FOUR (Full Outline of UnResponsiveness) ScorePossible score: 0-16Loading...Eye responseEyelids open or opened, tracking or blinking to command0Eyelids remain closed w/ pain0Eyelids closed but open to pain+1Eyelids closed but open to loud voice+2Eyelids open but not tracking+3Motor response (upper extremities)No response to pain or generalized myoclonus status0Extension response to pain+1Flexion response to pain+2Localizing to pain+3Thumbs-up, first or peace sign+4Brainstem reflexesAbsent pupil, corneal and cough reflexes0Pupil and corneal reflexes absent+1Pupil or corneal reflex absent+2One pupil wide and fixed+3Pupil and corneal reflexes present+4Respiration patternBreathes above ventilatory rate0Breathes above ventilatory rate+1Not intubated, irregular breathing+2Not intubated, Cheyne-Stokes breathing pattern+3Not intubated, regular breathing pattern+4Indicazioni d'usoApprofondimenti e precauzioni