GCSEyeList NeuroTeachingList SeizureList FocalGeneralList FocalGeneralUniBiList FacialSymmetryList AldretConciousList CIWANauseaList ETOHTremorList
Long Names Short Names Long Names Short Names Long Names Short Names Long Names Short Names Long Names Short Names Long Names Short Names Long Names Short Names Long Names Short Names Long Names Short Names
Spontaneously 4 ADL's ADL's Jacksonian Jackson Focal Focal Focal Focal Symmetrical Symmet Awake & Oriented 2.. No Nausea/ Vomit 0.. Not Present 0..
To Voice 3 Diet Diet Complex Partial ComPart Generalized General Generalized General Droop R Droop R Drowsy&Oriented 1.5. Mild N/ No Vomit 1.. Felt Not Visible 1..
To Pain 2 Lifestyle Change Lifesty Grand Mal GrndMal Other*/Remark Other Unilateral Unilat Droop L Droop L Awake&Disorientd 1.5.. > Nausea/ No Vom 2.. Mild & Visible 2..
None 1 Medications Meds Petit Mal Pet Mal Bilateral Bilat Other*/Remark Other Respnd Verb Stim 1.0. >>Nausea/ No Vom 3.. Marked & Visible 3..
Neuro Deficit Deficit Atypical Absence Atypicl SeizureLocationList Other*/Remark Other Respnd Nox Stim 0.5.. Int N/Dry Heaves 4..
GCSMotorList Post-Op Teach Post-Op Atonic Atonic Long Names Short Names BASSLanguageList Non-Responsive 0.0.. Int N/>DryHeaves 5.. ETOHTachycardiaList
Long Names Short Names Pre-Op Teaching Pre-Op Myoclonus Myoclon Face R Face R Long Names Short Names > N/ > Dry Heaves 6.. Long Names Short Names
Obeys Commands 6 Procedures Procedr Other*/Remark Other Face L Face L TremorTypeList Normal 0.. AldretRespList Const N/ >>DH 7.. Not Present 0..
Localize Pain 5 Reasn For Device Devices RUE RUE Long Names Short Names Impair Memory 1.. Long Names Short Names HR 80-100 bpm 1..
W/Draws To Pain 4 Safety Safety SeizureDurationList LUE LUE Resting Resting Dysarthria & 2.. Normal & Awake 2.. CIWATremorList HR 100-130 bpm 2..
Flexes To Pain 3 Sensory Changes Sensory Long Names Short Names RLE RLE Intentional Intent Paraphasia 2… Normal & Asleep 1.5.. Long Names Short Names HR >130 bpm 3..
Extends To Pain 2 Updates Updates < 1 Minute <1 Min LLE LLE Other*/Remark Other Mild Aphasia & 2…. Oral/Nasal Airwy 1.0.. No Tremor 0..
None 1 Other*/Remark Other 1-3 Minutes 1-3 Min Other*/Remark Other Inattention 2….. Apnea/ ET Tube 0.0.. Felt/ Not Seen 1.. ETOHHypertensionList
4 Minutes 4 Min TremorLocationList Exp Aphasia & 3.. Minimal Tremor 2.. Long Names Short Names
GCSVerbalList EOMList > 4 Minutes >4 Min SeizureSkinColorList Long Names Short Names Mod Inattention 3… AldretCircList > Tremor 3.. Not Present 0..
Long Names Short Names Long Names Short Names Status Epileptic Status Long Names Short Names Hand R Hand R Rec Aphasia & 3…. Long Names Short Names Mod Tremor 4.. SBP 150-175  mmHg 1..
Oriented 5 Intact Int Unobserved Unobsrv Normal Normal Hand L Hand L Mod Inattention 3….. BP & P +/- 20% 2.0.. > Tremor 5.. SBP 175-200 mmHg 2..
Confused 4 Dysconjugate DC Other*/Remark Other Red Red Hands Hands Global Imp Lang 4.. BP&P +/-  20-30% 1.5.. >>Tremor 6.. SBP >200 mmHg 3..
Inapprop Words 3 Nystagmus Nys Cyanotic Cyanotc Arm R Arm R Hemi-Inattention 4… BP&P +/-  30-35% 1.0.. Severe Tremor 7..
Incomp Sounds 2 Doll's Eyes DLs TrainOf4List Other*/Remark Other Arm L Arm L Obtunded/Stupor 5.. BP & P +/- 50% 0.0.. ETOHDiaphoresisList  
None 1 No Eye Movement Non Long Names Short Names Arms Arms CIWAPulseList Long Names Short Names  
Other*/Remark Oth Ulnar Nerve Ulnar PostIctalList Leg R Leg R BASSVisualList AldretColorList Long Names Short Names Not Present 0..  
