Description

While the Glasgow Coma Scale (GCS) has been the gold standard to grade coma, it is limited by its inability to assess the verbal score in intubated patients and test brainstem reflexes.
The Full Outline of Unresponsiveness (FOUR) score has some advantages to the GCS as it provides greater neurological detail, recognizes a locked-in syndrome, and is superior due to the availability of brainstem reflexes, breathing patterns, and the ability to recognize different stages of herniation. The FOUR score may also provide additional prognostic information in patients with low GCS scores. The probability of in-hospital mortality is higher for the lowest total FOUR score compared with the lowest total GCS score.
The FOUR Score has 4 components with “4” as a maximal score for each item. The individual components are eye responses (eye opening and eye tracking), motor responses (responses to pain and following simple hand commands), brainstem reflexes (pupil, cornea, and cough reflexes), and respiration (breathing rhythm and respiratory drive in ventilated patients).
The scale was developed in Mayo Clinic and presented by Wijdicks et al. in 2005. Numerous studies have validated the FOUR score in the Neurointensive Care Unit.
The FOUR Score is a further improvement on previous scales for classifying and communicating impaired consciousness.
The proper support for devices with different screen sizes (including tablet PC) has been done.

The application is available in the following languages:
– English
– Russian.

Any suggestions, inquiries, and requests for adding other languages are welcomed by e-mail to drchernj@gmail.com with the “Android-FOUR” mark in the subject line. Please, help us to make the application available in your own language.

Keywords: FOUR score, assessment of consciousness, neurology, critical care medicine, anesthesiology, pediatrics, drug and alcohol abuse, toxicology, diagnosis, calculator, modified Glasgow Coma Scale

Recent changes:
v.1.1
– Ability to manually change the language of the program.

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    Many times we don’t use pumps when we give the infusion. There are simply not enough pumps. We adjust the rate counting drops per minute with a watch. It would be much more precisely if we could hear the beat after calculation the speed. But I’m not aloud to use iPhones or androids in my ward. A company did once a thing that looks like a every small calculator were u could write the seeped (in drops per minute) and it started beeping in that rate. It was just a free gadget for advertisement. I had never found that again. Is there no one interested I making them for sale?

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    Many times we don’t use pumps when we give the infusion. There are simply not enough pumps. We adjust the rate counting drops per minute with a watch. It would be much more precisely if we could hear the beat after calculation the speed. But I’m not aloud to use iPhones or androids in my ward. A company did once a thing that looks like a every small calculator were u could write the seeped (in drops per minute) and it started beeping in that rate. It was just a free gadget for advertisement. I had never found that again. Is there no one interested I making them for sale?

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    Great app, all Doctors should ‘prescribe’ their patients to use this!

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    This site is pretty good for finding medical apps: http://www.medicalandroidapps.com.  They have a good selection and are worth checking out…

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    Merci pour ces infos. Est-ce qu’il y a des apps qui sont utiles pour la radiologie à Montréal? Je sais qu’il y a des spécialistes comme http://www.sorad.ca/fr/ qui pourrait profiter de quelque chose comme ça.

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