FOUR Score Calculator Sponsored Advertising placement FOUR Score Clinical Decision Tool Assesses consciousness using eye response, motor response, brainstem reflexes and respiration. Eye Response 4 — Eyelids open or opened, tracking or blinking to command +4 3 — Eyelids open but not tracking +3 2 — Eyelids closed but open to loud voice +2 1 — Eyelids closed but open to pain +1 0 — Eyelids remain closed with pain 0 Motor Response 4 — Thumbs-up, fist or peace sign to command +4 3 — Localising to pain +3 2 — Flexion response to pain +2 1 — Extension response to pain +1 0 — No response to pain or generalised myoclonus status 0 Brainstem Reflexes 4 — Pupil and corneal reflexes present +4 3 — One pupil wide and fixed +3 2 — Pupil or corneal reflexes absent +2 1 — Pupil and corneal reflexes absent +1 0 — Pupil, corneal and cough reflexes absent 0 Respiration Pattern 4 — Not intubated; regular breathing pattern +4 3 — Not intubated; Cheyne–Stokes breathing pattern +3 2 — Not intubated; irregular breathing +2 1 — Breathes above ventilator rate +1 0 — Breathes at ventilator rate or apnoea 0 Calculate FOUR Score Clear Calculator ☆ Log in to save Save this calculator to your MDPDA account. + Add to Toolkit Log in to save incomplete calculator progress and return later. Log in to save progress Clinical Decision Support Only MediCalc calculators are intended to support qualified healthcare professionals and must not replace professional clinical judgement. Do not enter patient-identifiable information into Saved Progress. Read our Clinical Disclaimer Sponsored Advertising placement
