NIH Stroke Scale - strokecarenow.com

NIH Stroke Scale Instructions Scale Definition Score 1a. Level of consciousness: The investigator must choose a 0 = Alert; keenly responsive response, even if a full evaluation is prevented by such 1 = Not alert, but arousable by minor obstacles as an endotracheal tube, language barrier, stimulation to obey, answer, or respond orotracheal trauma/bandages. A "3" is scored only if the 2 = Not alert, requires repeated stimulation patient makes no movement (other than reflexive posturing) in to attend, or is obtunded and requires response to noxious stimulation. strong or painful stimulation to make movements (not stereotyped) _____. 3 = Responds only with reflex motor or autonomic effects or totally unresponsive, flaccid, areflexic 1b. LOC Questions: The patient is asked the month and 0 = Answers both questions correctly _____. his/her age.

The investigator must choos response, even if a full evaluation is prevented by such obstacles as an endotracheal tube, e a language barrier, orotracheal trauma/bandages.

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