ConsciousnessList Facial Nerve Facial Long Names Short Names Leg L Leg L Long Names Short Names Long Names Short Names HR<80 ; 0 Sweat 0.. Mild 1..  
Long Names Short Names VisionList PostTibial Nerve PostTib > 4 Minutes > 4 Min Legs Legs Normal 0.. Pink Mucous Memb 2.0.. 81-100; Sl Moist 1.. Moderate 2..
Alert Alert Long Names Short Names Other*/Remark Other Other*/Remark Other Other*/Remark Other Nystagmus 1.. Pale/Jaundice MM 1.5.. 101-110; ModMoist 2.. Marked 3..
Anesthetized Anesth Normal Nl VertGazeParesis 1… Dusky MucousMemb 1.0.. 111-120; > Moist 3..
Agitated Agitate Field Deficits FD TrainOf4ResponseList PupilShapeList Skew 2.. Cyanotic MucMemb 0.0.. 121-130; Sm Bead 4.. ETOHNauseaList
Asleep Asleep Blurred Blr Long Names Short Names Long Names Short Names Opthalmoparesis 2…. 131-140; >Beads 5.. Long Names Short Names
Drowsy Drowsy Diplopia Dip 4/4 Underparalyz 4/4 Round Rnd Part Hemianopsia 2….. AldretActivityList 141-150;>>Beads 6.. Not Present 0..
Lethargic Letharg Blind Bln 3/4 Slt Paralyz 3/4 Oval Ovl CompHemianop 3.. Long Names Short Names >150; Drenched 7.. Nausea Only 1..
Obeys Commands Obeys Unable to Assess Un 2/4 Mod Paralyz 2/4 Irregular Irr LatGazeParesis 4.. Sens Motor Fx X4 2.0.. Vomiting X1 2..
Obtundent Obtund Other*/Remark Oth 1/4 Goal Paralyz 1/4 Other*/Remark Oth Bil Hemianopsia 4… Full Motor& Near 1.5.. CIWAAnxietyList Freq. Dry Heaves 3..
Respnd Deep Pain D Pain 0/4 Over Paralyz 0/4 Forced Deviation 5.. Full Sensory Fx& 1.5… Long Names Short Names
Respnd Lght Pain L Pain LimbMovementList Other*/Remark Other StimuliList <10 mm BP decr 1.5…. No Anxiety 0.. ETOHFeverList  
Sedated Sedated Long Names Short Names Long Names Short Names BASSSensoryList Sens/Motor Block 1.0.. Mild Anxiety 1.. Long Names Short Names
Restless Restlss Voluntary Motor VM CognitionList Verbal Verbal Long Names Short Names No spont Move & 1.0… > Anxiety 2.. Not Present 0..
Unresponsive None Flexion W/drawal FW Long Names Short Names Tactile Tactile Normal 0.. Sens/Motor Block 0.0.. >>Anxiety 3.. 38 C or Less 1..
Other*/Remark Other Flexion Abnormal FA Purpose/Approp VIII Nailbed Pressure Nailbed HemisensoryImpair 1.. Mod Anxiety 4.. 38-38.5 C 2..
Extension Ext Automatic/Approp VII Sternal Rub Sternal Mild Gait Ataxia 1… SpinalLevelList > Anxiety 5.. > 38.5 C 3..
OrientationList No Response Non Confuse/Approp VI Trapezious Press Trapzs Mild Monoparesis 1…. Long Names Short Names >>Anxiety 6..
Long Names Short Names Other*/Remark Oth Conf/Inap/NoAgit V Shaking Shaking Axial/Limb Ataxia 2.. Thoracic Level 3 T 3 Panic/Delirium 7.. ETOHAgitationList  
PerPlacSituatnTm X 4 Confuse/Agitated IV Other*/Remark Other Mod Monoparesis 2… Thoracic Level 4 T 4 Long Names Short Names
PersonPlaceTime X 3 LimbStrengthList Local Response III Mild Hemiparesis 2…. Thoracic Level 5 T 5 CIWAAgitationList Not Present 0..
Person Place X 2 Long Names Short Names General Response II  Sev Monoparesis 3.. Thoracic Level 6 T 6 Long Names Short Names > Activity 1..
