APACHE II 기록정보

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Motor Response Eye Opening Verbal Response 1 : None (Even to supra-orbital pressure) 1 2 : To pain (Pain from sternum / limb / supra-orbital pressure) 2 3 : To speech (Non-specific response, not necessarily to comman) 3 4 : Spontaneous (Eyes open, not necessarily aware) 4 1 : None (To any pain, limbs remain flaccid) 1 2 : Extension (Shoulder adducted and shoulder and forearm internally rotated) 2 3 : Flexor Response(Withdrawal response or assumption of hemiplegic posture) 3 4 : Withdrawal (Arm withdraws to pain, shoulder abducts) 4 5 : Localize pain (Arm attempts to remove supra-orbital / chest pressure) 5 6 : Obey Command (Follows simple commands) 6 1 : None (No verbalizaion of any type) 1 2 : Incomprehensible(Moans / groans, no speech) 2 3 : Inappropriate (Intelligible, no sustained sentences) 3 4 : Confused(Converses but confused, disoriented) 4 5 : Oriented (Converses and oriented) 5 Total Score ( 3 - 15 ) Verbal Response Total Score ( 3 - 15 ) Eye Opening 4 : Spontaneous 4 3 : To Voice 3 2 : To Pain 2 1 : None 1 5 : Oriented 5 4 : Confused 4 3 : Inappropriate 3 2 : Incomprehensible 2 1 : None 1 6 : Obeys 6 5 : Localizes Pain 5 4 : Withdraws 4 3 : Flexion 3 2 : Extension 2 1 : None 1 Motor Response Older Children Infants and Young Children 5 : Appropriate words; Smiles, Fixes, and Follows 5 4 : Consolable Crying 4 3 : Persistently irritable 3 2 : Restless, Agitated 2 1 : None 1 Glasgow Coma Scale