The four score, developed as an alternative to gcs, has four main. Validacao da escala do center for epidemiologic studies of. A escala foi publicada em 1974 por graham teasdale and bryan j. Further validation of the four score coma scale by intensive care. Full outline of unresponsiveness score and the glasgow coma. The glasgow coma scale gcs is a worldwide tool used for evaluating the alterations of consciousness in patients. Score neurologique four medecine durgence urgences. Le score four full outline of unresponsiveness four wijdicks et collaborateurs ont developpe le full outline of. These category scores are summed for a total score ranging from 3 to 15. Validity of the four score coma scale in the medical intensive care unit. Iyer v, mandrekar jn, danielson rd, zubkov ay, elmer jl, wijdicks ef. To describe the most important coma scales developed in the last fifty years.