Person X 1 Full Power 5 No Response I Mod Hemiparesis 3… Thoracic Level 7 T 7 Normal Activity 0.. Restless, Fidgety 2..
Other*/Remark Other Gravity/SmResist 4 Not Tested No Test Sev Hemiparesis 4.. Thoracic Level 8 T 8 > Activity 1.. Pacing, Thrashing 3..
Gravity/NoResist 3 Bil Hemiparesis 4… Thoracic Level 9 T 9 Mildly Restless 2..
PupilSizeList Movemnt/NoGrav 2 PresentAbsentUnobservedList Hemiplegia 5.. Thorac Level 10 T 10 Restless 3.. ETOHLOCList  
Long Names Short Names Trace Movemnt 1 Long Names Short Names Quadraparesis 5… Thorac Level 11 T 11 Mod Restless 4.. Long Names Short Names
1mm 1mm Not Tested NT Present Present Thorac Level 12 T 12 Restless/Figets 5.. Intact LOC 0..
2mm 2mm Absent Absent Lumbar Level 2 L 2 >Restless/>Figets 6.. < Sensation 1..
3mm 3mm RamseyScaleList Unobserved Unobsrv Lumbar Level 3 L 3 Pacing/ Thrashing 7.. Infreq.Disorient 2..
4mm 4mm Long Names Short Names Lumbar Level 4 L 4 Disorientated 3..
5mm 5mm Anxious/Agitated 1 SASList Lumbar Level 5 L 5 CIWAOrientationList
6mm 6mm Cooperative 2 Long Names Short Names Sacral Level 1 S 1 Long Names Short Names ETOHSleepList  
7mm 7mm Commands Only 3 Unarousable 1 Sacral Level 2 S 2 Knows Date/Adds 0.. Long Names Short Names
8mm 8mm Brisk Response 4 Very Sedated 2 Sacral Level 3 S 3 ?Date/ 0 Add 1.. No Problem 0..
Sluggsh Response 5 Sedated 3 Sacral Level 4 S 4 ? Date/ < 2 days 2.. Awake 2-3X/ night 1..
PupilReactionList No Response 6 Calm&Cooperative 4 Sacral Level 5 S 5 ? Date/ > 2 days 3.. Awake 50% @ night 2..
Long Names Short Names Agitated 5 Cervical Level 1 C 1 ? Date/ ? Person 4.. Awake>50%@ night 3..
Brisk Bsk NeuroReferralList Very Agitated 6 Cervical Level 2 C 2
Sluggish Slg Long Names Short Names Danger Agitation 7 Cervical Level 3 C 3 CIWAHeadacheList ETOHHalucinationList  
Absent Abs PT/OT PT/OT Cervical Level 4 C 4 Long Names Short Names Long Names Short Names
Speech Therapy Speech Cervical Level 5 C 5 No Headache 0.. Not Present 0..
Clergy Clergy Cervical Level 6 C 6 Very Mild HA 1.. Aud or Vis Only 1..
PCC PCC Cervical Level 7 C 7 Mild Headache 2.. Unrelate Aud/Vis 2..
Social Services Social Cervical Level 8 C 8 Moderate HA 3.. Aud/Vis Related 3..
Mod-Severe HA 4..
CIWAVisualList Severe HA 5.. ETOHSeizureList  
Long Names Short Names Very Severe HA 6.. Long Names Short Names
Not Present 0.. Extreme Severe HA 7.. Absent 0..
Very Mild Sensit 1.. Present*/Remark Other
Mild Sensitivity 2.. CIWATactileList *************************  
Mod Sensitivity 3.. Long Names Short Names Notify MD Stat of  
Mod Sev Hallucin 4.. No Tactile Dist 0.. Seizure Activity  
Severe Hallucin 5.. Very Mild Dist 1..
Ext Hallucinatns 6.. Mild Disturb 2.. SensoryLevelList
Cont Hallucinatns 7.. Mod Disturbance 3.. Long Names Short Names
Mod/Severe Dist 4.. C-6 C-6
CIWAAuditoryList Severe Disturb 5.. T-4 T-4
Long Names Short Names Ext Severe Dist 6.. T-10 T10
Not Present 0.. Cont Severe Dist 7.. L-1 L-1
Very Mild Dist 1.. L-3 L-3
Mild Disturbance 2.. L-5 L-5
Mod Disturbance 3.. Other*/Remark Oth
Mod-Severe Dist 4..
Severe Disturb 5..
Ext Disturbance 6..
Cont Audit Hallucin 7..