FOUR Score Calculator

Full Outline of UnResponsiveness (Coma Scale)

The FOUR Score (Full Outline of UnResponsiveness) is a clinical scale designed to assess consciousness in critically ill patients, especially those who are intubated. Unlike the GCS, it includes brainstem reflexes and respiration patterns, providing greater neurological detail.

Select the score for each criterion:

Reference:

Wijdicks, E. F. M., et al. (2005). Validation of a new coma scale: The FOUR score. Annals of Neurology, 58(4), 585-593.