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 an acronym from “alert, voice, pain, unresponsive” is a system by which a health care professional can measure and record a patient’s level of consciousness.

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

It is a simplification of the Glasgow Coma Scalewhich assesses a patient response in three measures: The AVPU scale should be assessed using these three identifiable traits, looking for the best response of each. The assessor should always work from best A to worst U to avoid unnecessary tests on patients who are clearly conscious.


The four possible recordable outcomes are: In first aidan AVPU score of qvpu 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. In the hospital or long term healthcare facilities, caregivers may consider an AVPU score of less than A to be the patient’s normal avpuu. In some emergency 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.

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. This section needs expansion with: More scales Rationale behind comparisons Citations.

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