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Blantyre coma score

Blantyre coma score
  Score
Eye movement
Watches or follows 1
Fails to watch or follow 0
Best motor response
Localizes painful stimulus 2
Withdraws limb from painful stimulus 1
No response or inappropriate response 0
Best verbal response
Cries appropriately with pain or, if verbal, speaks 2
Moan or abnormal cry with pain 1
No vocal response to pain 0
Total  
Fully conscious children score 5; children who do not respond to painful stimuli score 0. Response to pain should be assessed via firm nailbed pressure, sternal pressure, and pressure over the supraorbital ridge. Blantyre coma score ≤2 is associated with mortality.
Molyneux ME, Taylor TE, Wirima JJ, Borgstein A. Clinical features and prognostic indicators in paediatric cerebral malaria: a study of 131 comatose Malawian children. Q J Med 1989; 71:441.
Graphic 74361 Version 4.0

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